Fetal Tachycardia Treated Successfully with Maternally Administered Propylthiouracil
Joint Authors
Hanif, Farhan
Hasbani, Keren
Iannucci, Thomas
Parilla, Barbara V.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Fetal tachycardia may result from the transplacental passage of thyroid stimulating immunoglobulins in a patient with hypothyroidism secondary to ablation of Graves’ disease.
Case.
A 32-year-old woman, gravida 4, para 2, and abortus 1, with hypothyroidism and a history of Graves’ disease, presented at 23 6/7 weeks of gestation with a persistent fetal tachycardia.
The treatment of the fetal tachycardia with maternally administered digoxin and Sotalol was unsuccessful.
Maternal thyroid stimulating immunoglobulins were elevated, and treatment with maternally administered propylthiouracil (PTU) resulted in a normal sinus rhythm for the remainder of the pregnancy.
An induction of labor was performed at 37 weeks.
Four to five days after delivery, the neonate exhibited clinical signs of hyperthyroidism necessitating treatment.
Conclusion.
Fetal tachycardia resulting from the transplacental passage of thyroid stimulating immunoglobulins can be successfully treated with maternally administered PTU.
The neonate needs to be followed up closely as clinical signs of hyperthyroidism may occur as thyroid stimulating immunoglobulins continue to circulate in the neonate, while the serum levels of PTU decline.
American Psychological Association (APA)
Parilla, Barbara V.& Hanif, Farhan& Hasbani, Keren& Iannucci, Thomas. 2014. Fetal Tachycardia Treated Successfully with Maternally Administered Propylthiouracil. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-512174
Modern Language Association (MLA)
Parilla, Barbara V.…[et al.]. Fetal Tachycardia Treated Successfully with Maternally Administered Propylthiouracil. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-512174
American Medical Association (AMA)
Parilla, Barbara V.& Hanif, Farhan& Hasbani, Keren& Iannucci, Thomas. Fetal Tachycardia Treated Successfully with Maternally Administered Propylthiouracil. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-512174
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512174