Taquicardia fetal: estudio multicéntrico retrospectivo en 9 hospitales españoles/Fetal tachycardia: a retrospective study in 9 Spanish centers

Optimal treatment for fetal tachycardia is still controversial. The aim of this study is to review the actual management and outcome of fetal tachycardia in 9 Spanish centers. Hetrospective multicentric study: analysis of all fetuses with tachycardia diagnosed at 9 Spanish centers between January 20...

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Published inActa pediátrica española Vol. 73; no. 4; p. 88
Main Authors Perin, F, Vázquez, M M Rodríguez, Menduiña, Q Ferrer, Bronte, L Derios, Núñez, F Rueda, Malfaz, F Centeno, de la Calzada, D García, Durán, R M Perich, Argüelles, J I Zabala, Izquierdo, A Galindo
Format Journal Article
LanguageSpanish
Published Madrid Ediciones Mayo 01.04.2015
Subjects
Cardiac arrhythmia
Fetuses
Hospitals
Management
Studies
Therapy
Spain
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Summary:Optimal treatment for fetal tachycardia is still controversial. The aim of this study is to review the actual management and outcome of fetal tachycardia in 9 Spanish centers. Hetrospective multicentric study: analysis of all fetuses with tachycardia diagnosed at 9 Spanish centers between January 2008 and September 2010. The 37 cases were registered, 30% of which were hydropic. Prenatal control of the tachycardia was achieved in 93% of treated supraventricular tachycardia (SVT) with short VA interval and 50% of long VA, being digoxine effective in short VA but not long VA interval (pr 0.019). One fetus with SVT with ventricular dysfunction died. The 11 cases were hydropic, all of them diagnosed as SVT. Hydropic fetuses have shown a high mortality rate in population, which calls for further studies and unification of criteria. Here we propose a common protocol aimed at improving the outcome of fetal tachycardia.
ISSN:0001-6640
2014-2986