Abstract
BACKGROUND
Fetal supraventricular tachycardia is a rare complication of pregnancy associated with cardiac failure, hydrops, and fetal death. If no underlying cardiac defects are present, medical management with digoxin has been successful.
CASE
A young woman with a triplet pregnancy presented at 23 17 weeks' gestation for routine Doppler auscultation which suggested fetal supraventricular tachycardia, confirmed by M-mode echocardiography. She was treated with oral digoxin for the remainder of her pregnancy with subsequent conversion of the tachycardic triplet to normal sinus rhythm with occasional premature atrial beats. After delivery, the triplet previously demonstrating supraventricular tachycardia had a normal sinus rhythm.
CONCLUSION
Digoxin might be used safely and successfully to treat fetal supraventricular tachycardia in multifetal pregnancies.
TY - JOUR
T1 - Successful digoxin therapy of fetal supraventricular tachycardia in a triplet pregnancy.
AU - Jones,L M,
AU - Garmel,S H,
PY - 2001/11/13/pubmed
PY - 2002/1/5/medline
PY - 2001/11/13/entrez
SP - 921
EP - 3
JF - Obstetrics and gynecology
JO - Obstet Gynecol
VL - 98
IS - 5 Pt 2
N2 - BACKGROUND: Fetal supraventricular tachycardia is a rare complication of pregnancy associated with cardiac failure, hydrops, and fetal death. If no underlying cardiac defects are present, medical management with digoxin has been successful. CASE: A young woman with a triplet pregnancy presented at 23 17 weeks' gestation for routine Doppler auscultation which suggested fetal supraventricular tachycardia, confirmed by M-mode echocardiography. She was treated with oral digoxin for the remainder of her pregnancy with subsequent conversion of the tachycardic triplet to normal sinus rhythm with occasional premature atrial beats. After delivery, the triplet previously demonstrating supraventricular tachycardia had a normal sinus rhythm. CONCLUSION: Digoxin might be used safely and successfully to treat fetal supraventricular tachycardia in multifetal pregnancies.
SN - 0029-7844
UR - https://www.unboundmedicine.com/medline/citation/11704204/Successful_digoxin_therapy_of_fetal_supraventricular_tachycardia_in_a_triplet_pregnancy_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0029784401014363
DB - PRIME
DP - Unbound Medicine
ER -