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Fetal tachycardia

MedGen UID:
452491
•Concept ID:
C0410918
•
Finding
Synonyms: Baseline Fetal Tachycardia; Fetal Tachycardia
SNOMED CT: Fetal tachycardia (240298005)
 
HPO: HP:6000264

Definition

The number of beats per minute (bpm) of the fetal heart is above the upper limit of the normal for the gestational age. Fetal tachycardia is thus defined as a heart rate greater than 160-180 bpm. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFetal tachycardia

Professional guidelines

PubMed

Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment.
Jung E, Romero R, Suksai M, Gotsch F, Chaemsaithong P, Erez O, Conde-Agudelo A, Gomez-Lopez N, Berry SM, Meyyazhagan A, Yoon BH
Am J Obstet Gynecol 2024 Mar;230(3S):S807-S840. Epub 2023 Mar 21 doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317
Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Evidence for the clinical management of chorioamnionitis.
Fishman SG, Gelber SE
Semin Fetal Neonatal Med 2012 Feb;17(1):46-50. Epub 2011 Oct 1 doi: 10.1016/j.siny.2011.09.002. PMID: 21962477

Recent clinical studies

Etiology

Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment.
Jung E, Romero R, Suksai M, Gotsch F, Chaemsaithong P, Erez O, Conde-Agudelo A, Gomez-Lopez N, Berry SM, Meyyazhagan A, Yoon BH
Am J Obstet Gynecol 2024 Mar;230(3S):S807-S840. Epub 2023 Mar 21 doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317
Treatment, not delivery, of the late preterm and term fetus with supraventricular arrhythmia.
Holmes S, Hornberger LK, Jaeggi E, Howley L, Moon-Grady AJ, Uzun O, Kaizer A, Gilicze O, Cuneo BF
Ultrasound Obstet Gynecol 2023 Oct;62(4):552-557. Epub 2023 Sep 6 doi: 10.1002/uog.26239. PMID: 37128167
Fetal heart rate tracings associated with eclamptic seizures.
Ambia AM, Wells CE, Yule CS, McIntire DD, Cunningham FG
Am J Obstet Gynecol 2022 Oct;227(4):622.e1-622.e6. Epub 2022 Jun 2 doi: 10.1016/j.ajog.2022.05.058. PMID: 35662632
Betamimetics for inhibiting preterm labour.
Neilson JP, West HM, Dowswell T
Cochrane Database Syst Rev 2014 Feb 5;2014(2):CD004352. doi: 10.1002/14651858.CD004352.pub3. PMID: 24500892Free PMC Article
Chorioamnionitis and intraamniotic infection.
Newton ER
Clin Obstet Gynecol 1993 Dec;36(4):795-808. doi: 10.1097/00003081-199312000-00004. PMID: 8293582

Diagnosis

Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment.
Jung E, Romero R, Suksai M, Gotsch F, Chaemsaithong P, Erez O, Conde-Agudelo A, Gomez-Lopez N, Berry SM, Meyyazhagan A, Yoon BH
Am J Obstet Gynecol 2024 Mar;230(3S):S807-S840. Epub 2023 Mar 21 doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317
Flecainide in clinical practice.
Basza M, Maciejewski C, Bojanowicz W, Balsam P, Grabowski M, Mitkowski P, Kempa M, Kowalski O, Kalarus Z, Jaguszewski M, Lubiński A, Daniłowicz-Szymanowicz L, Szumowski Ł, Sterliński M, Kołtowski Ł
Cardiol J 2023;30(3):473-482. Epub 2023 Mar 13 doi: 10.5603/CJ.a2023.0018. PMID: 36908162Free PMC Article
Diagnosis and Management of Fetal and Neonatal Thyrotoxicosis.
Bohîlțea RE, Mihai BM, Szini E, Șucaliuc IA, Badiu C
Medicina (Kaunas) 2022 Dec 23;59(1) doi: 10.3390/medicina59010036. PMID: 36676660Free PMC Article
Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Neonatal Arrhythmia.
Joshi A , Humagain S
Kathmandu Univ Med J (KUMJ) 2020 Oct.-Dec.;18(72):430-433. PMID: 34165107

