Fetal and Maternal Medicine Review 2007; 18:3 225–255 C _ 2007 Cambridge University Press

doi:10.1017/S0965539507001982 First published online 21 August 2007

 

FETAL BRADYCARDIA. A PRACTICAL APPROACH

 

Authors

Ruben J Acherman, MD, William N Evans, MD, Carlos F Luna, MD, William J Castillo, MD, Robert Rollins, MD, Katrinka Kip, MD, Ian H Law, MD, Juan C Collazos, MD, Humberto Restrepo, MD

 

Source

ChildrenÕs Heart Center Nevada, 3006 S Maryland Pkwy, Ste 690, Las Vegas, NV 89109, USA.

Email: racherman@childrensheartcenter.com.

 

Abstract

Fetal bradycardia may herald fetal demise. This article highlights arrhythmic fetal bradycardia rather than bradycardia caused by perinatal distress. We briefly examine the embryonic conduction systemÕs development and physiology and we review the classification, aetiology, evaluation, and approach to fetal bradycardia. Our aim is to provide the clinician with practical information about fetal bradycardia that enlightens causative conditions and aids management.

 

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