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Simultaneous supraventricular tachycardias in both fetuses of a twin gestation.
Arch Gynecol Obstet. 2004 Dec; 270(4):311-3.AG

Abstract

BACKGROUND

Fetal supraventricular tachycardia confers an increased risk of cardiac failure, hydrops, and eventual intrauterine death. Although protocols for prenatal anti-arrhythmic treatment are now well established, few published reports discuss this condition in the setting of multiple pregnancies.

CASE REPORT

A 20-year-old primigravida woman with a twin pregnancy presented at 31 weeks of gestation for routine obstetrical check-up which revealed simultaneous supraventricular tachycardia in both fetuses. She was treated with oral digoxin, resulting in successful cardioversion in both of the fetuses, which was maintained until they were delivered by caesarian section at 38 weeks gestation. However, several hours after birth, tachyarrhythmias recurred in each of the infants. Combined disopyramide therapy with digoxin was necessary to control their heart rates.

CONCLUSION

The treatment of arrhythmia in fetuses of a multiple gestation presents unique issues, particularly when diagnosed prior to fetal lung maturity.

Authors+Show Affiliations

Shima Y
Department of Pediatrics, Nippon Medical School, Tokyo, Japan. shima-p@nms.ac.jp
Baba C
No affiliation info available
Fujita A
No affiliation info available
Kanoh M
No affiliation info available
Watanabe M
No affiliation info available
Ogawa S
No affiliation info available
Kawase R
No affiliation info available
Shin S
No affiliation info available

MeSH

Administration, OralAdultAnti-Arrhythmia AgentsDigoxinDisopyramideDrug Therapy, CombinationFemaleFetal DiseasesHeart RateHumansInfant, NewbornPregnancyPregnancy, MultipleRecurrenceTachycardia, SupraventricularTwins

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

14745562

Citation

Shima, Yoshio, et al. "Simultaneous Supraventricular Tachycardias in Both Fetuses of a Twin Gestation." Archives of Gynecology and Obstetrics, vol. 270, no. 4, 2004, pp. 311-3.
Shima Y, Baba C, Fujita A, et al. Simultaneous supraventricular tachycardias in both fetuses of a twin gestation. Arch Gynecol Obstet. 2004;270(4):311-3.
Shima, Y., Baba, C., Fujita, A., Kanoh, M., Watanabe, M., Ogawa, S., Kawase, R., & Shin, S. (2004). Simultaneous supraventricular tachycardias in both fetuses of a twin gestation. Archives of Gynecology and Obstetrics, 270(4), 311-3.
Shima Y, et al. Simultaneous Supraventricular Tachycardias in Both Fetuses of a Twin Gestation. Arch Gynecol Obstet. 2004;270(4):311-3. PubMed PMID: 14745562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simultaneous supraventricular tachycardias in both fetuses of a twin gestation. AU - Shima,Yoshio, AU - Baba,Chiaki, AU - Fujita,Atsushi, AU - Kanoh,Miho, AU - Watanabe,Miki, AU - Ogawa,Shunichi, AU - Kawase,Rieko, AU - Shin,Sumio, Y1 - 2004/01/27/ PY - 2003/07/04/received PY - 2003/10/06/accepted PY - 2004/1/28/pubmed PY - 2005/3/30/medline PY - 2004/1/28/entrez SP - 311 EP - 3 JF - Archives of gynecology and obstetrics JO - Arch Gynecol Obstet VL - 270 IS - 4 N2 - BACKGROUND: Fetal supraventricular tachycardia confers an increased risk of cardiac failure, hydrops, and eventual intrauterine death. Although protocols for prenatal anti-arrhythmic treatment are now well established, few published reports discuss this condition in the setting of multiple pregnancies. CASE REPORT: A 20-year-old primigravida woman with a twin pregnancy presented at 31 weeks of gestation for routine obstetrical check-up which revealed simultaneous supraventricular tachycardia in both fetuses. She was treated with oral digoxin, resulting in successful cardioversion in both of the fetuses, which was maintained until they were delivered by caesarian section at 38 weeks gestation. However, several hours after birth, tachyarrhythmias recurred in each of the infants. Combined disopyramide therapy with digoxin was necessary to control their heart rates. CONCLUSION: The treatment of arrhythmia in fetuses of a multiple gestation presents unique issues, particularly when diagnosed prior to fetal lung maturity. SN - 0932-0067 UR - https://www.unboundmedicine.com/medline/citation/14745562/Simultaneous_supraventricular_tachycardias_in_both_fetuses_of_a_twin_gestation_ DB - PRIME DP - Unbound Medicine ER -