Inappropriate fetal sinus tachycardia at 9 weeks of gestation

被引:0
|
作者
Bravo-Valenzuela, Nathalie [1 ,2 ]
Araujo Junior, Edward [1 ,3 ,4 ]
机构
[1] Fed Univ Sao Paulo EPM UNIFESP, Paulista Sch Med, Dept Obstet, Rio De Janeiro, SP, Brazil
[2] Fed Univ Rio Janeiro UFRJ, Dept Pediat, Rio De Janeiro, Brazil
[3] Municipal Univ Sao Caetano Sul USCS, Med Course, Bela Vista Campus, Sao Paulo, Brazil
[4] Rua Belchior Azevedo, 156 Apto, 111 Torre Vitoria, BR-05089030 Sao Paulo, Brazil
关键词
Echocardiography; inappropriate sinus tachycardia; prenatal diagnosis; tachycardia; ultrasound imaging; DIAGNOSIS; STATEMENT; DISEASE;
D O I
10.4103/apc.apc_130_21
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inappropriate sinus tachycardia (IST) is characterized by an inexplicably elevated sinus heart rate (HR) at rest, with an exaggerated response to physical activity. Its etiology is unknown, and IST is more common in the middle-aged population, being rare in children and adolescents. Although a favorable long-term prognosis has been described in a small series, tachycardia-induced cardiomyopathy has rarely been associated with IST. In this report, we describe an extremely rare case of IST detected in the first trimester of gestation, focusing on reviewing important features to improve the diagnosis of the different types of tachycardia by applying fetal cardiac ultrasonography. In the case reported, the diagnosis of IST was suspected in a fetus from a pregnant woman with celiac disease, who was referred at 9 weeks of gestation with fetal tachycardia. The fetus remained hemodynamically stable until term, and the female neonate was born unremarkably. Electrocardiography in the newborn showed sinus tachycardia (ST) with normal PR and QTc intervals. Possible causes of ST were excluded, thus confirming the fetal diagnosis. The patient presented with a fast HR at rest with an exaggerated increase with minimal physical activity accompanied by irritability. Beta-adrenergic blocker therapy was initiated, and the female neonate has progressed well.
引用
收藏
页码:399 / 403
页数:5
相关论文
共 50 条
  • [31] Inappropriate sinus tachycardia: focus on ivabradine
    Abed, H. S.
    Fulcher, J. R.
    Kilborn, M. J.
    Keech, A. C.
    INTERNAL MEDICINE JOURNAL, 2016, 46 (08) : 875 - 883
  • [32] Treatment of inappropriate sinus tachycardia with ivabradine
    Rakovec, Peter
    WIENER KLINISCHE WOCHENSCHRIFT, 2009, 121 (21-22) : 715 - 718
  • [33] Conventional management of inappropriate sinus tachycardia
    Brian Olshansky
    Renee M Sullivan
    Journal of Interventional Cardiac Electrophysiology, 2016, 46 : 43 - 45
  • [34] Pregnancy-related inappropriate sinus tachycardia: A cohort analysis of maternal and fetal outcomes
    Sharp, Alexander
    Patient, Charlotte
    Pickett, Janet
    Belham, Mark
    OBSTETRIC MEDICINE, 2021, 14 (04) : 230 - 234
  • [35] IVABRADINE AND INAPPROPRIATE SINUS TACHYCARDIA: A FUNNY TARGET FOR AN INAPPROPRIATE DISEASE
    Achike, Olisaemeka
    DeAntonio, Harry
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 71 (11) : 2606 - 2606
  • [36] Treatment of postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia
    M. Yousuf Kanjwal
    Daniel J. Kosinski
    Blair P. Grubb
    Current Cardiology Reports, 2003, 5 (5) : 402 - 406
  • [37] Surgical excision of the sinus node in a patient with inappropriate sinus tachycardia
    Esmailzadeh, B
    Bernat, R
    Winkler, K
    Meybehm, M
    Pfeiffer, D
    Kirchhoff, PG
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1997, 114 (05): : 861 - 864
  • [38] RADIOFREQUENCY CATHETER MODIFICATION OF THE SINUS NODE FOR INAPPROPRIATE SINUS TACHYCARDIA
    LEE, RJ
    KALMAN, JM
    FITZPATRICK, AP
    EPSTEIN, LM
    FISHER, WG
    OLGIN, JE
    LESH, MD
    SCHEINMAN, MM
    CIRCULATION, 1995, 92 (10) : 2919 - 2928
  • [39] Fetal supraventricular tachycardia at 12 weeks of gestation: diagnosis and follow up. A case report
    Bravo-Valenzuela, Nathalie Jeanne
    Peixoto, Alberto Borges
    Tonni, Gabriele
    Araujo Junior, Edward
    MEDICAL ULTRASONOGRAPHY, 2019, 21 (01) : 93 - 95
  • [40] Management of Inappropriate Sinus Tachycardia: A Promising Breakthrough
    Pham, Nicholas K.
    Ahmed, Adnan
    Bawa, Danish
    Ghazal, Rachad
    Kabra, Rajesh
    Romeya, Ahmed
    Pothineni, Krishna
    Darden, Douglas J.
    Gopinathannair, Rakesh
    Lakkireddy, Dhanunjaya R.
    CIRCULATION, 2023, 148