Intrauterine therapy of fetal atrial flutter.
An increased awareness of fetal arrhythmias by obstetricians has resulted in a growing number of diagnosed cases of fetal cardiac problems. A fetus with atrial flutter diagnosed at 31 weeks of gestation was successfully converted to normal sinus rhythm in utero by maternal administration with digitalis. The fetal heart rate stayed in a normal rhythm with a maintenance dose of 0.5 mg/day. The fetus was delivered spontaneously at term and the neonatal heart rate has been in normal rhythm without any medical treatment.
Uerpairojkit
B
B
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Tanawattanacharoen
S
S
Manotaya
S
S
Wisawasukmongchol
W
W
Chottivittayatarakorn
P
P
Charoenvidhya
D
D
D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000097:blood / Q000627:therapeutic use*; D001034:Apgar Score; D001282:Atrial Flutter / Q000000981:diagnostic imaging / Q000188:drug therapy*; D004071:Digitalis Glycosides / Q000097:blood / Q000627:therapeutic use*; D004452:Echocardiography; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal
D000889:Anti-Arrhythmia Agents; D004071:Digitalis Glycosides