• Arch. Fr. Pediatr. · May 1989

    Review Multicenter Study Clinical Trial

    [Fetal supraventricular tachycardias and their treatment. Apropos of 23 cases].

    • A Colin, J J Chabaud, J Poinsot, G Boog, A Chantepie, M Le Fevre, J B Bouhour, C Almange, and P H Pezard.
    • Service de Pédiatrie Marfan, CHRU A. Morvan, Brest.
    • Arch. Fr. Pediatr. 1989 May 1; 46 (5): 335-40.

    AbstractThe management of fetal heterotopic tachycardias is reviewed from a cooperative study involving 23 cases treated by French Pediatric Cardiology Centers at Angers, Brest, Nantes, Rennes and Tours. There were 17 cases of supraventricular tachycardia (SVT), 5 of flutter and 1 of atrial tachycardia. Seventeen mothers were given an antiarrythmic treatment. They all received Digoxin by mouth, with either Propranolol in 2 cases, Sotalol and Verapamil in one case each. In 5 cases 2 or more other drugs were associated. There was a good in utero response in 12 cases. Among the 23 patients, 5 died, all with hydrops fetalis at the time of diagnosis of SVT. Finally 2 newborns were successfully treated at the time of delivery by a direct puncture of the umbilical cord.

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