Cardiologia Clínica e Experimental
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Fetal and Neonatal Management of Atrial Flutter in Emergency Room: Adenosine, Amiodarone and Successful Direct Current Cardioversion

Elio Caruso*, Silvia Farruggio

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.