Flecainide versus digoxin for fetal supraventricular tachycardia: Comparison of two drug treatment protocols.

Background: The optimal treatment for fetal supraventricular tachycardia (SVT) with 1:1 atrioventricular relationship is unclear.

Objective: We compared the effectiveness of transplacental treatment protocols used in 2 centers.

Methods: Pharmacologic treatment was used in 84 fetuses.

Track and trigger system for use in community hospitals.

Aim: To adapt and promote a relevant track and trigger system based on modified early warning systems (MEWS) for use in rural community hospitals in Powys, Wales.

Method: Track and trigger systems, including MEWS, were reviewed, compared and developed by senior nursing and medical staff using PDSA (Plan Do Study Act) cycles.

Results: A track and trigger system was developed, piloted and rolled out to all ten community hospitals in Powys.

Obliteration of left superior caval vein draining to the left atrium during spontaneous closure of ventricular septal defect.

Persistent left-sided superior caval veins (SVC) are present in 0.4% of the population. In the majority of cases, the persistent left SVC drains into the right atrium via the coronary sinus, but direct connection to the left atrium is also recognized.

Myocardial tissue Doppler and long axis function in the fetal heart.

Unlabelled: Current echocardiographic assessment of fetal ventricular function uses relatively crude measures and this has led to inconsistencies in assessment of diastolic function. Long axis parameters may be more insightful.

Objective: To describe fetal long axis cardiac function and construct reference ranges.