[In utero treatment of fetal tachycardias with a digitalis-beta blocker combination. Apropos of 2 cases].
The authors report two cases of fetal tachycardia treated in utero by digitalis (Digoxin) and a beta-blocker (Sotalol). The first case did well on treatment but the second case gave rise to difficulties in treatment both before and after delivery. A study of the literature and an analysis of our findings makes it possible for us to point out the following: echotomography is valuable in screening for fetal cardiac rhythm troubles and echocardiography is useful to work out the cause and to follow the progress of the case, this condition can be treated in utero and Sotalol, a beta-blocker, is valuable in overcoming the troubles of the rhythm, it is difficult to follow up the treatment by relying on maternal blood levels of the drugs used, finally the cause of the abnormal rhythm possibly alters the expectation of success from the treatment.
D004077:Digoxin / Q000097:blood / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D005260:Female; D005315:Fetal Diseases / Q000188:drug therapy*; D006801:Humans; D011247:Pregnancy; D013015:Sotalol / Q000627:therapeutic use*; D013610:Tachycardia / Q000097:blood / Q000188:drug therapy*
D004077:Digoxin; D013015:Sotalol
Traitement in utero des tachycardies foetales par l'association digitalique-bêta-bloquant. A propos de deux cas.