Prenatal management with digoxin and sotalol combination for fetal supraventricular tachycardia : Case report and review of literature.
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Date
2009-09
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Abstract
Sustained fetal supraventricular tachycardia (SVT) with a heart rate of approximately 210 bpm may lead to increased atrial and venous pressures and congestive heart failure. There is no clear consensus regarding the best drug-treatment regimens for fetal SVT. However, considerable nonrandomized experience in the transmaternal treatment of fetal SVT is available with a number of antiarrhythmic agents. We report a case of fetal supraventricular tachyarrhythmia with hydrops detected at 32 weeks that was managed with combination of oral digoxin and sotalol and review management guidelines available in the literature.
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Keywords
Digoxin, fetal supraventricular tachyarrhythmia, hydrops, sotalol
Citation
Suri Vanita, Keepanaseril Anish, Aggarwal Neelam, Vijayvergiya Rajesh. Prenatal management with digoxin and sotalol combination for fetal supraventricular tachycardia : Case report and review of literature. Indian Journal of Medical Sciences. 2009 Sept; 63(9) 411-414.