[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.
Karrer
G
G
Klinik und Poliklinik für Geburtshilfe, Departement für Frauenheilkunde, Universitätsspital, Zürich, Schweiz.
Baumann
H
H
Vetter
K
K
Dudenhausen
J
J
Huch
A
A
Arbenz
U
U
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.