Fetal tachyarrhythmia - Part II: Treatment

Oudijk, Martijn A; Visser, Gerard HA and Meijboom, Erik J (2004) Fetal tachyarrhythmia - Part II: Treatment. Indian Pacing and Electrophysiology Journal, 4 (4). pp. 185-194. ISSN 0972-6292

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The decision to initiate pharmacological intervention in case of fetal tachycardia depends on several factors and must be weighed against possible maternal and/or fetal adverse effects inherent to the use of antiarrhythmics. First, the seriousness of the fetal condition must be recognized. Many studies have shown that in case of fetal tachycardia, there is a significant predisposition to congestive heart failure and subsequent development of fetal hydrops and even sudden cardiac death1,2,3 Secondly, predictors of congestive heart failure have been suggested in several studies, such as the percentage of time that the tachycardia is present, the gestational age at which the tachycardia occurs4, the ventricular rate5 and the site of origin of the tachycardia. However, the sensitivity of these predictors is low and they are therefore clinically not very useful. In addition, hemodynamic compromise may occur in less than 24 - 48 hours as has been shown in the fetal lamb7 and in tachycardic fetuses8,9. On the other hand, spontaneous resolution of the tachycardia has also been described10.

EPrint Type:Article
Uncontrolled Keywords:Fetal tachyarrhythmia, Treatment
Subjects:Female Genital Diseases and Pregnancy Complications > Pregnancy Complications > Fetal Diseases
-Journal Repositories > Indian Pacing and Electrophysiology Journal
Cardiovascular Diseases > Heart Diseases > Arrhythmia > Tachycardia
Cardiovascular Diseases > Heart Diseases > Arrhythmia
ID Code:164
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:03 July 2005

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