Key result
Combination therapy with oral digoxin and sotalol successfully controlled fetal supraventricular tachycardia and resolved hydrops fetalis, leading to the delivery of a healthy infant at 37 weeks.
Why the study?
Does combination therapy with oral digoxin and sotalol improve fetal heart rate and resolve hydrops in a fetus with supraventricular tachycardia?
Population
1 fetus at 32 weeks gestation with incessant supraventricular tachycardia and hydrops fetalis, born to a…
Design
Case_report
Follow-up
1 year of age
Authors
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May support consideration in refractory fetal SVT with hydrops; hypothesis-generating and requires prospective validation before practice change.
Case Report (n=1)
Does combination therapy with oral digoxin and sotalol improve fetal heart rate and resolve hydrops in a fetus with supraventricular tachycardia?
Combination therapy with oral digoxin and sotalol successfully controlled fetal SVT and resolved hydrops, suggesting its utility as a first-line management strategy in late-trimester fetuses.
Suri et al. (2009) conducted a case report in Fetal supraventricular tachycardia with hydrops (n=1). Digoxin and sotalol combination was evaluated on Fetal heart rate control and resolution of hydrops. Combination therapy with oral digoxin and sotalol successfully controlled fetal supraventricular tachycardia and resolved hydrops fetalis, leading to the delivery of a healthy infant at 37 weeks.
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