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March 1, 1987Asia-Oceania Journal of Obstetrics and Gynaecology

Fetal Supraventricular Tachycardia Associated with a True Knot of Umbilical Cord

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Key result

Tightening of a true knot of the umbilical cord caused persistent fetal supraventricular tachycardia of 230 bpm with second-degree A-V block, successfully managed by emergency cesarean section.

Population

1 fetus with persistent supraventricular tachycardia of 230 bpm with a second degree A-V block due to…

Design

Case_report

Authors

SCShin‐Zon ChenHTH TeshimaRMRyo Matsuoka

Discussion

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Overview

True cord knot warrants consideration in unexplained fetal SVT with AV block; leaves open prospective validation of this association.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A single case report of a fetus presenting with persistent supraventricular tachycardia of 230 bpm and second-degree A-V block due to a true knot of the umbilical cord.
E
Exposure
Emergency cesarean section
O
Outcome
Successful delivery without heart decompensation

This case report highlights the rare association of persistent fetal supraventricular tachycardia and second-degree A-V block with a true knot of the umbilical cord, successfully managed by emergency cesarean section.

Cite This Study

Chen et al. (1987) conducted a case report in Fetal supraventricular tachycardia (n=1). True knot of umbilical cord was evaluated on Heart decompensation and delivery outcome. Tightening of a true knot of the umbilical cord caused persistent fetal supraventricular tachycardia of 230 bpm with second-degree A-V block, successfully managed by emergency cesarean section.

synapsesocial.com/papers/6a9ce6150f77d4edee5605fbhttps://doi.org/10.1111/j.1447-0756.1987.tb00012.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Three‐dimensional ultrasound with color Doppler imaging of an umbilical cord true knot2014 · 22 citations
  2. 2TRUE KNOT OF UMBILICAL CORD PRESENTING WITH REDUCED FETAL MOVEMENTS - CASE REPORT2023 · 1 citations
  3. 3Three‐dimensional high‐definition flow imaging in prenatal diagnosis of a true umbilical cord knot2012 · 14 citations
  4. 4Intrapartum Fetal Heart Rate Pattern Evolution Associated With Septuple Nuchal Cord Loops: A Case Report2025
  5. 5Clinical Significance of True Umbilical Knots: A Population-Based Analysis2002 · 104 citations