Wang H, Duan RZ, Bai XJ, Zhang BT, Wang J, Song WX. Unexplained fetal tachycardia: A case report. World J Clin Cases 2024; 12(9): 1698-1703 [PMID: 38576745 DOI: 10.12998/wjcc.v12.i9.1698]
Corresponding Author of This Article
Wen-Xia Song, MD, Chief Physician, Department of Medical Genetic, Changzhi Maternal and Child Health Care Hospital Affiliated to Changzhi Medical College, No. 48 Weiyuanmen Middle Road, Luzhou District, Changzhi 046011, Shanxi Province, China. songwenxia.love@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 26, 2024; 12(9): 1698-1703 Published online Mar 26, 2024. doi: 10.12998/wjcc.v12.i9.1698
Unexplained fetal tachycardia: A case report
Hui Wang, Run-Zi Duan, Xin-Jiu Bai, Bing-Ting Zhang, Jie Wang, Wen-Xia Song
Hui Wang, Department of Nutrition, Changzhi Maternal and Child Health Care Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi Province, China
Run-Zi Duan, Bing-Ting Zhang, Jie Wang, Department of Obstetrics, Changzhi Maternal and Child Health Care Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi Province, China
Xin-Jiu Bai, Department of Gynaecology, Changzhi Maternal and Child Health Care Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi Province, China
Wen-Xia Song, Department of Medical Genetic, Changzhi Maternal and Child Health Care Hospital Affiliated to Changzhi Medical College, Changzhi 046011, Shanxi Province, China
Co-first authors: Hui Wang and Run-Zi Duan.
Author contributions: Wang H and Duan RZ contributed equally to this work; Wang H and Duan RZ collected cases, recorded data and write review; Bai XJ processed the image; Zhang BT followed up patients; Wang J reeded and searched for paper; Song WX planed overall, wrote and modified review. All authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Xia Song, MD, Chief Physician, Department of Medical Genetic, Changzhi Maternal and Child Health Care Hospital Affiliated to Changzhi Medical College, No. 48 Weiyuanmen Middle Road, Luzhou District, Changzhi 046011, Shanxi Province, China. songwenxia.love@163.com
Received: January 6, 2024 Peer-review started: January 6, 2024 First decision: January 17, 2024 Revised: February 22, 2024 Accepted: February 28, 2024 Article in press: February 28, 2024 Published online: March 26, 2024
Abstract
BACKGROUND
This study aimed to explore the possible etiology and treatment of severe fetal tachycardia in the absence of organic disease and provide a reference for clinical management of severe fetal tachycardia.
CASE SUMMARY
A 29-year-old pregnant woman, with a gravidity 1 parity 0, presented with a fetal heart rate (FHR) of 243 beats per minute during a routine antenatal examination at 31 + 2 wk of gestation. Before termination of pregnancy at 38 wk of gestation, the FHR repeatedly showed serious abnormalities, lasting more than 30 min. However, the pregnant woman and the fetus had no clinical symptoms, and repeated examination revealed no organic lesions. The mother and the baby were regularly followed up.
CONCLUSION
This was a case of severe fetal tachycardia with no organic lesions and management based on clinical experience.
Core Tip: Clinical manifestations and obstetric management of this case demonstrated that the abnormal fetal heart rate (FHR) of unknown etiology could be transiently controlled by varying doses of sotalol hydrochloride tablets. However, not all pregnant women experience favorable outcomes. Therefore, the treatment and obstetric management strategies for unexplained FHR abnormalities need investigation.
