Abstract

The currently available modalities to assess fetal rhythm are (1) fetal echocardiographic evaluation using either M-mode or Pulse Doppler, or strain, (2) fetal magnetogram, (3) fetal electrocardiogram. In general, fetal echocardiographic evaluation for fetal rhythm is popular. Before using fetal echocardiography as a tool for rhythm assessment, there must be the assumption that an electrical conduction mode is the same as those of mechanical contraction. On the basis of this assumption, M-mode assessment for fetal rhythm is from images lining the atrium to ventricle which enables to measure the timing of atrial and ventricular contraction. The pulse Doppler measurement for fetal rhythm is more accurate but needs more experience because of its requirement to set image plane and sample point and sample point on SVC-AO. The assessment of fetal rhythm by fetal echocardiogram is now popular and set on guide lines from fetal echocardiography. We will present how to use fetal echocardiography as a tool to detect fetal rhythm.

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