Suri Vanita, Keepanaseril Anish, Aggarwal Neelam, Vijayvergiya Rajesh
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Med Sci. 2009 Sep;63(9):411-4.
Sustained fetal supraventricular tachycardia (SVT) with a heart rate of approximately 210 bpm may lead to increased atrial and venous pressures and congestive heart failure. There is no clear consensus regarding the best drug-treatment regimens for fetal SVT. However, considerable nonrandomized experience in the transmaternal treatment of fetal SVT is available with a number of antiarrhythmic agents. We report a case of fetal supraventricular tachyarrhythmia with hydrops detected at 32 weeks that was managed with combination of oral digoxin and sotalol and review management guidelines available in the literature.
持续的胎儿室上性心动过速（SVT），心率约为210次/分钟，可能会导致心房和静脉压力升高以及充血性心力衰竭。关于胎儿SVT的最佳药物治疗方案，目前尚无明确的共识。然而，有许多抗心律失常药物可用于经母体治疗胎儿SVT，且已有相当多的非随机经验。我们报告一例在32周时检测出患有水肿的胎儿室上性心律失常病例，该病例采用口服地高辛和索他洛尔联合治疗，并回顾了文献中可用的管理指南。
