[Fetal supraventricular tachycardias and their treatment. Apropos of 23 cases]

Arch Fr Pediatr. 1989 May;46(5):335-40.
[Article in French]


The management of fetal heterotopic tachycardias is reviewed from a cooperative study involving 23 cases treated by French Pediatric Cardiology Centers at Angers, Brest, Nantes, Rennes and Tours. There were 17 cases of supraventricular tachycardia (SVT), 5 of flutter and 1 of atrial tachycardia. Seventeen mothers were given an antiarrythmic treatment. They all received Digoxin by mouth, with either Propranolol in 2 cases, Sotalol and Verapamil in one case each. In 5 cases 2 or more other drugs were associated. There was a good in utero response in 12 cases. Among the 23 patients, 5 died, all with hydrops fetalis at the time of diagnosis of SVT. Finally 2 newborns were successfully treated at the time of delivery by a direct puncture of the umbilical cord.

Publication types

  • Clinical Trial
  • English Abstract
  • Multicenter Study
  • Review

MeSH terms

  • Anti-Arrhythmia Agents / therapeutic use*
  • Digoxin / therapeutic use*
  • Drug Therapy, Combination
  • Female
  • Fetal Diseases / drug therapy*
  • Humans
  • Infant, Newborn
  • Multicenter Studies as Topic
  • Pregnancy
  • Prenatal Diagnosis
  • Prospective Studies
  • Retrospective Studies
  • Tachycardia, Supraventricular / drug therapy*
  • Ultrasonography


  • Anti-Arrhythmia Agents
  • Digoxin