Question of the Week

Question :
Posted On : 24 Oct 2019
Sometimes a sudden drop of the pulse occurs for seconds on
What is the differential diagnosis?
Expert Answer :
Infrequent missed beats are not uncommon in the neonatal period. In most cases they are benogn and due to isolated Premature ventricular contractions {PVC}. Most commonly they are idiopathic and disappear within 1-2 days. If the baby is clinically asymptomatic, in most cases they can be ignored if they disappear soon.
In some cases it is worthwhile to do an ECG {and rarely a Holter monitoring} to see their morphology and frequency. Rarely if the missed beats are at regular interval, it maybe due to second degree heart block which can be evident on an ECG. It may be necessary to rule out lupus erythematosus in the mother.
Answer Discussion :
shreedhar khanal
ectopic beats
2 years ago
Rubina Zulfqar
2 years ago
Srinivas prasad
Complete heart block
2 years ago
Drake Ramorat
aortic regurg
2 years ago
anmol Anmol
sinus arrythmia
2 years ago

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