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Clin Exp Obstet Gynecol. 2004;31(4):293-5.

Fetal tachycardia: is digitalis still the first-line therapy?

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1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Hippokrateion General Hospital, Thessaloniki, Greece.


Medical treatment of fetal tachycardias has substantially improved neonatal outcome over the past years. Digitalis has been often used as first-line therapy in these cases, and more recently the use of several newer agents have been reported. We present four cases of fetal tachycardia with a favorable neonatal outcome after successful treatment with digitalis. Rapid transplacental digitalization appears to be an effective and reliable treatment option for fetal tachycardia, particularly in non-hydropic fetuses. In hydropic fetuses, however, digitalis alone appears to be less effective and administration of a second drug is usually needed.

[Indexed for MEDLINE]

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