{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:12:41Z","timestamp":1777576361001,"version":"3.51.4"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T00:00:00Z","timestamp":1605484800000},"content-version":"vor","delay-in-days":46,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Supraventricular tachycardia (SVT) is seldom considered a cause for fetal tachycardia; commoner etiologies including maternal fever and fetal distress are usually envisaged. Fetal arrhythmia can be missed as a diagnosis, potentially leading to suboptimal management.<\/jats:p><jats:p>\n          Cases\u2003Three cases are described where detection of fetal tachycardia &gt;200 beats per minute (bpm) at 36, 40, and 38 weeks gestation resulted in emergency cesarean section for presumed fetal distress. Retrospective review of the cardiotocograph in two cases revealed baseline heart rates 120 to 160\u2009bpm, with loss of trace associated with auscultated rates over 200\u2009bpm. The diagnosis of SVT was not initially considered and made later when the infants required cardioversion at the age of 3 weeks, 2 days, and 8 days, respectively. The 36-week infant required noninvasive ventilation for prematurity.<\/jats:p><jats:p>\n          Conclusion\u2003SVT should be actively considered in the differential diagnosis of fetal tachycardia. Unrecognized fetal SVT may result in avoidable caesarean for suspected fetal distress, with potential prematurity-related problems. The cardiotocograph can be helpful if showing contact loss associated with rapid heart rate auscultation. The antenatal detection of fetal SVT is important as it can allow anticipation and prevention of neonatal SVT, which is potentially life-threatening if not detected and treated promptly.<\/jats:p>","DOI":"10.1055\/s-0040-1718900","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T00:00:05Z","timestamp":1605571205000},"page":"e380-e385","source":"Crossref","is-referenced-by-count":2,"title":["Fetal Tachycardia in the Delivery Room: Fetal Distress, Supraventricular Tachycardia, or Both?"],"prefix":"10.1055","volume":"10","author":[{"given":"Satvinder Singh","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Paediatric and Neonatal Services, North Shore Hospital, Auckland, New Zealand"},{"name":"Department of Paediatrics, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy H.","family":"Burgess","sequence":"additional","affiliation":[{"name":"North Shore Hospital, Auckland, New Zealand"},{"name":"Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan R.","family":"Skinner","sequence":"additional","affiliation":[{"name":"The Childrens Hospital at Westmead, Sydney Children's Hospital Network, Sydney, NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,11,16]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1053\/sper.2000.1654","article-title":"Fetal supraventricular tachycardias: diagnosis and management","volume":"24","author":"L L Simpson","year":"2000","journal-title":"Semin Perinatol"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.earlhumdev.2008.01.010","article-title":"Detection and management of life threatening arrhythmias in the perinatal period","volume":"84","author":"J R Skinner","year":"2008","journal-title":"Early Hum Dev"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.earlhumdev.2015.04.001","article-title":"Treatment of supraventricular tachycardia in infants: analysis of a large multicenter database","volume":"91","author":"P Y Chu","year":"2015","journal-title":"Early Hum Dev"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"459","DOI":"10.7863\/jum.1997.16.7.459","article-title":"Supraventricular tachycardia in the fetus: conservative management in the absence of hemodynamic compromise","volume":"16","author":"L L Simpson","year":"1997","journal-title":"J Ultrasound Med"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1038\/sj.jp.7211036","article-title":"Fetal\/neonatal supraventricular tachycardia","volume":"24","author":"M L Gimovsky","year":"2004","journal-title":"J Perinatol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s00246-012-0392-7","article-title":"Postnatal outcome in patients with fetal tachycardia","volume":"34","author":"S Moodley","year":"2013","journal-title":"Pediatr Cardiol"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1007\/s00246-017-1662-1","article-title":"Postnatal outcomes of fetal supraventricular tachycardia: a multicenter study","volume":"38","author":"K A Hinkle","year":"2017","journal-title":"Pediatr Cardiol"}],"container-title":["American Journal of Perinatology Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1718900.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T00:00:22Z","timestamp":1605571222000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1718900"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":7,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2020,10,7]]},"published-print":{"date-parts":[[2020,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1718900","relation":{},"ISSN":["2157-6998","2157-7005"],"issn-type":[{"value":"2157-6998","type":"print"},{"value":"2157-7005","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}