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Persistent Fetal SVT in a COVID-19 Positive Pregnancy
Gloria Wang1, Eric Stapley2, Sara Peterson3
1Overland Park Regional Medical Center. HCA Graduate Medical Education-ObGyn, 12200 W. 106th St, Suite 325, Overland Park, KS 66215, USA.
Background:
Rapid introduction and spread of SARS-CoV-2 have posed unique challenges in understanding the disease, role in vertical transmission, and in developing management. We present a case of a patient with COVID-19 infection and fetus with new-onset fetal SVT.
Case:
A 26-year-old gravida 4 para 2012 with third trimester COVID-19 infection was diagnosed with new onset fetal SVT. Successful cardioversion was achieved with flecainide. The patient was followed outpatient until induction of labor at 39 and 3/7 weeks of gestational age resulting in an uncomplicated vaginal delivery. Postpartum course was uncomplicated.
Conclusion:
Fetal SVT is a potential complication of maternal COVID-19 infection. The use of transplacental therapy with flecainide is an appropriate alternative to digoxin in these cases.
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