Evidence map›Paper›PMID 38154874›Full record

ArticleBMJ case reports2023

Refractory supraventricular fetal tachycardia as a cause of non-immune hydrops: management conundrum.

Akanksha Agarwal, Subash Chandra Saha, Amanjot Kaur, Sanjeev Naganur

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Akanksha AgarwalObstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.ORCID http://orcid.org/0009-0002-2047-3326
Subash Chandra SahaObstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India drscsaha@gmail.com.
Amanjot KaurObstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Sanjeev NaganurCardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Supraventricular tachyarrhythmia (SVT) is the most common form of fetal tachyarrhythmias. The presentation can vary from ill-defined, non-sustained episodes of tachyarrhythmia to frank non-immune hydrops. The standard of care is transplacental therapy by treating the mother with oral antiarrhythmic drugs, followed by direct fetal therapy in refractory cases. We report a case of primigravida in her late 20s, who presented at 28.1 weeks of gestation with fetal hydrops and SVT. She was initially managed with oral digoxin and flecainide, but due to worsening hydrops, risk of fetal demise and extreme prematurity, further management by direct fetal therapy was given in terms of intramuscular digoxin and intraperitoneal flecainide. Following which, the fetus had a favourable outcome. This case highlights the possible role of direct fetal therapy in refractory cases of SVT.

Indexed as

Fetal DiseasesTachycardia, SupraventricularAnti-Arrhythmia AgentsArrhythmias, CardiacDigoxinFemaleFetusFlecainideHumansHydrops FetalisPregnancyTachycardiaAnti-Arrhythmia AgentsDigoxinFlecainidearrhythmiasmaterno-fetal medicineneonatal healthpregnancyultrasonography

Identifiers

PMID38154874
PMCPMC10759031
OpenAlexW4390350872

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.