Romano-Ward syndrome diagnosed as moderate fetal bradycardia. A case report.

Romano-Ward syndrome diagnosed as moderate fetal bradycardia. A case report.
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Romano-Ward 综合征被诊断为中度胎儿心动过缓。

DOI:
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发表时间:
1995
期刊:
The Journal of reproductive medicine
影响因子:
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通讯作者:
M. Vigliani
M. Vigliani
中科院分区:
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文献类型:
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作者:
M. Vigliani

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背景 罗马诺-沃德综合征是一种罕见的常染色体显性心脏传导缺陷,与儿童和成人晕厥和危及生命的室性心律失常相关。 案例 注意到胎儿在产前有中度胎儿心动过缓。产后检查发现,孩子患有罗马诺-沃德综合症。 结论 这是第一例报告的罗马诺-沃德综合征产前诊断为胎儿心动过缓的病例。该报告证实,中度胎儿心动过缓并不表示胎儿窘迫,但确实表明应在新生儿期对胎儿进行心脏传导缺陷检查。
BACKGROUND Romano-Ward syndrome is a rare, autosomal-dominant cardiac conduction defect associated with syncope and life-threatening ventricular arrhythmia in children and adults. CASE A fetus was noted to have moderate fetal bradycardia in the antenatal period. When studied postnatally, the child was found to have Romano-Ward syndrome. CONCLUSION This is the first reported case of Romano-Ward syndrome diagnosed prenatally as fetal bradycardia. This report confirms that moderate fetal bradycardia does not indicate fetal distress, but it does indicate that fetuses should be studied for cardiac conduction defects in the neonatal period.