Seminars in Fetal & Neonatal Medicine
Volume 11, Issue 3 , Pages 182-190, June 2006

Cardiac arrhythmias in the fetus and newborn

Department of Paediatric Cardiology, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK

Summary 

Arrhythmias are potentially life-threatening problems in the fetus and newborn. Appropriate management depends on accurate diagnosis. Atrioventricular re-entry is the most common type of supraventricular tachycardia in both the fetus and newborn. It should be distinguished from other types of tachycardia – such as atrial flutter, atrial ectopic tachycardia, permanent junctional re-entry tachycardia, and ventricular tachycardia. Neonatal and fetal bradycardias are less common clinical problems. Sustained bradycardia is most often caused by complete atrioventricular block. It can be mimicked by the more common but benign occurrence of non-conducted atrial premature beats.

Keywords: Arrhythmia, Bradycardia, Fetus, Neonate, Tachycardia

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PII: S1744-165X(05)00104-6

doi:10.1016/j.siny.2005.12.001

Seminars in Fetal & Neonatal Medicine
Volume 11, Issue 3 , Pages 182-190, June 2006