A. Azancotbenisty et al., EUROPEAN STUDY ON MATERNAL AND FETAL MANAGEMENT OF FETAL SUPRAVENTRICULAR TACHYARRHYTHMIA, Prenatal. neonatal med., 3(2), 1998, pp. 261-268
This European study on maternal and fetal management of fetal supraven
tricular tachyarrhythmia (FSVT) was designed to achieve the following
goals: to estimate the efficacy of transplacental digoxin administered
intravenously to the mother in sustained FSVT, with or without cardia
c failure, and intermittent FSVT without cardiac failure; and to evalu
ate the natural history of intermittent FSVT without cardiac failure.
Doppler fetal echocardiography was utilized for diagnosis and sequenti
al evaluation of FSVT and for the assessment of fetal hemodynamics. To
obstetricians and pediatric cardiologists involved in prenatal cardio
logy, we propose a rational treatment and management regimen for FSVT.
Our hope is to obtain a controlled study on a large number of fetuses
on an international scale and thus provide a uniform maternal and fet
al therapeutic strategy for FSVT.