[Hydrops fetalis in tachycardia: diagnostic and therapeutic procedures].
We report on a 33-year-old para II who was admitted to our hospital in her 29th gestational week with extensive fetal hydrops. Examinations showed a fetal supraventricular tachycardia with biventrical cardiac insufficiency. Digoxin was given both to the mother and to the fetus. At first, this treatment seemed to have no effect. Over a period of several weeks, however, oral therapy with digoxin and verapamil resulted in a stabilized fetal heart rate (175-180 beats/min). Signs of fetal cardiac insufficiency disappeared almost completely. In the 39th week the child was born spontaneously. Clinical examination revealed only a slight cardiac insufficiency. New possibilities of intrauterine therapy are discussed in the light of this case and other reports in the literature.
Klinik und Poliklinik für Geburtshilfe, Departement für Frauenheilkunde, Universitätsspital, Zürich, Schweiz.
G
G
Karrer
H
H
Baumann
K
K
Vetter
J
J
Dudenhausen
A
A
Huch
U
U
Arbenz
D000328:Adult; D004077:Digoxin / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005260:Female; D006333:Heart Failure / Q000188:drug therapy*; D006340:Heart Rate, Fetal / Q000187:drug effects; D006801:Humans; D015160:Hydrops Fetalis / Q000188:drug therapy*; D007231:Infant, Newborn; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D013617:Tachycardia, Supraventricular / Q000188:drug therapy*; D014700:Verapamil / Q000008:administration & dosage*
D004077:Digoxin; D014700:Verapamil
Hydrops fetalis bei Tachykardie: Diagnostisches und therapeutisches Vorgehen.