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Chest, Vol 85, 573-575, Copyright © 1984 by American College of Chest Physicians

ARTICLES

Successful treatment of fetal supraventricular tachycardia with maternal digoxin therapy

CR King, L Mattioli, KK Goertz and W Snodgrass

In a fetus with supraventricular tachycardia (SVT) and cardiac failure, normal sinus rhythm (NSR) was restored with maternal digoxin therapy at 26 weeks' gestation. The diagnosis of cardiac failure was based on ultrasound evidence of ascites and scalp edema. Cardiac failure was attributed to the persistent SVT. The infant remained in NSR and was delivered at 36 weeks' gestation because of persistent ascites. Intracardiac anatomy was normal. This case confirms the usefulness of prenatal ultrasound examinations in the diagnosis of fetal SVT and cardiac failure and illustrates the effectiveness and safety of transplacental digoxin therapy in the management of fetal SVT.




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Copyright © 1984 by the American College of Chest Physicians.