Maternal administration of flecainide to terminate and suppress fetal tachycardia.
نویسندگان
چکیده
Fetal echocardiography has allowed fetal arrhythmias to be identified and accurately diagnosed. Because a fetal tachycardia is often detected before an elective delivery is safe considerable interest has focused on treatment by giving drugs to the mother. Digoxin is accepted as the drug of first choice, but no consensus exists on second line drugs.' 2 We present the first report of giving flecainide to a mother to terminate and suppress a fetal tachycardia.
منابع مشابه
First‐Line Antiarrhythmic Transplacental Treatment for Fetal Tachyarrhythmia: A Systematic Review and Meta‐Analysis
BACKGROUND There is no consensus on the most effective and best tolerated first-line antiarrhythmic treatment for fetal tachyarrhythmia. The purpose of this systematic review and meta-analysis was to compare the efficacy, safety, and fetal-maternal tolerance of first-line monotherapies for fetal supraventricular tachycardia and atrial flutter. METHODS AND RESULTS A comprehensive search of sev...
متن کاملA Fetus with Hydropic Change Secondary to Fetal Supraventricular Tachycardia
Fetal tachyarrhythmia is a rare but serious disease. Without treatment, it may progress to fetal cardiac failure, hydrops fetalis and in utero fetal death. With the rapid advancement in fetal echocardiographic equipment and techniques, such arrhythmia can be diagnosed accurately during prenatal life by using M-mode echocardiogram and doppler. Prenatal control of the tachyarrhythmia can be achie...
متن کاملThe Efficacy of Flecainide versus Digoxin in the Management of F E T L Supraventricular Tachycardia
Fetal supraventricular tachycardia (SVT) can be successfully treated transplacentally, but in cases where fetal hydrops develops there is considerable morbidity and mortality. The present study was carried out to establish whether the introduction of flecainide altered obstetric management and fetal outcome. A retrospective analysis took place of 51 singleton pregnancies which were referred to ...
متن کاملRapid control of foetal supraventricular tachycardia with digoxin and flecainide combination treatment.
OBJECTIVES To evaluate the efficacy of flecainide and digoxin combination in foetal supraventricular tachycardia. SETTING This study was carried out in a tertiary referral centre. METHODS We conducted a retrospective review of 29 patients diagnosed with supraventricular foetal tachycardia between 2001 and 2009. Mode of presentation, foetal cardiac function, maternal anti-arrhythmic serum le...
متن کاملFetal arrhythmia: prenatal diagnosis and perinatal management.
The importance of managing fetal arrhythmia has increased over the past three decades. Although most fetal arrhythmias are benign, some types cause fetal hydrops and can lead to fetal death. With the aim of improving the outcome in such cases, various studies for prenatal diagnosis and perinatal management have been published. Detailed analysis of the type of arrhythmia in utero is possible usi...
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ورودعنوان ژورنال:
- British medical journal
دوره 296 6617 شماره
صفحات -
تاریخ انتشار 1988