Fetal supraventricular tachycardia: Case report and review of the literature
IZMIR DR BEHCET UZ COCUK HASTANESI DERGISI, vol.3, no.2, pp.127-132, 2013 (ESCI, TRDizin)
- Publication Type: Article / Review
- Volume: 3 Issue: 2
- Publication Date: 2013
- Doi Number: 10.5222/buchd.2013.127
- Journal Name: IZMIR DR BEHCET UZ COCUK HASTANESI DERGISI
- Journal Indexes: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
- Page Numbers: pp.127-132
- Keywords: Fetal tachyarrhythmia, fetal supraventricular tachycardia, sotalol, digoxin, HYDROPS-FETALIS, THERAPY, AMIODARONE, DIAGNOSIS
- Kütahya Health Sciences University Affiliated: No
Abstract
Fetal tachyarrhythmias may occur in 0.4-0.6% of pregnancies. Supraventricular tachycardia (SVT) is the most frequently reported fetal tachyarrhythmia. Fetal SVT is a rhythm disturbance characterized by 1:1 atrioventricular conduction at a rate between 220 and 300 beats per minute. Digoxin is the most common first-line antiarrhythmic agent for fetal SVT, but there is no consensus on the most effective second-line therapeutic agent. Herein, we report a case of SVT at her 23rd week of gestation in whom digoxin and sotalol combination therapy failed. Management guidelines in the literature were also reviewed.