Naslov
Digoxin and amiodaron in fetal sustained supraventricular tachycardia and non immune hydrops

Autori
Sokol, Vesna ; Juras, Josip ; Malčić, Ivan ; Blajić, Jozo ; Ivanišević, Marina

Izvornik
Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics (1330-0091) 20 (2011), 1; 44-47

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz slučaja, stručni

Ključne riječi
fetalus; tachycardia supraventricular; fetal hvdrops; digoxin; amiodarone
(fetalus; tachvcardia supraventricular; fetal hvdrops; digoxin; amiodarone)

Sažetak
Supraventricular tachycardia is the most common and clinically significant form of sustained fetal tachyar-rhythmia in pregnancy ; depending on duration and high rate variability heart failure and nonimmune hydrops may de-velop which are associated with a high incidence of perinatal mortality. Doppler/echo diagnosis is usually accidental during second and third trimester of pregnancy. Therapeutic goals are cardioconversion to sinus rhythm and recovery of heart failure. We present a case of fetal supraventricualr tachvcardia diagnosed at 29 weeks of gestation with nonimmune hydrops. Treatment with digoxin and amiodarone was successful. The heart rate restored to sinus rhythm and nonim¬mune hydrops resolved within three weeks of treatment. Therapy with two drugs that act synergistically may be more efficient than monotherapy in blocking likely atrio-ventricular reentry mechanism by accessory pathway in sustained supraventricular tachycardia, thus allowing resolution of hydrops with favorable management outcome.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA