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태아수종 및 선천성 심장병에 동반된 난치성 상심실성 빈맥을 보이는 미숙아에서Amiodarone및 Digoxin 병합 치료 1례

Other Titles
 Combination Therapies of Amiodarone and Digoxin for Refractory Supraventricular Tachycardia Accompanied by Congenital Heart Diseases in a Preterm Infant with Hydrops Fetalis 
Authors
 한창우  ;  유하양  ;  신정은  ;  은호선  ;  이순민  ;  박민수  ;  남궁란  ;  이철  ;  박국인 
Citation
 Neonatal Medicine, Vol.21(1) : 52-58, 2014 
Journal Title
 Neonatal Medicine 
ISSN
 2287-9412 
Issue Date
2014
Keywords
Refractory supraventricular tachycardia ; Amidarone ; Digoxin ; preterm
Abstract
Fetal tachycardia is at risk for developing low cardiac output, non-immune hydrops fetalis and ultimately fetal death. Spontaneous resolution of supraventricular tachycardia (SVT) is common during the first year of age, but some infants need long-term antiarrhythmic therapy. In almost neonatal tachyarrhythmia including SVT, adenosine is the drug of the first choice. Digoxin is used to treat the SVT which is not controlled with adenosine. Class Ic and III antiarrhythmic drugs are additionally recommended for the disease unresponsive to digoxin. Intravenous amiodarone is highly effective and safe in an infant with refractory or life threatening tachycardia. Some cases have been reported that amiodarone combined with digoxin therapy is effective for treating tachycardia. We herein report a case of a preterm infant-born at 32 weeks of gestational age-with hydrops fetalis and life-threatening refractory SVT accompanied by multiple congenital heart diseases. SVT was initially not responsive to adenosine therapy, however, it was then successfully controlled with combination therapies of amiodarone and digoxin.
Files in This Item:
T201402741.pdf Download
DOI
10.5385/nm.2014.21.1.52
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Namgung, Ran(남궁란) ORCID logo https://orcid.org/0000-0001-7182-9535
Park, Kook In(박국인) ORCID logo https://orcid.org/0000-0001-8499-9293
Park, Min Soo(박민수) ORCID logo https://orcid.org/0000-0002-4395-9938
Yu, Ha Yang(유하양)
Eun, Ho Seon(은호선) ORCID logo https://orcid.org/0000-0001-7212-0341
Lee, Soon Min(이순민) ORCID logo https://orcid.org/0000-0003-0174-1065
Lee, Chul(이철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99556
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