Journal of the Korean Pediatric Society 2002;45(7):928-932.
Published online July 15, 2002.
A Case of Neonatal Atrial Flutter Treated by Propafenone after Fetal Echocardiographic Diagnosis
Kyung Hwa Lee1, Chang Woo Ha1, Chul Ho Kim1, Min Seob Song1, Moon Su Sung2
1Department of Pediatrics, College of Medicine, Inje University, Busan, Korea
2Department of Obstetrics and Gynecology, College of Medicine, Inje University, Busan, Korea
태아 심초음파 검사로 진단 된 뒤 출생 후 Propafenone으로 치유된 신생아 심방조동 1례
이경화1, 하창우1, 김철호1, 송민섭1, 성문수2
1인제대학교 의과대학 소아과학교실
2인제대학교 의과대학 산부인과학교실
Min Seob Song, Email:
Perinatal atrial flutter is a potentially lethal arrhythmia. Management of this disorder is difficult and controversial. Fetal atrial flutter is a serious and life threatening rhythm disorder particulary when it causes hydrops; it may be associated with fetal death or neurological damage. Although the initial episode of flutter may be difficult to control, recurrence of atrial flutter after successful resolution of the arrhythmia seems highly unlikely and long-term prognosis is excellent. We experienced a case of a atrial flutter diagnosed in utero at 38+6 weeks' gestation by fetal cardiac echocardiography. He was treated with maternal digoxin, but he continued to have atrial flutter until delivery. Restoration of sinus rhythm occured with propafenone therapy in this patient after failure of initial digoxin therapy and direct current cardioversion.
Key Words: Neonatal atrial flutter, Fetal echocardiography, Propafenone

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