Successful Treatment of Fetal Atrial Flutter with Sotalol in a Non-hydrops Fetalis

Kumbasar, Serkan; Salman, Süleyman; Yumru, Ayşe Ender; Dervisoglu, Pelin; Sever, Erman; Aydın, Engin

doi:10.5152/jarem.2015.723

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…Fetal tachyarrhythmia can occur in 0.4-0.6 % of all pregnancies and may increase fetal morbi dity and mortality because of NIHF. Fetal atrial flutter is the more common tachyarrhythmia and is responsible for up to 25 % of fetal tachyarrhythmias [21]. The incidence of NIHF in fetal SVT is bet ween 35-60 % [7].…”

Section: Cardiac Dysrhythmiasmentioning

confidence: 99%

“…Conversion to sinus rhythm can be expected between 3-14 days [24]. Treatment should be started with a ma ternal high dose to achieve a sufficient fetal blood drug level [21]. Tongsong et al [20] proposed that fetal bradyarrhythmias were less easily treatable and a rare causative mechanism of hydrops fe talis, except when the fetal heart rate was kept below 50 beats/min.…”

Section: Cardiac Dysrhythmiasmentioning

confidence: 99%

“…Kumbasar et al [21] reported a case of fetal atrial flutter (with an atrial rate of 533 beats/min and a ventricular rate of 266 beats/ min) with regular 2:1 atrioventricular transmission at 32 weeks' ge station required intravenous maternal digoxin at a dose of 0.50 mg in 24 h at 8-h intervals. Intolerance to digoxin warranted a substi tute with oral sotalol (160 mg/day, 2 doses) and eventually the heart rhythm returned to sinus rhythm within the first 24 h fol lowing treatment.…”

Section: Cardiac Dysrhythmiasmentioning

confidence: 99%

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Cardiac Etiologies of Hydrops Fetalis

Yuan

2017

Z Geburtshilfe Neonatol

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Cardiac etiologies of hydrops fetalis have been a topic of concern due to challenging perinatal management. The common cardiac etiologies leading to hydrops fetalis include structural cardiac anomalies, cardiac dysrhythmias, cardiac tumors, cardiomyopathy and myocarditis. The mechanisms of cardiogenic hydrops fetalis may be: 1) elevation of atrial pressure and volume overload, 2) decrease of cardiac output, and 3) development of congestive heart failure. The diagnosis of hydrops fetalis was usually made at 19-36 gestational weeks, when ultrasound is a highly effective diagnostic method. Intrauterine interventions for certain congenital heart defects, maternal transplacental or direct fetal medications and fetal pacing placement for cardiac arrhythmias, and fetal or postnatal tumor resections are important progressions of etiologic treatment for hydrops fetalis. Treatment strategies for hydrops fetalis are usually ultrasound-guided pericardiocentesis and feto-amniotic shunting, whereas reaccumulation may require further interventions or postnatally. Hydrops fetalis often carries a poor prognosis, and mortality remains high. Current developments in the management of hydrops fetalis should encourage physicians to attempt further fetal interventions.

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Section: Cardiac Dysrhythmiasmentioning

confidence: 99%

Section: Cardiac Dysrhythmiasmentioning

confidence: 99%

Section: Cardiac Dysrhythmiasmentioning

confidence: 99%

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Cardiac Etiologies of Hydrops Fetalis

Yuan

2017

Z Geburtshilfe Neonatol

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Unexplained fetal tachycardia: A case report

Wang,

Duan,

Bai

et al. 2024

World J Clin Cases

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BACKGROUND This study aimed to explore the possible etiology and treatment of severe fetal tachycardia in the absence of organic disease and provide a reference for clinical management of severe fetal tachycardia. CASE SUMMARY A 29-year-old pregnant woman, with a gravidity 1 parity 0, presented with a fetal heart rate (FHR) of 243 beats per minute during a routine antenatal examination at 31 + 2 wk of gestation. Before termination of pregnancy at 38 wk of gestation, the FHR repeatedly showed serious abnormalities, lasting more than 30 min. However, the pregnant woman and the fetus had no clinical symptoms, and repeated examination revealed no organic lesions. The mother and the baby were regularly followed up. CONCLUSION This was a case of severe fetal tachycardia with no organic lesions and management based on clinical experience.

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Successful Treatment of Fetal Atrial Flutter with Sotalol in a Non-hydrops Fetalis

Cited by 2 publications

References 11 publications

Cardiac Etiologies of Hydrops Fetalis

Cardiac Etiologies of Hydrops Fetalis

Unexplained fetal tachycardia: A case report

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