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[Fetal supraventricular tachycardia]

F Gutiérrez-Larraya Aguado1, A Galindo Izquierdo, I Olaizola Llodio

  • 1Departamento de Pediatría, Facultad de Medicina, Universidad Complutense, Hospital Materno-Infantil 12 de Octubre, Madrid.

Revista Espanola De Cardiologia
|June 1, 1996
PubMed
Summary

Fetal supraventricular tachycardia can be managed with maternal digoxin and flecainide, even with hydrops. Gestation should not be shortened, and treatment can control cardiac rhythm effectively.

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Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Pediatric Cardiology

Background:

  • Fetal supraventricular tachycardia (FSVT) is a rare and challenging condition.
  • Existing therapeutic strategies for FSVT require further evaluation.
  • This study details the diagnosis and management of FSVT.

Purpose of the Study:

  • To assess clinical features of FSVT.
  • To evaluate the efficacy of maternal and fetal medications for FSVT treatment.
  • To comment on immediate neonatal outcomes and propose a therapeutic schema.

Main Methods:

  • Nineteen fetuses diagnosed with supraventricular tachycardia via echocardiography.
  • M-mode and Doppler echocardiography were utilized for diagnosis.
  • Gestational age at diagnosis averaged 32 weeks.

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Main Results:

  • Eight fetuses (42%) developed hydrops fetalis; three had dilated cardiomyopathy.
  • Sixteen fetuses received transplacental treatment, primarily with digoxin and flecainide.
  • Cardiac rhythm control was achieved in ten cases; three hydrops cases resulted in mortality.

Conclusions:

  • FSVT often occurs without associated cardiac malformations.
  • Tachycardia control is achievable, even in the presence of hydrops.
  • Maternal digoxin and flecainide are first-line treatments with minimal side effects; alternative or aggressive approaches may be necessary.