Evidence map›Paper›PMID 34204066›Full record

ReviewJournal of clinical medicine2021

Treatment of Fetal Arrhythmias.

Alina Veduta, Anca Maria Panaitescu, Anca Marina Ciobanu, Diana Neculcea, Mihaela Roxana Popescu, Gheorghe Peltecu, Paolo Cavoretto

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Review
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  12. Article
  13. Diagnosis and Management of Fetal Arrhythmias in the Current Era.Journal of cardiovascular development and disease · 2024
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Prenatal Diagnosis of Fetal Heart Failure.Diagnostics (Basel, Switzerland) · 2023
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Alina VedutaObstetrics and Gynecology Department, Filantropia Clinical Hospital, 11171 Bucharest, Romania.
Anca Maria PanaitescuObstetrics and Gynecology Department, Filantropia Clinical Hospital, 11171 Bucharest, Romania.
Anca Marina CiobanuObstetrics and Gynecology Department, Filantropia Clinical Hospital, 11171 Bucharest, Romania.
Diana NeculceaObstetrics and Gynecology Department, Filantropia Clinical Hospital, 11171 Bucharest, Romania.
Mihaela Roxana PopescuCardiology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.ORCID 0000-0002-4539-5259
Gheorghe PeltecuObstetrics and Gynecology Department, Filantropia Clinical Hospital, 11171 Bucharest, Romania.
Paolo CavorettoObstetrics and Gynecology Department, IRCCS San Raffaele Hospital, 20132 Milan, Italy.ORCID 0000-0001-8097-366X
Carol Davila University of Medicine and Pharmacy · ROClinical Emergency Hospital Bucharest · ROVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fetal arrhythmias are mostly benign and transient. However, some of them are associated with structural defects or can cause heart failure, fetal hydrops, and can lead to intrauterine death. The analysis of fetal heart rhythm is based on ultrasound (M-mode and Doppler echocardiography). Irregular rhythm due to atrial ectopic beats is the most common type of fetal arrhythmia and is generally benign. Tachyarrhythmias are diagnosed when the fetal heart rate is persistently above 180 beats per minute (bpm). The most common fetal tachyarrhythmias are paroxysmal supraventricular tachycardia and atrial flutter. Most fetal tachycardias can be terminated or controlled by transplacental or direct administration of anti-arrhythmic drugs. Fetal bradycardia is diagnosed when the fetal heart rate is slower than 110 bpm. Persistent bradycardia outside labor or in the absence of placental pathology is mostly due to atrioventricular (AV) block. Approximately half of fetal heart blocks are in cases with structural heart defects, and AV block in cases with structurally normal heart is often caused by maternal anti-Ro/SSA antibodies. The efficacy of prenatal treatment for fetal AV block is limited. Our review aims to provide a practical guide for the diagnosis and management of common fetal arrythmias, from the joint perspective of the fetal medicine specialist and the cardiologist.

Indexed as

bradyarrhythmiafetal arrhythmiafetal ultrasoundtachyarrhythmia

Identifiers

PMID34204066
PMCPMC8201238
OpenAlexW3166642648

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.