医学
地高辛
妊娠期
室上性心动过速
窦性心律
索他洛尔
胎儿
心脏病学
子宫内
内科学
经胎盘
心动过速
心率
怀孕
麻醉
心房颤动
心力衰竭
生物
胎盘
遗传学
血压
作者
Nathalie Jeanne Bravo‐Valenzuela,Alberto Borges Peixoto,Edward Araujo Júnior,Gabriele Tonni
出处
期刊:Medical ultrasonography
[SRUMB - Romanian Society for Ultrasonography in Medicine and Biology]
日期:2018-07-19
卷期号:21 (1): 93-93
被引量:2
摘要
This report describes a case of fetal supraventricular tachycardia (SVT) diagnosed at 12 weeks of gestation in a pregnant woman with diabetes mellitus. Transplacental digoxin therapy administered orally to the mother was unsuccessful. Subsequently, sotalol was added to digoxin to achieve fetal heart rate (HR) control and the conversion to sinus rhythm was achieved. The fetal HR remained stable until term, and a healthy male baby was born. The newborn electrocardiogram showed sinus rhythm with normal PR and QTc intervals. When the newborn was stable, he was discharged with propanolol. Sustained SVT is extremely rare during the first trimester. The goal of treatment in utero is the conversion to sinus rhythm or reduction of the ventricular rate to tolerable levels, preventing or even reversing fetal hydrops.
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