Fetal supraventricular tachycardia at 12 weeks of gestation: Diagnosis and follow up. A case report

Nathalie Jeanne Bravo-Valenzuela, Alberto Borges Peixoto, Gabriele Tonni, Edward Araujo

Research output: Contribution to journalArticlepeer-review

Abstract

This report describes a case of fetal supraventricular tachycardia (SVT) diagnosed at 12 weeks of gestation in a pregnant woman with diabetes mellitus. Transplacental digoxin therapy administered orally to the mother was unsuccessful. Subsequently, sotalol was added to digoxin to achieve fetal heart rate (HR) control and the conversion to sinus rhythm was achieved. The fetal HR remained stable until term, and a healthy male baby was born. The newborn electrocardiogram showed sinus rhythm with normal PR and QTc intervals. When the newborn was stable, he was discharged with propanolol. Sustained SVT is extremely rare during the first trimester. The goal of treatment in utero is the conversion to sinus rhythm or reduction of the ventricular rate to tolerable levels, preventing or even reversing fetal hydrops.

Original languageEnglish
Pages (from-to)93-95
Number of pages3
JournalMedical Ultrasonography
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 1 2019
Externally publishedYes

Keywords

  • Arrhythmias
  • Echocardiography
  • Prenatal diagnosis
  • Ultrasound imaging

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Acoustics and Ultrasonics

Fingerprint Dive into the research topics of 'Fetal supraventricular tachycardia at 12 weeks of gestation: Diagnosis and follow up. A case report'. Together they form a unique fingerprint.

Cite this