[Fetal supraventricular tachycardias and their treatment. Apropos of 23 cases].
The management of fetal heterotopic tachycardias is reviewed from a cooperative study involving 23 cases treated by French Pediatric Cardiology Centers at Angers, Brest, Nantes, Rennes and Tours. There were 17 cases of supraventricular tachycardia (SVT), 5 of flutter and 1 of atrial tachycardia. Seventeen mothers were given an antiarrythmic treatment. They all received Digoxin by mouth, with either Propranolol in 2 cases, Sotalol and Verapamil in one case each. In 5 cases 2 or more other drugs were associated. There was a good in utero response in 12 cases. Among the 23 patients, 5 died, all with hydrops fetalis at the time of diagnosis of SVT. Finally 2 newborns were successfully treated at the time of delivery by a direct puncture of the umbilical cord.
Colin
A
A
Service de Pédiatrie Marfan, CHRU A. Morvan, Brest.
Chabaud
J J
JJ
Poinsot
J
J
Boog
G
G
Chantepie
A
A
Le Fevre
M
M
Bouhour
J B
JB
Almange
C
C
Pezard
P H
PH
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D004077:Digoxin / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005260:Female; D005315:Fetal Diseases / Q000188:drug therapy*; D006801:Humans; D007231:Infant, Newborn; D015337:Multicenter Studies as Topic; D011247:Pregnancy; D011296:Prenatal Diagnosis; D011446:Prospective Studies; D012189:Retrospective Studies; D013617:Tachycardia, Supraventricular / Q000188:drug therapy*; D014463:Ultrasonography
D000889:Anti-Arrhythmia Agents; D004077:Digoxin
Les tachycardies supraventriculaires foetales et leur traitement. A propos de 23 cas.