Fetal Supraventricular Tachycardia: What the Adult Cardiologist Needs to Know.
Publication Date
2020
Journal Title
Cardiology in Review
Abstract
Fetal supraventricular tachycardia management is challenging, with consequences for both the fetus and the mother. If left untreated, fetal hydrops may ensue, at which point delivery and treatment of the arrhythmia is preferred. However, if the fetus is not at term nor near-term, significant doses of antiarrhythmics may be needed to achieve adequate transplacental bioavailability. Although digoxin has classically been the mainstay of treatment, the use of flecainide or sotalol as monotherapy or in combination with digoxin is being studied. Interdisciplinary team management and shared decision-making between the physician and patient are key to achieving successful outcomes. Adult cardiologists, particularly inpatient consultation services or through burgeoning cardio-obstetrics programs, may, in some practice settings, be asked to evaluate or co-manage pregnant women with fetal arrhythmia.
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
Cardiology
PMID
33165088
DOI
10.1097/crd.0000000000000370
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