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Title: Resolution of hydrops fetalis caused by atrioventricular block: good postnatal evolution with terbutaline treatment. Author: Sainz JA, Garcia Mejido JA, Grueso J, Turmo E, Santos J, Garrido R. Journal: Clin Exp Obstet Gynecol; 2017; 44(1):154-156. PubMed ID: 29714889. Abstract: INTRODUCTION: Complete atrioventricular block (CAVB) is rarely seen, as it occurs in only 1:11 000 to 1:20 000 newborns. There is a serious risk of mortality in CAVB, mainly in those cases associated with hydrops, fetal cardiac frequency ≤ 55 beats/minute, and premature delivery. CASE REPORT: Case of complete atrioventricular block with a poor prognosis (hydrops fetalis and foetal cardiac frequency < 5 beats/minute) caused by anti-La and anti-Ro antibodies. Intrauterine symptoms improved after treatment with terbutaline, permit- ting foetal viability and successful postnatal treatment with a cardiac pacemaker. DISCUSSION: In case of complete atrioventricular block of cause autoimmune with poor prognosis should be treated with positive inotropic drugs, anticholinergics or b-mimetic in the attempt to maintain adequate ventricular frequency, and thus prevent hydrops fetalis from occurring.[Abstract] [Full Text] [Related] [New Search]