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Atrial flutter in preterm babies
  1. S Sivakumar
  1. Neonatal Unit, Birmingham Women’s Hospital, Edgbaston, Birmingham B15 2TL, UK;

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    Atrial flutter is uncommon in neonates without congenital heart disease or cardiac surgery. It forms about 3% of cardiac arrhythmias in the newborn.1 Although idiopathic atrial flutter can occur in the fetus,2,3 accounting for 30% of fetal arrhythmias in one series,4 spontaneous conversion often occurs during birth. I share our experience of two preterm babies who had atrial flutter associated with maternal opiate abuse. There are no previous case reports on this association.

    The first case was of a 27 week gestation baby born to …

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