Journals / Zeynep Kamil Tıp Bülteni / 2016 / Cilt: 47 - Sayı: 4

The Right Timing of The Treatment of Supraventricular Tachycardia Accompanied by Hydrops Fetalis: Intrauterine or Extrauterine?

Hidrops Fetalis'li Supraventriküler Taşikardinin Tedavi Zamanlaması: İntrauterin mi? Ekstrauterin mi?

Pages
65–67
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present this case to discuss the treatment of supraventricular tachycardia complicated by hydrops fetalis and the best time for treatment

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Ninety percent of fetal tachycardia is caused by supraventricular tachycardia.
📊
Key Findings & Data:If the heart rate is over 220 /minute and persistent, 40% of it is accompanied by hydrops fetalis.
💡
Conclusion & Impact:We present this case to discuss the treatment of supraventricular tachycardia complicated by hydrops fetalis and the best time for treatment
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Ninety percent of fetal tachycardia is caused by supraventricular tachycardia. If the heart rate is over 220 /minute and persistent, 40% of it is accompanied by hydrops fetalis. Fetal tachycardia should be controlled at early period to prevent serebral complications. But intrauterine treatment of tachycardia which is accompanied by hydrops fetalis is difficult and mortality of it is high. Our patient was born by cesarean section at 32 gestational week with birth weight of 1990 grams. Hydrops fetalis, fetal tachycardia was determined antenatally at 30th gestational week in another center. At the 48th hour after birth, supraventricular tachycardia was observed. The symptoms of supraventricular tachycardia and hydrops fetalis were controlled by triple antiarrhythmic therapy. We present this case to discuss the treatment of supraventricular tachycardia complicated by hydrops fetalis and the best time for treatment

Özet

Fetal taşikardi'nin %90 nedeni supraventriküler taşikardidir. Kalp hızı 220/dk üzerinde ve süreklilik gösterirse taşikardiye %40 hidrops fetalis eşlik eder. Serebral komplikasyonları önlemek için fetal taşikardinin erken dönemde kontrol altına alınması gerekir. Ancak hidrops fetalisin eşlik ettiği taşikardinin intrauterin tedavisi zor ve mortalitesi yüksektir. 32 haftalık sezaryan ile 1990 gram doğan erkek bebeğin hidrops fetalis ve fetal taşikardisi antenatal 30. gebelik haftasında dış merkezde saptanmıştı. Postnatal kalp monitorizasyonu ile izlenen bebeğin 48. saatinde supraventriküler taşikardisi gelişti. Üçlü antiaritmik tedavi ile supraventriküler taşikardi ve hidrops fetalis bulguları geriledi. Biz bu prematüre olguyu, hidrops fetalis'li supraventriküler taşikardi tedavisini ve zamanlamasını tartışmak amacı ile sunduk

🔖

Cite This Article

ÖZALKAYA, E., KARATEPE, H. Ö., YAVUZ, T., AKAR, S., KAVAS, E., KARATEKİN, G. (2016). The Right Timing of The Treatment of Supraventricular Tachycardia Accompanied by Hydrops Fetalis: Intrauterine or Extrauterine?. Zeynep Kamil Tıp Bülteni, Cilt: 47 - Sayı: 4, 65–67. https://ajindex.com/articles/335267

References (11)

  1. Krapp M, Kohl T, Simpson M, Sharland GK, Katalinic A, Gembruch U. Review of diagnosis, treatment and otcome of fetal atrial flutter compored with spraventricular tachycardia. Heart 2003; 89: 913-917.
  2. Hahurij ND, Blom NA, Lopriore E. Perinatal management and long term cardiac outcome in fetal arrhythmia. Early Hum Dev 2011; 87:83-87.
  3. Simpson JM, Sharland GK. Fetal tachycardias:management and outcome of 127 consecutive cases. Heart 1998; 79: 576-581. 4. Naheed ZJ, Strasburger JF, Deal BJ, Benson DW, Gidding SS. Fetal tachycardia:mechanisms and predictors of hydrops fetalis. J Am Coll Cardiol 1996; 27: 1736-1740.
  4. Parilla BV, Strasburger JF, Socol ML. Fetal supraventricular tachycardia complicated by hydrops fetalis: a role for direct fetal intramuscular therapy. Am J Perinatol. 1996;13(8):483. Shah A, Moon-Grady A, Bhogal N, Collins KK, Tacy T, Brook M, Hornberger LK. Effectiveness of sotolol as first-line therapy for fetal supraventricular tachyarrhythmias. Am J Cardiol. 2012;109:1614-1618.
  5. Strizek B, Berg C, Gottschalk I, Herberg U, Geipel A, Gemb- ruch U. High-dose flecanaide is the most effective treatment of fetal supraventricular tachycardia. Heart Rhythm. 2016.
  6. Strasburger JF, Cuneo BF, Michon MM, Gotteiner NL, Deal BJ, McGregor SN, Qudijk MA, Meijboom EJ, Feinkind L, Hus- sey M, Parilla BV. Amiodorone therapy for drug-refractory fe- tal tachycardia. Circulation. 2004; 109:375. Frohn-Mulder IM, Stewart PA, Witsenburg M, Den Hollan- der NS, Wladimiroff JW, Hess J. The efficacy of flecainide ver- sus digoxin in the management of fetal supraventricular tachy- cardia. Prenat Diagn 1995;15: 1297-302.
  7. Van Engelen AD, Weijtens O, Brenner JI, Kleinman CS, Copel JA, Stoutenbeek P et.al. Management outcome and fol- low-up of fetal tachycardia. J Am Coll Cardiol; 1994; 24:1371- 1375. Oudijk MA, Michon MM, Kleinman CS, Kapusta L, Stouten- beek P, Visser GH et.al. Sotalol in the treatment of fetal dysrhyt- hmias. Circulation 2000; 101: 2721-2726.
  8. Sonesson SE, Fouron JC, Wesslen-Eriksson E, Jaeggi E, Winberg P. Foetal supraventricular tachycardia treated with sotalol. Acta Paediatr 1998; 87: 584-587.
  9. Kang SK, Howe D, Coleman M, Roman K, Gnanapragasam J. Foetal supraventricular tachycardia with hydrops fetalis:a role for direct intraperitoneal amiodorone. Cardiology in the Young 2014; 25; 447-453.
  10. Naumburg E, Riesenfeld T, Axelsson O. Fetal tachycardia: intrauterine and postnatal course. Fetal Diagn Ther 1997; 12: 205-209.
  11. Valerius NH, Jacobsen RJ. Intrauterine sup