Fetal cardiac pathology-case of fetal arrythmias in pregnancy by Dr B. Mvundura

Fetal cardiac pathology-case of fetal arrythmias in pregnancy by Dr B. Mvundura

🎙 Dr. B. Mvundura 👥 2K 📅 May 28, 2026 ⏱ 12 min 👁 50 📄 case report 🧭 2026-08-16
Available in: English (current) Français

Keywords

fetal tachycardiasupraventricular tachycardiahydrops fetalisflecainidefetal echocardiography

Summary

This presentation by Dr. B. Mvundura, part of the Fetal Medicine Foundation Zimbabwe’s 2026 Refresher Course, discusses a case of fetal supraventricular tachycardia (SVT) in a 21-year-old woman at 29 weeks gestation. The patient presented with fetal tachycardia of 244 bpm, polyhydramnios, pleural effusion, and skin edema, leading to a diagnosis of SVT. Management included oral flecainide, which improved the fetal heart rate to 137 bpm, but the pregnancy ended in preterm labor and neonatal demise. The presentation reviews the classification of fetal arrhythmias, focusing on short VA supraventricular tachycardia, its pathophysiology, and management algorithms. It emphasizes the importance of accurate fetal heart rate measurement, referral for fetal echo, and multidisciplinary care. Key takeaways include the underdiagnosis of fetal arrhythmias and the need for detailed rhythm analysis.

127 words

Critical Evaluation

Value of the Information & Strength of the Argument

The presentation provides valuable clinical insights into the diagnosis and management of fetal supraventricular tachycardia, including a detailed case study and review of treatment options. The argumentation is based on established medical knowledge and guidelines, though it lacks explicit citations. The presenter effectively explains the pathophysiology and management algorithm, making it useful for clinicians.

Scientific Rigor, Source Quality, Title Accuracy

The scientific rigor is moderate; the content aligns with standard obstetric and fetal medicine practices, but no specific sources are cited. The title accurately reflects the content. The presentation is from a recognized fetal medicine foundation, adding credibility. However, the lack of references and the single case nature limit its generalizability.

120 words

Title / Content Match

The title accurately reflects the content, which is a case presentation on fetal arrhythmias in pregnancy.

Quality & Reliability

7/10

The presentation is a clinical case report from a refresher course, based on real patient data and standard medical knowledge. It includes specific diagnostic findings, management, and outcomes. However, it lacks detailed references and peer-reviewed citations, and the presenter's credentials are not fully verified.

Key Moments

Contribution & Novelties

This presentation offers a practical case-based approach to fetal supraventricular tachycardia, highlighting the importance of accurate diagnosis and timely intervention. It underscores the underdiagnosis of fetal arrhythmias and provides a clear management algorithm. The case illustrates the challenges in resource-limited settings.

Pour aller plus loin :

75 words

Radar Profile

The profile shows balanced scores across information quantity, quality, technical level, and reliability, indicating a well-rounded educational presentation with moderate depth and credibility.

Reliability 7/10