Korean J Obstet Gynecol.  1999 Mar;42(3):660-663.

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

• Lee JY
• Kim EM
• Song TB
• Han S
• Kim YH
• Ma JS

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.

Keyword

Artial flutter; Fetal therapy; Digoxin; Tachyarrhythmia

MeSH Terms

Arrhythmias, Cardiac
Atrial Flutter*
Digoxin
Echocardiography
Electrocardiography
Fetal Death
Fetal Therapies
Humans
Hydrops Fetalis
Incidence
Infant
Mothers*
Parturition
Pregnancy
Tachycardia
Digoxin