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Atrial flutter is a type of supraventricular tachycardia (SVT), which is common in fetus and newborn caused by a re-entry mechanism in the atria. Electrical cardioversion is the first-line treatment for narrow complex tachycardia with circulatory compromise1; however, its use in extremely premature babies has not previously been reported. We share a case of an extremely preterm baby requiring electrical direct current (DC) cardioversion for spontaneous atrial flutter.
A 25+2 week preterm male baby with birth weight of 890 g with normal antenatal scans was born by spontaneous vaginal delivery. He was intubated for ventilatory support. Following admission to neonatal intensive care unit, at 1 hour of age, he suddenly became tachycardic with a heart rate of 246 beats per minute (bpm). ECG was consistent …
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