Electrocardiographic abnormalities in infants born from mothers with autoimmune diseases - A multicentre prospective study

M. Gerosa, R. Cimaz, M. Stramba-Badiale, K. Goulene, E. Meregalli, L. Trespidi, B. Acaia, R. Cattaneo, A. Tincani, M. Motta, A. Doria, F. Zulian, O. Milanesi, A. Brucato, P. Riboldi, Pier Luigi Meroni

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Abstract

Objectives. To assess the prevalence of congenital heart block (CHB) and electrocardiographic (ECG) abnormalities in infants of anti-Ro/ SSA-positive women. Methods. Sixty anti-Ro-positive and 36 anti-Ro-negative patients were prospectively followed before/during pregnancy and underwent weekly fetal echocardiography from 18th to 26th weeks of gestational age. Infants' ECG and/or ECG-Holter were performed at 1, 3, 6 and 12 months. ECG of 200 consecutive neonates were used as a healthy control group. Results. One of 61 fetuses of anti-Ro-positive mothers developed CHB (20th week); another anti-Ro-positive baby developed second degree atrioventricular (AV) block (30th week). The prevalence of transient first degree AV block detected post-natally was significantly higher in the anti-Ro-positive group, in comparison with healthy controls (P = 0.002). No differences in corrected QT (QTc) interval prolongation prevalence (≥ 440 ms) was observed between the anti-Ro-positive and -negative groups, but both were significantly higher than that of the control population (P <0.001). ECG-Holter showed QTc prolongation in 59% of infants of anti-Ro-positive and in 60% of infants of anti-Ro-negative mothers. Holter QTc was ≥470 ms in four infants of anti-Ro-positive group and two of anti-Ro-negative group. Known acquired causes of QTc prolongation were excluded. Conclusions. This prospective study confirms the low occurrence of CHB in newborns from anti-Ro-positive mothers. ECG abnormalities (first degree AV block and QTc interval prolongation) are frequent in infants of mothers with autoimmune diseases, independently of maternal disease, autoantibody profile and treatment during pregnancy.

Original languageEnglish
Pages (from-to)1285-1289
Number of pages5
JournalRheumatology
Volume46
Issue number8
DOIs
Publication statusPublished - Aug 2007

Fingerprint

Autoimmune Diseases
Multicenter Studies
Mothers
Prospective Studies
Atrioventricular Block
Newborn Infant
Pregnancy
Autoantibodies
Gestational Age
Echocardiography
Fetus
Control Groups
Population
Congenital heart block

Keywords

  • Anti-SSA/Ro antibodies
  • ECG abnormalities
  • Neonatal lupus
  • QT prolongation
  • Systemic autoimmune diseases

ASJC Scopus subject areas

  • Neuroscience(all)
  • Rheumatology

Cite this

Electrocardiographic abnormalities in infants born from mothers with autoimmune diseases - A multicentre prospective study. / Gerosa, M.; Cimaz, R.; Stramba-Badiale, M.; Goulene, K.; Meregalli, E.; Trespidi, L.; Acaia, B.; Cattaneo, R.; Tincani, A.; Motta, M.; Doria, A.; Zulian, F.; Milanesi, O.; Brucato, A.; Riboldi, P.; Meroni, Pier Luigi.

In: Rheumatology, Vol. 46, No. 8, 08.2007, p. 1285-1289.

Research output: Contribution to journalArticle

Gerosa, M, Cimaz, R, Stramba-Badiale, M, Goulene, K, Meregalli, E, Trespidi, L, Acaia, B, Cattaneo, R, Tincani, A, Motta, M, Doria, A, Zulian, F, Milanesi, O, Brucato, A, Riboldi, P & Meroni, PL 2007, 'Electrocardiographic abnormalities in infants born from mothers with autoimmune diseases - A multicentre prospective study', Rheumatology, vol. 46, no. 8, pp. 1285-1289. https://doi.org/10.1093/rheumatology/kem073
Gerosa, M. ; Cimaz, R. ; Stramba-Badiale, M. ; Goulene, K. ; Meregalli, E. ; Trespidi, L. ; Acaia, B. ; Cattaneo, R. ; Tincani, A. ; Motta, M. ; Doria, A. ; Zulian, F. ; Milanesi, O. ; Brucato, A. ; Riboldi, P. ; Meroni, Pier Luigi. / Electrocardiographic abnormalities in infants born from mothers with autoimmune diseases - A multicentre prospective study. In: Rheumatology. 2007 ; Vol. 46, No. 8. pp. 1285-1289.
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abstract = "Objectives. To assess the prevalence of congenital heart block (CHB) and electrocardiographic (ECG) abnormalities in infants of anti-Ro/ SSA-positive women. Methods. Sixty anti-Ro-positive and 36 anti-Ro-negative patients were prospectively followed before/during pregnancy and underwent weekly fetal echocardiography from 18th to 26th weeks of gestational age. Infants' ECG and/or ECG-Holter were performed at 1, 3, 6 and 12 months. ECG of 200 consecutive neonates were used as a healthy control group. Results. One of 61 fetuses of anti-Ro-positive mothers developed CHB (20th week); another anti-Ro-positive baby developed second degree atrioventricular (AV) block (30th week). The prevalence of transient first degree AV block detected post-natally was significantly higher in the anti-Ro-positive group, in comparison with healthy controls (P = 0.002). No differences in corrected QT (QTc) interval prolongation prevalence (≥ 440 ms) was observed between the anti-Ro-positive and -negative groups, but both were significantly higher than that of the control population (P <0.001). ECG-Holter showed QTc prolongation in 59{\%} of infants of anti-Ro-positive and in 60{\%} of infants of anti-Ro-negative mothers. Holter QTc was ≥470 ms in four infants of anti-Ro-positive group and two of anti-Ro-negative group. Known acquired causes of QTc prolongation were excluded. Conclusions. This prospective study confirms the low occurrence of CHB in newborns from anti-Ro-positive mothers. ECG abnormalities (first degree AV block and QTc interval prolongation) are frequent in infants of mothers with autoimmune diseases, independently of maternal disease, autoantibody profile and treatment during pregnancy.",
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T1 - Electrocardiographic abnormalities in infants born from mothers with autoimmune diseases - A multicentre prospective study

