{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T05:10:56Z","timestamp":1778044256080,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Fetal arrhythmia that can lead to hydrops fetalis and fetal heart failure if untreated. This case report describes the successful treatment of a fetus with SVT at 26\u2009weeks of gestation using flecainide. A 37\u2010year\u2010old gravida 3, para 2 woman was diagnosed with fetal SVT during a routine ultrasound, which also revealed mild pleural effusion, pericardial effusion, and ascites, raising concerns for hydrops fetalis. A fetal echocardiogram confirmed a heart rate of 250\u2013300 beats per minute with preserved cardiac function. The mother was started on oral flecainide at 100\u2009mg twice daily, which was increased to 150\u2009mg twice daily after 3\u2009days due to persistent fetal tachycardia. Within 24\u2009h of the dosage adjustment, the fetal heart rate normalized to 120\u2013130 beats per minute, and the hydrops resolved by the third week of treatment. The mother delivered a healthy baby at 39\u2009weeks, and the infant has remained free of SVT episodes to date. This case demonstrates the efficacy and safety of flecainide in treating fetal SVT, particularly in cases complicated by early hydrops.<\/jats:p>","DOI":"10.1002\/ccr3.72117","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T04:14:16Z","timestamp":1778040856000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Management of Fetal Supraventricular Tachycardia With Flecainide in a Case Complicated by Early Hydrops Fetalis: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2967-5591","authenticated-orcid":false,"given":"Amirabbas","family":"Faridpour","sequence":"first","affiliation":[{"name":"Arak University of Medical Sciences  Arak Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8825-7163","authenticated-orcid":false,"given":"Yazdan","family":"Ghandi","sequence":"additional","affiliation":[{"name":"Clinical Research Development Center of Amirkabir Hospital Arak University of Medical Sciences  Arak Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Golbabaei","sequence":"additional","affiliation":[{"name":"Department of Perinatology and Fetal Cardiology Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/sper.2000.1654"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00779-4"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.14406"},{"issue":"6","key":"e_1_2_14_5_1","first-page":"594","article-title":"Thyroid Function in Children With Cyanotic and Non\u2010Cyanotic Congenital Heart Disease","volume":"58","author":"Fakhari M. S.","year":"2023","journal-title":"Turkish Archives of Pediatrics"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.01.002"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2819"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000519911"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.007164"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2022.06.003"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10112510"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.026120"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2016.03.023"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(95)00291-9"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10071456"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.2165\/11599950-000000000-00000"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0960-7692.2001.00562.x"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2025.05.039"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0000000000000370"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72117","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T04:14:17Z","timestamp":1778040857000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccr3.72117"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72117","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2024-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72117"}}