[Fetal supraventricular tachycardia associated with anasarca: poor prognosis despite treatment. Apropos of two cases]. / Tachycardies supraventriculaires foetales avec anasarque: mauvais pronostic malgré le traitement. A propos de deux cas.
Arch Mal Coeur Vaiss
; 91(5): 655-60, 1998 May.
Article
in Fr
| MEDLINE
| ID: mdl-9749219
ABSTRACT
Two cases of foetal supraventricular tachycardia with hydrops with fatal outcomes illustrate the poor general prognosis of this condition. The absence of therapeutic consensus, of large series in the existing literature, does not prevent logical and reasonable management based on rhythmological, pharmacological and prognostic criteria. A combined approach associating antiarrhythmic therapy by the transplacental and intrafunicular approaches seems acceptable now that funicular puncture can be undertaken easily, and certain antiarrhythmic molecules suggest encouraging results. It is important to try to assess the haemodynamic tolerance by foetal Doppler echocardiography because the foetal prognosis depends on ischaemic cerebral lesions induced by anoxia, difficult to diagnose in utero when observed, aggressive and occasionally dangerous therapies to foetus and mother may be justified in these extreme situations of foetoplacental hydrops.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tachycardia, Supraventricular
/
Hydrops Fetalis
/
Endocardial Fibroelastosis
/
Heart Defects, Congenital
/
Cardiomyopathies
Type of study:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Fr
Journal:
Arch Mal Coeur Vaiss
Year:
1998
Document type:
Article