DIRECT FETAL ADMINISTRATION OF ADENOSINE FOR THE TERMINATION OF INCESSANT SUPRAVENTRICULAR TACHYCARDIA

被引：18

作者：

KOHL, T ^{[1
]}

TERCANLI, S ^{[1
]}

KECECIOGLU, D ^{[1
]}

HOLZGREVE, W ^{[1
]}

机构：

[1] UNIV MUNSTER,DEPT PEDIAT CARDIOL,DIV PRENATAL MED,MUNSTER,GERMANY

来源：

OBSTETRICS AND GYNECOLOGY | 1995年 / 85卷 / 05期

关键词：

D O I：

10.1016/0029-7844(94)00314-4

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Adenosine terminates supraventricular reentry tachycardia safely and effectively in the pediatric age group. Case: The recurrence of pretreated incessant tachycardia led to severe hydrops in a 28-week-old fetus. The tachycardia was terminated instantly with direct fetal administration of adenosine via the umbilical vein. Normal heart rate and rhythm were then preserved temporarily with digoxin and flecainide. Conclusion: Direct fetal adenosine administration might be helpful in the treatment of fetal reentry tachycardias if the sinus rhythm achieved quickly can be preserved by long-acting antiarrhythmic drugs. Such a combined therapeutic approach might be especially advantageous in hydropic fetuses.

引用

页码：873 / 874

页数：2