Development and significance of a fetal electrocardiogram recorded by signal-averaged high-amplification electrocardiography

International Heart Journal

Volumn 50, Issue 2, 2009, Pages 161-171

  Hayashi, Risa ^a   Nakai, Kenji ^a   Fukushima, Akimune ^a   Itoh, Manabu ^b   Sugiyama, Toru ^a  

^a IWATE MEDICAL UNIVERSITY   (Japan)

^b ICS Co Limited   (Japan)

Author keywords

Autonomic nervous system; Fetal ECG; Heart rate variability; Newborn ECG; Signal averaged ECG

Indexed keywords

ARTICLE; AUTONOMIC NERVOUS SYSTEM; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; DIAGNOSTIC IMAGING; ELECTROCARDIOGRAM; FETUS; FETUS ELECTROCARDIOGRAPHY; FETUS HEART RATE; HEART ARRHYTHMIA; HEART RATE VARIABILITY; HUMAN; LOW FREQUENCY HIGH FREQUENCY RATIO; NERVOUS SYSTEM DEVELOPMENT; NEWBORN; P WAVE; PARASYMPATHETIC TONE; PERINATAL CARE; PRIORITY JOURNAL; QRS COMPLEX; RADIOLOGICAL PARAMETERS; SIGNAL AVERAGED ELECTROCARDIOGRAPHY; SYMPATHETIC TONE; T WAVE; COMPARATIVE STUDY; ELECTROCARDIOGRAPHY; FEMALE; HEART MUSCLE CONDUCTION SYSTEM; INSTRUMENTATION; METHODOLOGY; PATHOPHYSIOLOGY; PREGNANCY; SIGNAL PROCESSING; TELEMETRY; THIRD TRIMESTER PREGNANCY;

ARRHYTHMIAS, CARDIAC; ELECTROCARDIOGRAPHY; FEMALE; HEART CONDUCTION SYSTEM; HEART RATE, FETAL; HUMANS; INFANT, NEWBORN; PREGNANCY; PREGNANCY TRIMESTER, THIRD; SIGNAL PROCESSING, COMPUTER-ASSISTED; TELEMETRY;

EID: 67449090611     PISSN: 13492365     EISSN: 13493299     Source Type: Journal    
DOI: 10.1536/ihj.50.161     Document Type: Article

References (26)

1. Vintzileos AM, Antsaklis A, Varavarigos I, Papas C, Sofatzis I, Montgomery JT. A randomized trial of intrapartum electronic fetal heart rate monitoring versus intermittent auscultation. Obstet Gynecol 1993; 81: 899-907.
2. Low JA, Killen H, Derrick EJ. The prediction and prevention of intrapartum fetal asphyxia in preterm pregnancies. Am J Obstet Gynecol 2002; 186: 279-82.
3. Martin JA, Kung HC, Mathews TJ, et al. Annual summary of vital statistics: 2006. Pediatrics 2008; 121: 788-801.
4. Phelan JP, Kim JO. Fetal heart rate observations in the brain-damaged infant. Semin Perinatol 2000; 24: 221-9. (Review)
5. Stanley FJ. Cerebral palsy trends. Implications for perinatal care. Acta Obstet Gynecol Scand 1994; 73: 5-9.
6. Parer JT, King T. Fetal heart rate monitoring: is it salvageable? Am J Obstet Gynecol 2000; 182: 982-7. (Review)
7. Stanley FJ, Watson L. Trends in perinatal mortality and cerebral palsy in Western Australia, 1967 to 1985. BMJ 1992; 304: 1658-63.
8. Nelson KB, Dambrosia JM, Ting TY, Grether JK. Uncertain value of electronic fetal monitoring in predicting cerebral palsy. N Engl J Med 1996; 334: 613-8.
9. Zareba W, Moss AJ, Schwartz PJ, et al. Influence of genotype on the clinical course of the long-QT syndrome. International Long-QT Syndrome Registry Research Group. N Eng J Med 1998; 339: 960-5.
10. Horigome H, Iwashita H, Yoshinaga M, Shimizu W. Magnetocardiographic demonstration of torsade de pointes in a fetus with congenital long QT syndrome. J Cardiovasc Electrophysiol 2008; 19: 334-5.
11. Symonds EM, Sahota D, Chang A. Historical Development. In: Symonds EM, Sahota D, Chang A. Fetal Electrocardiography. London, UK: Imperial College Press; 2001: 1-29.
12. Sato M, Kimura Y, Chida S, Ito T, Katayama N, Okamura K, Nakao M. A novel extraction method of fetal electrocardiogram from the composite abdominal signal. IEEE Trans Biomed Eng 2007; 54: 49-58.
13. Fukushima A, Nakai K, Itoh M, et al. Assessment of fetal autonomic nervous system activity by fetal magnetocardiography. Clinical Medicine Cardiology 2008; 2: 33-9.
14. Nakai K, Miyake F, Kasanuki H, et al. Newly developed signal-averaged vector-projected 187-channel electrocardiogram can evaluate the spatial distribution of repolarization heterogeneity. Int Heart J 2008; 49: 153-64.
15. Nakai K, Tsuboi J, Okabayashi H, et al. Development of a signal-averaged vector-projected 187-channel high-resolution electrocardiogram for the evaluation of the spatial location of high-frequency potentials and abnormal ventricular repolarization. Int Heart J 2007; 48: 701-13.
16. Stinstra JG, Peters MJ. The influence of fetoabdominal tissues on fetal ECGs and MCGs. Arch Physiol Biochem 2002; 110: 165-76.
17. Strasburger JF, Cuneo BF, Michon MM, et al. Amiodarone therapy for drug-refractory fetal tachycardia. Circulation 2004; 109: 375-9.
18. Raddino R, Bonadei I, Teli M, et al. Peripartum cardiomyopathy. Monaldi Arch Chest Dis 2008; 70: 15-23. (Italian)
19. Cunningham FG, MacDonald PC, et al, editors. Human Pregnancy. Williams Obstetrics. 20th ed. Stamford (CT): Appleton & Lange; 1997. 1-37.
20. Manning FA, Bondaji N, Harman CR, et al. Fetal assessment based on fetal biophysical profile scoring. VIII. The incidence of cerebral palsy in tested and untested perinates. Am J Obstet Gynecol 1998; 178: 696-706.
21. Eswaran H, Lowery CL, Wilson JD, Murphy P, Preissl H. Fetal magnetoencephalography - a multimodal approach. Brain Res Dev Brain Res 2005; 154: 57-62.
22. Kimura Y, Okamura K, Watanabe T, et al. Power spectral analysis for autonomic influences in heart rate and blood pressure variability in fetal lambs. Am J Physiol 1996; 271: H1333-9.
23. Assali NS, Brinkman CR 3rd, Woods JR Jr, Dandavino A, Nuwayhid B. Development of neurohumoral control of fetal, neonatal, and adult cardiovascular functions. Am J Obstet Gynecol 1997; 129: 748-59.
24. Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science 1981; 213: 220-2.
25. Saul JP. Beat-to-beat variations of heart rate reflect modulation of cardiac outflow. News Physiol Sci 1990; 5: 32-7.
26. Sameshima H, Ikenoue T, Ikeda T, Kamitomo M, Ibara S. Unselected low-risk pregnancies and the effect of continuous intrapartum fetal heart rate monitoring on umbilical blood gases and cerebral palsy. Am J Obstet Gynecol 2004; 190: 118-23.