Perinatal course of fetal supraventricular tachycardia; case report and literature review
Van Oort, A.M.; Busch, H.J.
Tijdschrift Voor Kindergeneeskunde 52(3): 88-96
1984
ISSN/ISBN: 0376-7442 PMID: 6542259 Document Number: 227970
Perinatal outcome of fetal supraventricular tachycardia. Report of 5 cases and review of the literature. Fetal supraventricular tachycardia (fsVT) is a rare cardiac arrhythmia and is associated with a mortality of 12%. The last decade fsVT has been detected more frequently probably on account of routine fetal monitoring. The outcome of 108 previously reported cases has been reviewed and 5 cases are added. Congestive heart-failure due to fsVT was seen quite frequently. Delivery by caesarean section was performed in 33% of fsVT-cases. Treatment of the condition before and after birth is discussed; digitalis is the drug of choice. A guide-line for delivery is suggested. fsVT should be listed among the possible causes of hydrops foetalis. On request a complete list of references concerning fetal supraventricular tachycardia is available from the authors.