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. 2015:2015:890802.
doi: 10.1155/2015/890802. Epub 2015 Mar 3.

Drug resistant fetal arrhythmia in obstetric cholestasis

Nahide Altug  1 , Ayse Kirbas  2 , Korkut Daglar  2 , Ebru Biberoglu  2 , Dilek Uygur  2 , Nuri Danisman  2
Affiliations

Drug resistant fetal arrhythmia in obstetric cholestasis

Nahide Altug et al. Case Rep Obstet Gynecol. 2015.

Abstract

Obstetric cholestasis (OC) is a pregnancy specific liver disease characterized by increased levels of bile acid (BA) and pruritus. Raised maternal BA levels could be associated with intrauterine death, fetal distress, and preterm labor and also alter the rate and rhythm of cardiomyocyte contraction and may cause fetal arrhythmic events. We report a case of drug resistant fetal supraventricular tachycardia and concomitant OC. Conclusion. If there are maternal OC and concomitant fetal arrhythmia, possibility of the resistance to antiarrhythmic treatment should be kept in mind.

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Figure 1
Figure 1
M-mode imaging is demonstrating a heart rate of 238 bpm.
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