A Case of Fetal Supraventricular Tachycardia with Fetal Ascites Treated by Antiarrhythmic Agent.

Shin, Byoung Shick; Cho, Yong; Ro, Eu Sun; Lee, Dong Ook; Mun, Ki Suk

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Korean Journal of Obstetrics & Gynecology 2004;47(9):1794-1799.
Published online September 1, 2004.

A Case of Fetal Supraventricular Tachycardia with Fetal Ascites Treated by Antiarrhythmic Agent.

Byoung Shick Shin, Yong Cho, Eu Sun Ro, Dong Ook Lee, Ki Suk Mun

Department of Obstetrics and Gynecology, College of Medicine, Hallym University, Chunchon, Korea.

Abstract

We experienced a case of fetal supraventricular tachycardia (SVT) with fetal ascites diagnosed at 29 weeks of gestation in 29 year-old primigravida woman. Transplacental fetal therapy with maternal oral antiarrhythmic agent (verapamil, diltiazem) resulted in restoration of normal fetal sinus rhythm and disappearance of fetal ascites. At birth, the infant did not show any cardiac arrhythmia and hydropic appearance.

Key Words: Fetal supraventricular tachycardia, fetal Hydrops, Transplacental fetal therapy, Verapamil, Diltiazem

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