Table 4 Management decisions and outcome of fetuses with cardiomyopathy, rhythm abnormalities and cardiac mass
From: Clinical utility of fetal echocardiography: an Egyptian center experience
Diagnosis | Decision | Outcome |
|---|---|---|
Cardiomyopathy | ||
Case no (35) | Prevention of termination/regular FUP | Resolved intrauterine |
Case no (88) Associated with frequent PVCs | Prevention of termination/regular FUP | IUFD |
Case no (91) | Prevention of termination/regular FUP | Lost FUP |
Cardiac mass (Rhabdomyoma) | Prevention of termination/regular FUP | spontaneous regression |
Arrhythmias | ||
Case no (41) Frequent PVCs | Prevention of termination/regular FUP | Resolved intrauterine |
Case no (50) Atrial fibrillation | Immediate induction of labor | Mother refused, DAMA signed |
Case no (58) Congenital heart block | Admission under obstetric care/regular FUP scanning | Arranged for neonatal pacemaker |
Case no (70) Atrial flutter with variable conduction | Regular FUP | Lost FUP |
Case no (72) Atrial tachycardia | Antiarrhythmic given without improvement | Elective termination due to severe hydrops |
Case no (78) Frequent PACs | Regular FUP | Resolved intrauterine |
Case no (79) Frequent PACs Case no (84) | Regular FUP | Resolved intrauterine |
SVT + common AV canal | Antiarrhythmic /regular FUP | Postnatal Antiarrhythmic therapy |
Case no (88) | Discussed above | Discussed above |
Case no (95) SVT | Antiarrhythmic/regular FUP | Post natal antiarrhythmic therapy |