[The transplacental therapy of fetal tachyarrhythmias].
The diagnosis of fetal tachyarrhythmia during a routine ultrasound scan imposes a continuous monitoring of fetal heart function through ECG and M-mode echocardiography. Since fetal dysrhythmia can lead to non-immune hydrops or to fetal death a correct diagnosis and an adequate intrauterine therapy are fundamentally important. The authors report the results obtained through a transplacental therapy with digoxin or with digoxin-verapamil in 8 cases with supraventricular tachyarrhythmia. Digoxin was very successful for conversion in sinus rhythm in 4 cases. The combination digoxin-verapamil led to the conversion in only one case resistant to the digoxin therapy.
Palagiano
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A
I Facoltà di Medicina e Chirurgia, I Clinica Ostetrica e Ginecologica, II Università degli Studi di Napoli.
Pace
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MC
D004077:Digoxin / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D004452:Echocardiography; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005865:Gestational Age; D006801:Humans; D010920:Placenta; D011247:Pregnancy; D012074:Remission Induction; D013610:Tachycardia / Q000000981:diagnostic imaging / Q000188:drug therapy*; D016216:Ultrasonography, Prenatal; D014700:Verapamil / Q000008:administration & dosage
D004077:Digoxin; D014700:Verapamil
Terapia transplacentare delle tachiaritmie fetali.