Fetal and Neonatal Management of Atrial Flutter in Emergency Room: Adenosine, Amiodarone and Successful Direct Current Cardioversion.

Author: Caruso E, Farruggio S. J Clin Exp Cardiolog

ABSTRACT
We describe a case management of 35 weeks gestational age of pregnant woman referred to our emergency room for
suspicious of premature ectopic beat. Our fetal echocardiogram showed normal heart anatomy, atrial flutter, fetal
suffering. Cesarean delivery was done quickly and newborn showed, enlarging of right heart chambers, mitral and
tricuspid valve insufficiency, fast supraventricular arrhythmia and adenosine ev was administrated for diagnosis. After
adenosine clear atrial flutter waves were seen with atrial rate greater than 500 bpm with variable atrio ventricular
conduction and successful therapy with amiodarone and synchronized cardioversion was performed.
Keywords: Fetal and neonatal atrial flutter; Amiodarone; Direct current cardioversion; Adenosine; Echocardiography

 

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