Keywords: pregnancy, fetal SVT, digoxin, toxicity
Jan 1, 2021 Digoxin is a cardiac glycoside that exerts its antiarrhythmic activity via inhibition of the sodium/potassium ATPase
04: Table 1
Abstract
Side effects appear frequently when serum digoxin level is over 2 ng/mL, but they are usually
Virtually nothing is known about the effects of
1016/0002-9378 (90)90457-i digoxin-like factors Inappropriate sinus tachycardia
Pregnant women with atrial fibrillation are at an increased risk of delivering a low birth weight infant
However, sometimes fails to get fetal cardioversion, in particular in the presence of fetal hydrops, being necessary to increase its dose, or associate other drugs for the control of fetal arrhythmia
Digoxin crosses the placenta
16155 Collins Street AHDJ 804 Australia Arrhythmias are the most common cardiac complication encountered during pregnancy in females with and without structural heart disease [ 1-3 ]
Cardiac arrhythmias are among the most common cardiac complications encountered during pregnancy
Digoxin, beta-blockers, diltiazem, verapamil, and amiodarone are not recommended and are potentially harmful in patients with pre-excited AF (Class III)
2 Fortunately, severe arrhythmias requiring aggressive or invasive therapies are rare
Tachycardia in pregnancy is common, and distinguishing between physiological and pathological causes can be a challenge
Animal studies have not been performed
Advise parents or caregivers that the symptoms of digoxin toxicity in pediatric patients may include weight loss, failure to thrive in infants, abdominal pain, and behavioral disturbances
The ECG features of digoxin effect are seen with therapeutic doses of digoxin and are due to: Shortening of the atrial and ventricular refractory periods — producing a short QT interval with secondary repolarisation abnormalities affecting the ST segments, T waves and U waves
9 A parallel increase is also noted for stroke volume starting at 20 weeks of gestation and a gradual increase occurs with maternal heart rate reaching 90 Results
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Transplacental transmission of digoxin can be poor in the setting of hydrops fetalis which was demonstrated by obtaining a Digoxin in pregnancy
The Women’s PBMG has developed a series of practical recommendations for medicines used during pregnancy and breastfeeding