Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100059 |
Resumo: | Abstract Sustained fetal tachyarrhythmias (most commonly supraventricular fetal tachycardia) can lead to hydrops fetalis and eventual fetal demise if untreated. Although many centers now use flecainide as first-line therapy there is still some controversy. Effectiveness and safety are two major concerns regarding anti-arrhythmic therapy. We describe three cases of fetal supraventricular tachyarrhythmia, one of which presenting with hydrops fetalis, two of them successfully treated with monotherapy flecainide. The third case, an atrial flutter that was initially resistant to sotalol therapy converted to sinus rhythm with combination therapy with flecainide and digoxin after 48 hours. There were no side effects. |
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7160 |
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Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmiasFlecainideArrhythmias, cardiac/congenitalTachycardia, supraventricularPregnancyAbstract Sustained fetal tachyarrhythmias (most commonly supraventricular fetal tachycardia) can lead to hydrops fetalis and eventual fetal demise if untreated. Although many centers now use flecainide as first-line therapy there is still some controversy. Effectiveness and safety are two major concerns regarding anti-arrhythmic therapy. We describe three cases of fetal supraventricular tachyarrhythmia, one of which presenting with hydrops fetalis, two of them successfully treated with monotherapy flecainide. The third case, an atrial flutter that was initially resistant to sotalol therapy converted to sinus rhythm with combination therapy with flecainide and digoxin after 48 hours. There were no side effects.Euromédice, Edições Médicas Lda.2022-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100059Acta Obstétrica e Ginecológica Portuguesa v.16 n.1 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100059Lemos,MarianaRato,JoãoSousa,GraçaAnjos,RuiTeixeira,Anainfo:eu-repo/semantics/openAccess2024-02-06T17:21:56Zoai:scielo:S1646-58302022000100059Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:28:46.730918Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
title |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
spellingShingle |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias Lemos,Mariana Flecainide Arrhythmias, cardiac/congenital Tachycardia, supraventricular Pregnancy |
title_short |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
title_full |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
title_fullStr |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
title_full_unstemmed |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
title_sort |
Effective use of flecainide in the treatment of fetal supraventricular tachyarrhythmias |
author |
Lemos,Mariana |
author_facet |
Lemos,Mariana Rato,João Sousa,Graça Anjos,Rui Teixeira,Ana |
author_role |
author |
author2 |
Rato,João Sousa,Graça Anjos,Rui Teixeira,Ana |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lemos,Mariana Rato,João Sousa,Graça Anjos,Rui Teixeira,Ana |
dc.subject.por.fl_str_mv |
Flecainide Arrhythmias, cardiac/congenital Tachycardia, supraventricular Pregnancy |
topic |
Flecainide Arrhythmias, cardiac/congenital Tachycardia, supraventricular Pregnancy |
description |
Abstract Sustained fetal tachyarrhythmias (most commonly supraventricular fetal tachycardia) can lead to hydrops fetalis and eventual fetal demise if untreated. Although many centers now use flecainide as first-line therapy there is still some controversy. Effectiveness and safety are two major concerns regarding anti-arrhythmic therapy. We describe three cases of fetal supraventricular tachyarrhythmia, one of which presenting with hydrops fetalis, two of them successfully treated with monotherapy flecainide. The third case, an atrial flutter that was initially resistant to sotalol therapy converted to sinus rhythm with combination therapy with flecainide and digoxin after 48 hours. There were no side effects. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100059 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100059 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000100059 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Euromédice, Edições Médicas Lda. |
publisher.none.fl_str_mv |
Euromédice, Edições Médicas Lda. |
dc.source.none.fl_str_mv |
Acta Obstétrica e Ginecológica Portuguesa v.16 n.1 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137357053558784 |