Therapy

Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment.
Jung E, Romero R, Suksai M, Gotsch F, Chaemsaithong P, Erez O, Conde-Agudelo A, Gomez-Lopez N, Berry SM, Meyyazhagan A, Yoon BH
Am J Obstet Gynecol 2024 Mar;230(3S):S807-S840. Epub 2023 Mar 21 doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317
Flecainide in clinical practice.
Basza M, Maciejewski C, Bojanowicz W, Balsam P, Grabowski M, Mitkowski P, Kempa M, Kowalski O, Kalarus Z, Jaguszewski M, Lubiński A, Daniłowicz-Szymanowicz L, Szumowski Ł, Sterliński M, Kołtowski Ł
Cardiol J 2023;30(3):473-482. Epub 2023 Mar 13 doi: 10.5603/CJ.a2023.0018. PMID: 36908162Free PMC Article
Transplacental treatment of fetal tachycardia: A systematic review and meta-analysis.
Hill GD, Kovach JR, Saudek DE, Singh AK, Wehrheim K, Frommelt MA
Prenat Diagn 2017 Nov;37(11):1076-1083. doi: 10.1002/pd.5144. PMID: 28833310
Evidence for the clinical management of chorioamnionitis.
Fishman SG, Gelber SE
Semin Fetal Neonatal Med 2012 Feb;17(1):46-50. Epub 2011 Oct 1 doi: 10.1016/j.siny.2011.09.002. PMID: 21962477
Mechanisms of fetal tachycardia.
Wren C
Heart 1998 Jun;79(6):536-7. doi: 10.1136/hrt.79.6.536. PMID: 10078076Free PMC Article

Prognosis

Diagnosis and Management of Fetal and Neonatal Thyrotoxicosis.
Bohîlțea RE, Mihai BM, Szini E, Șucaliuc IA, Badiu C
Medicina (Kaunas) 2022 Dec 23;59(1) doi: 10.3390/medicina59010036. PMID: 36676660Free PMC Article
Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Should the diagnostic criteria for suspected clinical chorioamnionitis be changed?
Sung JH, Choi SJ, Oh SY, Roh CR
J Matern Fetal Neonatal Med 2021 Mar;34(5):824-833. Epub 2019 Jun 3 doi: 10.1080/14767058.2019.1618822. PMID: 31084245
Betamimetics for inhibiting preterm labour.
Neilson JP, West HM, Dowswell T
Cochrane Database Syst Rev 2014 Feb 5;2014(2):CD004352. doi: 10.1002/14651858.CD004352.pub3. PMID: 24500892Free PMC Article
Chorioamnionitis and intraamniotic infection.
Newton ER
Clin Obstet Gynecol 1993 Dec;36(4):795-808. doi: 10.1097/00003081-199312000-00004. PMID: 8293582

Clinical prediction guides

Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Should the diagnostic criteria for suspected clinical chorioamnionitis be changed?
Sung JH, Choi SJ, Oh SY, Roh CR
J Matern Fetal Neonatal Med 2021 Mar;34(5):824-833. Epub 2019 Jun 3 doi: 10.1080/14767058.2019.1618822. PMID: 31084245
Neonatal Arrhythmia.
Joshi A , Humagain S
Kathmandu Univ Med J (KUMJ) 2020 Oct.-Dec.;18(72):430-433. PMID: 34165107
Evidence for the clinical management of chorioamnionitis.
Fishman SG, Gelber SE
Semin Fetal Neonatal Med 2012 Feb;17(1):46-50. Epub 2011 Oct 1 doi: 10.1016/j.siny.2011.09.002. PMID: 21962477
Chorioamnionitis and intraamniotic infection.
Newton ER
Clin Obstet Gynecol 1993 Dec;36(4):795-808. doi: 10.1097/00003081-199312000-00004. PMID: 8293582

Recent systematic reviews

Fetal heart rate monitoring in nonobstetric surgery: a systematic review of the evidence.
Higgins MF, Pollard L, McGuinness SK, Kingdom JC
Am J Obstet Gynecol MFM 2019 Nov;1(4):100048. Epub 2019 Sep 27 doi: 10.1016/j.ajogmf.2019.100048. PMID: 33345838
Transplacental treatment of fetal tachycardia: A systematic review and meta-analysis.
Hill GD, Kovach JR, Saudek DE, Singh AK, Wehrheim K, Frommelt MA
Prenat Diagn 2017 Nov;37(11):1076-1083. doi: 10.1002/pd.5144. PMID: 28833310
Effects of restricted caffeine intake by mother on fetal, neonatal and pregnancy outcomes.
Jahanfar S, Jaafar SH
Cochrane Database Syst Rev 2015 Jun 9;2015(6):CD006965. doi: 10.1002/14651858.CD006965.pub4. PMID: 26058966Free PMC Article
Betamimetics for inhibiting preterm labour.
Neilson JP, West HM, Dowswell T
Cochrane Database Syst Rev 2014 Feb 5;2014(2):CD004352. doi: 10.1002/14651858.CD004352.pub3. PMID: 24500892Free PMC Article
Betamimetics for inhibiting preterm labour.
Anotayanonth S, Subhedar NV, Garner P, Neilson JP, Harigopal S
Cochrane Database Syst Rev 2004 Oct 18;(4):CD004352. doi: 10.1002/14651858.CD004352.pub2. PMID: 15495104

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