Atypical fetal junctional ectopic tachycardia: a case report and literature review

• Material Type: 記事
• Title: Atypical fetal junctional ectopic tachycardia: a case report and literature review
• Author/Editor: KATSURA, Daisuke; TSUJI, Shunichiro; TOKORO, Shinsuke; HOSHIYAMA, Takako; HOSHINO, Shinsuke; FURUKAWA, Ouki; 村上, 節; 桂, 大輔; 辻, 俊一郎; 所, 伸介; 星山, 貴子; 星野, 真介; 古川, 央樹
• Author Heading: KATSURA, Daisuke; TSUJI, Shunichiro; TOKORO, Shinsuke; HOSHIYAMA, Takako; HOSHINO, Shinsuke; FURUKAWA, Ouki; 村上, 節; 桂, 大輔; 辻, 俊一郎; 所, 伸介; 星山, 貴子; 星野, 真介; 古川, 央樹
• Publication, Distribution, etc.: BioMed Central Ltd
• Publication Date: 2022-04-11
• Publication Date (W3CDTF): 2022-04-11
• Periodical title: BMC Pregnancy and Childbirth
• No. or year of volume/issue: 22 1
• Volume: 22
• Issue: 1
• ISSN (Periodical Title): ISSN : 1471-2393
• Text Language Code: eng
• Subject Heading: Cardiac arrhythmia; Diagnosis hydrops fetalis; Junctional ectopic tachycardia; Premature restriction of the foramen ovale; Case report
• Target Audience: 一般
• Note (General): type:Journal Article; Background:Junctional ectopic tachycardia (JET) is caused by ectopic rhythms, originating in the atrioventricular node, typically with heart rate between 200 and 250 bpm. Herein, we present a case of fetal JET with normal fetal heart rate and a review of nine cases.; Case presentation:A 32-year-old, gravida 2, para 1, woman in whom fetal JET could not be diagnosed prenatally because the fetal heart rate was within the normal range. The fetus was diagnosed with premature restriction of the foramen ovale, and a cesarean section was performed, owing to the right heart overload that was characterized by fetal ascites and abnormal fetal Doppler velocity. Postnatally, the female neonate was diagnosed with JET on a 12-lead electrocardiogram, which revealed a neonatal heart rate of 158 bpm with narrow QRS and atrioventricular dissociation. After failure to respond to amiodarone therapy, she was treated with flecainide, which controlled the JET rate from 120 to 150 bpm. Fetal tachycardia with ventriculo-atrial (VA) dissociation or 1:1 VA conduction with a shorter VA interval than that of atrioventricular reentrant tachycardia confirmed the diagnosis of fetal JET.; Conclusions:JET should be suspected even in the absence of tachycardia in patients with ductus venosus and pulmonary vein retrograde flow or tricuspid and mitral regurgitation without a cardiac anomaly, as tachycardia might sometimes be intermittent in cases of JET.; source:http://www.ncbi.nlm.nih.gov/pmc/articles/pmc9003959/
• Source: https://shiga-med.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4200&item_no=1&attribute_id=17&file_no=1
• Access Restrictions: 限定公開
• Rights (production): © 2022. The Author(s).; This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/. The Creative Commons Public Domain Dedication waiver (http:// creat ivecommons. org/ publi cdoma in/ zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• Related Material (DOI): 10.1186/s12884-022-04655-6
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 滋賀医科大学 : 滋賀医科大学機関リポジトリびわ庫