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Intrauterine Atrial Tachycardia:  Associated With Massive Edema in a Newborn FREE

David L. Silber, MD; Robert E. Durnin, MD
[+] Author Affiliations

Received for publication Sept 10, 1968.

Reprint requests to the Department of Pediatrics, University Hospitals, Newton Road, Iowa City 52240 (Dr. Silber).


Am J Dis Child. 1969;117(6):722-726. doi:10.1001/archpedi.1969.02100030724020.
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THE OCCURRENCE of paroxysmal atrial tachycardia or atrial flutter in infancy is well documented and has been reviewed in previous communications.1,2 Congestive heart failure secondary to prolonged paroxysmal atrial tachycardia occurred in approximately 50% of cases in one reported series.1 Some of these patients had peripheral edema. Whereas the onset of paroxysmal atrial tachycardia during intrauterine life has been reported,3-7 our search of the literature has not disclosed the description of massive peripheral edema associated with intrauterine paroxysmal atrial tachycardia. We recently encountered an example of this phenomenon, and the uncertainties which surrounded our patient's obstetric and pediatric management prompted this report and discussion.

Report of a Case  A white female infant was born at University Hospitals, Iowa City, on Nov 26, 1967 to an 18-year-old girl who was normotensive, Rh factor positive, serologic negative, primigravida, delivered after an estimated 38 weeks of gestation. The mother's past

REFERENCES

Nadas, A.S., et al:  Paroxysmal Tachycardia in Infants and Children: Study of 41 Cases , Pediatrics 9:167-181 ( (Jan) ) 1952;.
Lundberg, A.:  Paroxysmal Tachycardia in Infancy , Acta Paediat Scand 143 ( (suppl) ):5-125, 1963;.
Anderson, R.C., and Adams, F.H.:  Congenital Paroxysmal Tachycardia , J Pediat 43:668-672 ( (Dec) ) 1953;.
Taussig, H.: Congenital Malformations of the Heart , New York: Commonwealth Foundation, 1947;.
Sancetta, S.M.; Reading, T.H.; and Hanbvich, W.S.:  Supraventricular Tachycardia in the Fetus: Report of a Case , New Eng J Med 247:943-945 ( (Dec) ) 1952;.
Wilburne, M., and Mack, E.G.:  Paroxysmal Tachycardia in the Newborn With Onset in Utero , JAMA 154:1337-1338 ( (April 17) ) 1954;.
Shapiro, T.R., and Ehrenfeld, E.N.:  Paroxysmal Tachycardia in the Newborn , Amer J Dis Child 99:248-251 ( (Feb) ) 1960;.
Blumenthal, S., et al:  Congenital Atrial Flut ter: Report of a Case Documented by Intrauterine Electrocardiogram , Pediatrics 41:659-662 ( (March) ) 1968;.
Potter, E.L.: Pathology of the Fetus and the Newborn , Chicago: Year Book Medical Publishers, Inc., 1952;, p 547.
Nelson, W.E.: Textbook of Pediatrics , ed 8, Philadelphia: W. B. Saunders Co., 1964;, p 39.
Gottschalk, W., and Abramson, D.:  Placental Edema and Fetal Hydrops: A Case of Congenital Cystic and Adenomatoid Malformation of the Lung , Obstet Gynec 10:626-631 ( (Dec) ) 1957;.
Dyggve, H.:  Hydrops Foetalis Without Blood Group Incompatibility but Associated With Hydramnios , Acta Paediat Upps 49:437-448 ( (July) ) 1960;.
Battaglia, F.C., et al:  The Effects of Acute Hypoxia on the Osmotic Pressure of the Plasma , Quart J Exp Physiol 43:197-208 ( (April) ) 1958;.
DiPasquale, E.L., and Schiller, A.A.:  Effect of Hypoxia on Edema Formation in Perfused Isolated Rat Hind Limb , Proc Soc Exp Biol Med 78:567-571 ( (Nov) ) 1951;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

Nadas, A.S., et al:  Paroxysmal Tachycardia in Infants and Children: Study of 41 Cases , Pediatrics 9:167-181 ( (Jan) ) 1952;.
Lundberg, A.:  Paroxysmal Tachycardia in Infancy , Acta Paediat Scand 143 ( (suppl) ):5-125, 1963;.
Anderson, R.C., and Adams, F.H.:  Congenital Paroxysmal Tachycardia , J Pediat 43:668-672 ( (Dec) ) 1953;.
Taussig, H.: Congenital Malformations of the Heart , New York: Commonwealth Foundation, 1947;.
Sancetta, S.M.; Reading, T.H.; and Hanbvich, W.S.:  Supraventricular Tachycardia in the Fetus: Report of a Case , New Eng J Med 247:943-945 ( (Dec) ) 1952;.
Wilburne, M., and Mack, E.G.:  Paroxysmal Tachycardia in the Newborn With Onset in Utero , JAMA 154:1337-1338 ( (April 17) ) 1954;.
Shapiro, T.R., and Ehrenfeld, E.N.:  Paroxysmal Tachycardia in the Newborn , Amer J Dis Child 99:248-251 ( (Feb) ) 1960;.
Blumenthal, S., et al:  Congenital Atrial Flut ter: Report of a Case Documented by Intrauterine Electrocardiogram , Pediatrics 41:659-662 ( (March) ) 1968;.
Potter, E.L.: Pathology of the Fetus and the Newborn , Chicago: Year Book Medical Publishers, Inc., 1952;, p 547.
Nelson, W.E.: Textbook of Pediatrics , ed 8, Philadelphia: W. B. Saunders Co., 1964;, p 39.
Gottschalk, W., and Abramson, D.:  Placental Edema and Fetal Hydrops: A Case of Congenital Cystic and Adenomatoid Malformation of the Lung , Obstet Gynec 10:626-631 ( (Dec) ) 1957;.
Dyggve, H.:  Hydrops Foetalis Without Blood Group Incompatibility but Associated With Hydramnios , Acta Paediat Upps 49:437-448 ( (July) ) 1960;.
Battaglia, F.C., et al:  The Effects of Acute Hypoxia on the Osmotic Pressure of the Plasma , Quart J Exp Physiol 43:197-208 ( (April) ) 1958;.
DiPasquale, E.L., and Schiller, A.A.:  Effect of Hypoxia on Edema Formation in Perfused Isolated Rat Hind Limb , Proc Soc Exp Biol Med 78:567-571 ( (Nov) ) 1951;.

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