Pediatric cardiology
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Pediatric cardiology · Feb 2009
Case ReportsPrenatal diagnosis and management of fetal Long QT syndrome.
This report describes a fetus presenting with second-degree atrioventricular block, sinus bradycardia, and transient ventricular tachycardia with ventriculoatrial dissociation. Long QT syndrome (LQTS) was suspected due to the association of heart rhythm disturbances and very short transmitral early deceleration time. ⋯ The prognosis is poor when LQTS presents utero or during the first week of life. To date, only a few case reports of a fetus with LQTS have been published.
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Pediatric cardiology · Feb 2009
Cardiovascular magnetic resonance imaging for intensive care infants: safe and effective?
Cardiac magnetic resonance imaging (MRI) is an important diagnostic tool for congenital heart disease (CHD), as reflected by class 1 recommendations for the use of cardiac MRI by various consensus panels. However, little is known about the safety and clinical utility of cardiac MRI for these critically ill infants with CHD, whose further management cannot be directed by echocardiography. This study aimed to assess the safety, the potential hemodynamic side effects, and the clinical benefits of cardiac MRI for infants with complex CHD during their intensive care unit stay. ⋯ Cardiac MRI can be performed safely with low risk and limited hemodynamic changes for infants during their stay in the PCICU. Cardiac MRI provides key information for invasive management decisions in this subset of patients.