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Obstetrics & Gynecology 1984;64:730-735
© 1984 by The American College of Obstetricians and Gynecologists
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Fetal Supraventricular Tachycardia: in Utero Therapy with Digoxin and Quinidine

Joseph A. Spinnato, MD, David C. Shaver, MD, George S. Flinn, MD, Baha M. Sibai, MD, Dottie L. Watson, MD and Jose Marin-Garcia, MD

From the Departments of Obstetrics and Gynecology, Radiology, and Pediatrics, University of Tennessee, College of Medicine, Memphis, Tennessee

Abstract

Digoxin has been successfully used to treat fetal supraventricular tachycardia. When therapy with digoxin fails, alternative therapies have met with equivocal success. In this report, successful fetal therapy with maternally administered digoxin and quinidine is presented in three consecutive patients with fetal supraventricular tachycardia. The arrhythmia was eliminated in each instance. Fetal ascites, present in two fetuses, was completely reversed. Intrapartum fetal distress was not observed. The rationale of this therapy and a review of pertinent literature are also presented.




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Home page
 Obstet GynecolHome page
B. F. CUNEO and J. F. STRASBURGER
Management Strategy for Fetal Tachycardia
Obstet. Gynecol., October 1, 2000; 96(4): 575 - 581.
[Abstract] [Full Text] [PDF]


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Copyright © 1984 by the American College of Obstetricians and Gynecologists.