AU - Gerosa, M.

AU - Cimaz, R.

AU - Stramba-Badiale, M.

AU - Goulene, K.

AU - Meregalli, E.

AU - Trespidi, L.

AU - Acaia, B.

AU - Cattaneo, R.

AU - Tincani, A.

AU - Motta, M.

AU - Doria, A.

AU - Zulian, F.

AU - Milanesi, O.

AU - Brucato, A.

AU - Riboldi, P.

AU - Meroni, Pier Luigi

PY - 2007/8

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N2 - Objectives. To assess the prevalence of congenital heart block (CHB) and electrocardiographic (ECG) abnormalities in infants of anti-Ro/ SSA-positive women. Methods. Sixty anti-Ro-positive and 36 anti-Ro-negative patients were prospectively followed before/during pregnancy and underwent weekly fetal echocardiography from 18th to 26th weeks of gestational age. Infants' ECG and/or ECG-Holter were performed at 1, 3, 6 and 12 months. ECG of 200 consecutive neonates were used as a healthy control group. Results. One of 61 fetuses of anti-Ro-positive mothers developed CHB (20th week); another anti-Ro-positive baby developed second degree atrioventricular (AV) block (30th week). The prevalence of transient first degree AV block detected post-natally was significantly higher in the anti-Ro-positive group, in comparison with healthy controls (P = 0.002). No differences in corrected QT (QTc) interval prolongation prevalence (≥ 440 ms) was observed between the anti-Ro-positive and -negative groups, but both were significantly higher than that of the control population (P <0.001). ECG-Holter showed QTc prolongation in 59% of infants of anti-Ro-positive and in 60% of infants of anti-Ro-negative mothers. Holter QTc was ≥470 ms in four infants of anti-Ro-positive group and two of anti-Ro-negative group. Known acquired causes of QTc prolongation were excluded. Conclusions. This prospective study confirms the low occurrence of CHB in newborns from anti-Ro-positive mothers. ECG abnormalities (first degree AV block and QTc interval prolongation) are frequent in infants of mothers with autoimmune diseases, independently of maternal disease, autoantibody profile and treatment during pregnancy.

AB - Objectives. To assess the prevalence of congenital heart block (CHB) and electrocardiographic (ECG) abnormalities in infants of anti-Ro/ SSA-positive women. Methods. Sixty anti-Ro-positive and 36 anti-Ro-negative patients were prospectively followed before/during pregnancy and underwent weekly fetal echocardiography from 18th to 26th weeks of gestational age. Infants' ECG and/or ECG-Holter were performed at 1, 3, 6 and 12 months. ECG of 200 consecutive neonates were used as a healthy control group. Results. One of 61 fetuses of anti-Ro-positive mothers developed CHB (20th week); another anti-Ro-positive baby developed second degree atrioventricular (AV) block (30th week). The prevalence of transient first degree AV block detected post-natally was significantly higher in the anti-Ro-positive group, in comparison with healthy controls (P = 0.002). No differences in corrected QT (QTc) interval prolongation prevalence (≥ 440 ms) was observed between the anti-Ro-positive and -negative groups, but both were significantly higher than that of the control population (P <0.001). ECG-Holter showed QTc prolongation in 59% of infants of anti-Ro-positive and in 60% of infants of anti-Ro-negative mothers. Holter QTc was ≥470 ms in four infants of anti-Ro-positive group and two of anti-Ro-negative group. Known acquired causes of QTc prolongation were excluded. Conclusions. This prospective study confirms the low occurrence of CHB in newborns from anti-Ro-positive mothers. ECG abnormalities (first degree AV block and QTc interval prolongation) are frequent in infants of mothers with autoimmune diseases, independently of maternal disease, autoantibody profile and treatment during pregnancy.

KW - Anti-SSA/Ro antibodies

KW - ECG abnormalities

KW - Neonatal lupus

KW - QT prolongation

KW - Systemic autoimmune diseases

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