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Treatment of fetal supraventricular tachycardia with flecainide acetate after digoxin failure
A D Kofinas1, N V Simon, H Sagel
1Department of Obstetrics and Gynecology, York Hospital, PA 17405.
American Journal of Obstetrics and Gynecology
|September 1, 1991
Abstract:
Transplacentally administered digoxin is the drug of choice for the treatment of fetal supraventricular tachycardia. We describe a case of fetal supraventricular tachycardia associated with fetal hydrops that did not respond to digoxin treatment because of a lack of transplacental passage. In contrast, flecainide acetate crossed the placenta and cured the fetus. The clinical implications of this new treatment are discussed.