SUPRAVENTRICULAR TACHYCARDIA

 

With the exception of sinus tachycardias, supraventricular tachycardia is the most common fetal tachycardia.
 

ETIOLOGY

 

Link to Etiology

 

ULTRASOUND

 

Rate = 240-260 beats/min.
Any rate outside this range probably represents an arrhythmia other than an atrioventricular reciprocating tachycardia.

Fetal hydrops may be present.
If sustained fetal hydrops or death may occur.
5-10% have associated structural fetal anomalies (poorer prognosis).

Doppler studies of IVC flow during atrial ectopy and during sustained supraventricular tachycardia demonstrate prominent retrograde flow into the hepatic circulation.
 

·        1:1 conduction.

·        Sudden onset and offset.

·        Usually normal heart.

·        70-90% of tachycardia.