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Morphine-induced supraventricular tachycardia in near-term fetus

BACKGROUND: Fetal supraventricular tachycardia (SVT), characterized by fetal heart rate between 220 and 260 bpm, is a rare but most commonly encountered fetal cardiac arrhythmia in pregnancy that may be associated with adverse perinatal outcome. CASE PRESENTATION: We describe a 36/6 week near term f...

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Autores principales: Vincenzo, Zanardo, Alphonse, Simbi, Matteo, Parotto, Lorenzo, Severino, Riccardo, Carta, Pietro, Guerrini, Gianluca, Straface
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154430/
https://www.ncbi.nlm.nih.gov/pubmed/30249290
http://dx.doi.org/10.1186/s13052-018-0570-1
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author Vincenzo, Zanardo
Alphonse, Simbi
Matteo, Parotto
Lorenzo, Severino
Riccardo, Carta
Pietro, Guerrini
Gianluca, Straface
author_facet Vincenzo, Zanardo
Alphonse, Simbi
Matteo, Parotto
Lorenzo, Severino
Riccardo, Carta
Pietro, Guerrini
Gianluca, Straface
author_sort Vincenzo, Zanardo
collection PubMed
description BACKGROUND: Fetal supraventricular tachycardia (SVT), characterized by fetal heart rate between 220 and 260 bpm, is a rare but most commonly encountered fetal cardiac arrhythmia in pregnancy that may be associated with adverse perinatal outcome. CASE PRESENTATION: We describe a 36/6 week near term fetus who presented morphine-induced SVT after maternal treatment of a renal colic. Following emergency cesarean section, the neonate had resolution of symptoms. CONCLUSIONS: The pathophysiology of morphine-related SVT, previously documented in experimental animal models, and for the first time reported in the human fetus, is presented.
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spelling pubmed-61544302018-09-26 Morphine-induced supraventricular tachycardia in near-term fetus Vincenzo, Zanardo Alphonse, Simbi Matteo, Parotto Lorenzo, Severino Riccardo, Carta Pietro, Guerrini Gianluca, Straface Ital J Pediatr Case Report BACKGROUND: Fetal supraventricular tachycardia (SVT), characterized by fetal heart rate between 220 and 260 bpm, is a rare but most commonly encountered fetal cardiac arrhythmia in pregnancy that may be associated with adverse perinatal outcome. CASE PRESENTATION: We describe a 36/6 week near term fetus who presented morphine-induced SVT after maternal treatment of a renal colic. Following emergency cesarean section, the neonate had resolution of symptoms. CONCLUSIONS: The pathophysiology of morphine-related SVT, previously documented in experimental animal models, and for the first time reported in the human fetus, is presented. BioMed Central 2018-09-24 /pmc/articles/PMC6154430/ /pubmed/30249290 http://dx.doi.org/10.1186/s13052-018-0570-1 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Vincenzo, Zanardo
Alphonse, Simbi
Matteo, Parotto
Lorenzo, Severino
Riccardo, Carta
Pietro, Guerrini
Gianluca, Straface
Morphine-induced supraventricular tachycardia in near-term fetus
title Morphine-induced supraventricular tachycardia in near-term fetus
title_full Morphine-induced supraventricular tachycardia in near-term fetus
title_fullStr Morphine-induced supraventricular tachycardia in near-term fetus
title_full_unstemmed Morphine-induced supraventricular tachycardia in near-term fetus
title_short Morphine-induced supraventricular tachycardia in near-term fetus
title_sort morphine-induced supraventricular tachycardia in near-term fetus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154430/
https://www.ncbi.nlm.nih.gov/pubmed/30249290
http://dx.doi.org/10.1186/s13052-018-0570-1
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