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  • Title: [Fetal supraventricular tachycardia. Management].
    Author: Amiel C, Chau C, Millet V, Agher JP, Gamerre M.
    Journal: J Gynecol Obstet Biol Reprod (Paris); 1993; 22(3):284-8. PubMed ID: 8102147.
    Abstract:
    We report two cases of fetal supraventricular tachycardia with hydrops fetalis. The transplacental therapy with digoxin, sotalol and amiodarone, using combination of both of this drugs, has given in one case a partial conversion, total in the second case. Ultrasounds allow diagnosis of SVT, evaluate the gravity when it is associated with fetal hydrops secondary to a congestive heart failure, research a cause and follow the evolution during the treatment. The treatment must begin when diagnosis of SVT is done, by digoxin; other drugs as sotalol, amiodarone or flecainide acetate are described and also direct fetal therapy by intramuscular or into the umbilical vein injections.
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