A Case of Fetal Atrial Flutter Treated by Antiarrhythmic Agent to the Mother.

Lee, Ji Young; Kim, Eun Mi; Song, Tae Bok; Han, Soo; Kim, Yoon Ha; Ma, Jae Sook

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Korean Journal of Obstetrics & Gynecology 1999;42(3):660-663.
Published online January 1, 2001.

A Case of Fetal Atrial Flutter Treated by Antiarrhythmic Agent to the Mother.

Ji Young Lee, Eun Mi Kim, Tae Bok Song, Soo Han, Yoon Ha Kim, Jae Sook Ma

Abstract

The incidence of fetal cardiac arrhythmia is approximately 1-3%. Sustatined fetal tachyarrhythmia may cause fetal hydrops and rnay lead to fetal death. We experienced a case of fetal atrial flutter without fetal hydrops at 34 weeks of gestation, which was diagnosed by fetal echocardiography. Transplacental fetal therapy with maternal digoxin administration resulted in restoration of normal fetal sinus rhythm. At birth, the infant showed normal electrocardiographic finding with normal Apgar scores.

Key Words: Artial flutter, Fetal therapy, Digoxin, Tachyarrhythmia

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