Evidence map›Paper›PMID 42311372›Full record

ArticleEuropean heart journal. Case reports2026

Intracardiac adenosine triphosphate for cardioversion of supraventricular tachycardia in a hydropic foetus: a case report.

Junhui Liu, Gang Luo, Yue Sun, Yan Xu, Silin Pan

Abstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Junhui LiuDepartment of Heart Center, Women and Children's Hospital, Qingdao University, No. 217, Liaoyang West Road, Shibei District, Qingdao 266034, China.ORCID https://orcid.org/0000-0002-7051-036X
Gang LuoDepartment of Heart Center, Women and Children's Hospital, Qingdao University, No. 217, Liaoyang West Road, Shibei District, Qingdao 266034, China.
Yue SunDepartment of Obstetrics, Women and Children's Hospital, Qingdao University, No. 217, Liaoyang West Road, Shibei District, Qingdao 266034, China.
Yan XuDepartment of Ultrasound Medical Center, Women and Children's Hospital, Qingdao University, No. 217, Liaoyang West Road, Shibei District, Qingdao 266034, China.
Silin PanDepartment of Heart Center, Women and Children's Hospital, Qingdao University, No. 217, Liaoyang West Road, Shibei District, Qingdao 266034, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Foetal supraventricular tachycardia (SVT) can cause foetal hydrops and demise if untreated. Transplacental therapy often fails in severe SVT with foetal hydrops due to impaired placental drug transfer. In the present study, we report the first successful cardioversion of recalcitrant SVT in a hydropic foetus by intracardiac adenosine triphosphate (ATP) administration. Case summary: A 34-year-old woman at 28 + 6 weeks of gestation was admitted for persistent foetal tachycardia, subsequently diagnosed as foetal SVT. After combined transplacental therapy with digoxin and sotalol, the foetal tachycardia remained uncontrolled, with progressive hydrops and deteriorating cardiac function. Ultimately, intracardiac ATP administration was performed and achieved successful cardioversion of the foetal SVT. No procedure-related complications occurred. After the procedure, maternal oral digoxin and sotalol were continued to maintain foetal sinus rhythm. Discussion: Intracardiac ATP administration offers a last-resort salvage therapy for terminating recalcitrant SVT with foetal hydrops, which should be reserved for highly selected patients and performed at specialized centres. The larger studies with longer follow-up are needed to validate this procedure's efficacy and safety.

Indexed as

Adenosine triphosphateCase reportFoetal hydropsFoetal supraventricular tachycardiaIntracardiac administration

Identifiers

PMID42311372
PMCPMC13270325

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