Intrauterine supraventricular tachyarrhythmias and transplacental digitalisation.

Abstract:

:Six newborn infants with intrauterine supraventricular tachyarrhythmias (five cases of atrial flutter and one of supraventricular tachycardia) are described. Transplacental digitalisation was attempted in three cases. Supraventricular tachycardia associated with hydrops fetalis, detected in a fetus at a gestation of 31 weeks, was successfully converted to normal sinus rhythm eight days after the mother began treatment with digoxin. The serum concentration of digoxin in cord blood almost equalled the maternal concentration in three cases. In the remaining three cases treatment with digitalis was effective in converting tachyarrhythmias to sinus rhythm after delivery. With maintenance digoxin therapy, the prognosis of fetal tachyarrhythmias seems to be good, once conversion to sinus rhythm has been accomplished.

journal_name

Arch Dis Child

authors

Nagashima M,Asai T,Suzuki C,Matsushima M,Ogawa A

doi

10.1136/adc.61.10.996

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

996-1000

issue

10

eissn

0003-9888

issn

1468-2044

journal_volume

61

pub_type

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