A case report of pregnancy complicated by a Romano-Ward syndrome.
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The Romano-Ward syndrome is characterized by hereditary Q-T interval prolongation and syncopal attacks which may occasionally lead to sudden death. We report a case of pregnancy complicated by this syndrome. The Patient was a 29-year-old gravida 1, papa 1, who had been found to have this syndrome after her former delivery. In her family history, Q-T interval prolongation was observed in her first child, sister and mother as well.<BR>At the first examination of 6 week's gestation, there were no remarkable symptoms and change on the echocardiogram except for slight prolongation of Q-T intervals. The course of pregnancy had been uneventful until the 20th week of gestation, when she underwent a cervical cerclage. After being admitted for premature labour at 28 weeks of gestation she kept bed rest until delivery. She was delivered of a female infant by cesarean section at 36 weeks of gestation, whose birth weight was 2518gms and Apgar scores were 9. The neonate showed slight prolongation of Q-T intervals. There were no symptoms of the disease in the mother and infant after the delivery and ther were discharged without any remarkable events.
- 近畿産科婦人科学会の論文
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