[Paroxysmal junctional reciprocal tachycardia and fetoplacental anasarca].
Foeto-placental anasarca was diagnosed at 34 weeks gestation in a patient with acute hydramnios. Foetal tachycardia at 300 bpm was recorded. This obstetrical problem led to the birth of a premature baby with generalised oedema, for which the only apparent cause was the tachycardia. This was identified as a paroxysmal junctional reciprocating tachycardia, initiating on atrial extrasystolic echos, terminating on R waves, with lengthening of the PR interval at the onset of tachycardia, without acceleration of the sinus rate and P'R = RP'. Paroxysmal junctional reciprocating tachycardia in utero was responsible for congestive cardiac failure and foeto-placental anasarca. The cardiac failure was treated by foetal delivery, artificial respiration and digoxin. The association of digoxin-disopyramide reduces the frequency of attacks of tachycardia and treatment may be stopped after one year's follow-up.
D004487:Edema / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D005315:Fetal Diseases / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D006831:Polyhydramnios / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D013614:Tachycardia, Paroxysmal / Q000150:complications*
Tachycardie réciproque jonctionnelle paroxystique et anasarque foeto-placentaire.