Ventricular Tachycardia in a Fetus: Benign Course of a Malignant Arrhythmia

Journal of Obstetrics and Gynaecology of India
Rajan SaileelaNageswara Rao Koneti

Abstract

Fetal arrhythmias constitute 10 to 20% of the total referrals to fetal cardiology unit. Ventricular tachycardia (VT) is a rare form of fetal tachyarrhythmia. This report describes the clinical presentation, diagnostic features, and successful management of VT in a fetus at 32 weeks of gestation. Transplacental therapy with sotalol resulted in the termination of tachyarrhythmia in 48 h, followed by good postnatal outcome. Fetal m-mode showing ventricular rate higher than atrial rate with atrio-ventricular dissociation is suggestive of VT. Early diagnosis and institution of transplacental therapy prior to development of hydrops seem to carry a good prognosis even in malignant fetal arrhythmias like VT.

References

Sep 25, 2007·Heart·Lisa K Hornberger, David J Sahn
Nov 26, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K TakahashiM Suzuki
Sep 5, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J M SimpsonH Gill
Apr 26, 2014·Circulation·Mary T DonofrioUNKNOWN American Heart Association Adults With Congenital Heart Disease Joint Committee of the Council on Cardiovascular Disease in

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Citations

Apr 30, 2020·Current Medical Research and Opinion·Theodora A ManolisAntonis S Manolis
Feb 14, 2020·Italian Journal of Pediatrics·Shi-Min Yuan, Zhi-Yang Xu
Oct 18, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Guy VaksmannEmmanuelle Henriet

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