Verapamil for treatment of Fetal Supraventricular Tachycardia
نویسندگان
چکیده
Fetal arrythmia is reported to affect 1-2% of pregnancies. Besides digoxin not many drugs have been tried in treating such cases. After confirming 1:1 conduction between atrium and ventricle, no structural heart disease fetus normal echocardiography ECG mother, verapamil was given the treatment fetal supraventricular tachycardia. The drug crossed placenta revert SVT sinus rhythm without harming mother. helped against possible complications.
منابع مشابه
Verapamil in the treatment of paroxysmal supraventricular tachycardia
Verapamil is a novel antiarrhythmic agent which appears to act as a calcium-ion antagonist, blocking calcium transport across the myocardial cell membrane. It was given intravenously, in a dose of 10 mg, to thirty-two patients suffering from paroxysmal supraventricular tachycardia, and sinus rhythm was achieved promptly in all. Identical results were obtained in a further ten patients with supr...
متن کاملCardiovascular collapse after verapamil in supraventricular tachycardia.
Five babies who presented with supraventricular tachycardia were treated with verapamil intravenously. All developed severe hypotension and two died. Verapamil should not be used in the initial management of supraventricular tachycardia in neonates.
متن کاملSuccessful treatment of fetal supraventricular tachycardia with maternal digoxin therapy.
In a fetus with supraventricular tachycardia (SVT) and cardiac failure, normal sinus rhythm (NSR) was restored with maternal digoxin therapy at 26 weeks' gestation. The diagnosis of cardiac failure was based on ultrasound evidence of ascites and scalp edema. Cardiac failure was attributed to the persistent SVT. The infant remained in NSR and was delivered at 36 weeks' gestation because of persi...
متن کاملCycle length alternation in supraventricular tachycardia after administration of verapamil.
Four patients are reported in whom alternation ofRR cycle length before reversion to sinus rhythm occurred during the administration of intravenous verapamil. In 2 of these 4 patients, alternation of cycle lengths was associated with a changing QRS morphology. It is suggested that one patient had a reciprocating tachycardia using dual AV nodal pathways. The alternating cycle lengths in response...
متن کاملVerapamil induced premature ventricular beats before reversion of supraventricular tachycardia.
The occurrence in 6 patients of premature ventricular beats before reversion to sinus rhythm, after the intravenous administration ofverapamil-for the treatment of supraventricular tachycardia, is reported. Four patients had pre-excitation syndromes (Wolff-Parkinson-White in I and Lown-Ganong-Levine in 3) and one patient had bradycardia-tachycardia syndrome. In the remaining patient, at previou...
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ژورنال
عنوان ژورنال: Nepalese heart journal
سال: 2023
ISSN: ['2091-2978', '2382-5464']
DOI: https://doi.org/10.3126/njh.v20i1.55042