October 1, 2000Obstetrics and Gynecology
Management Strategy for Fetal Tachycardia
Why the study?
Does a management strategy based on tachycardia duration and heart failure severity improve outcomes in fetuses with nonsinus tachycardia?
Population
44 fetuses (20-40 weeks' gestation) with nonsinus tachycardia
Design
Cohort
Follow-up
Until delivery (mean 37 weeks)
Authors
Discussion
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Member takes
Implication
May support risk-stratified management in fetal nonsinus tachycardia; hypothesis-generating pending controlled trials.
Structured PICO
Does a management strategy based on tachycardia duration and heart failure severity improve outcomes in fetuses with nonsinus tachycardia?
P
Population
44 fetuses (20-40 weeks' gestation) with nonsinus tachycardia
I
Intervention
Management strategy based on duration of tachycardia and degree of heart failure (expectant management for intermittent; transplacental antiarrhythmics for sustained with mild-moderate HF; direct intramuscular + transplacental therapy for severe HF)
O
Outcome
Perinatal mortality and morbidityhard clinical
A risk-stratified management strategy for fetal nonsinus tachycardia based on duration and heart failure severity results in low perinatal mortality.
Cite This Study
Cuneo et al. (2000) studied this question.