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Successful Treatment of Fetal Congestive Heart Failure Secondary to Tachycardia

List of authors.
  • John T. Harrigan, M.D.,
  • John J. Kangos, M.D.,
  • Anju Sikka, M.D.,
  • Kenneth R. Spisso, M.D.,
  • Narayanan Natarajan, M.D.,
  • David Rosenfeld, M.D.,
  • Sherwin Leiman, M.D.,
  • and Donald Korn, M.D.

FETAL cardiac arrhythmia is being detected with increasing frequency as a result of continuous electronic monitoring of the fetal heart rate. Most of these cases have been recognized during labor, and a few have been identified during the early antepartum period.1 2 3 4 5 6 Most fetal cardiac arrhythmias have had a favorable outcome,2 3 4 but among the reported adverse neonatal sequelae is persistence of a supraventricular tachycardia in the newborn with or without subsequent congestive heart failure.2 , 5 , 7 We report a case of fetal tachycardia in which congestive heart failure developed in utero. The problem was identified at 26 weeks' gestation and treated successfully by . . .

Author Affiliations

From the Department of Obstetrics and Gynecology, College of Medicine and Dentistry of New Jersey–Rutgers Medical School and St. Peter's Medical Center. Address reprint requests to Dr. Harrigan at the Division of Maternal-Fetal Medicine, CMDNJ–Rutgers Medical School, P.O. Box 101, Piscataway, NJ 08854.

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