Is Digoxin Still Justifiable As Single First-Line Therapy In Fetal Svt Associated With Fetal Hydrops?

As long as there is no unanimity in the approach to the drug treatment of fetal tachycardia, digoxin continues to be the most commonly used first-line antiarrhythmic drug. Flecainide, sotalol and amiodarone have emerged as effective second-line treatment after digoxin failure both in nonhydropic and hydropic fetuses.