PEDIATRICS Vol. 41 No. 3 March 1968, pp. 659-661
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Congenital Atrial Flutter: Report of a Case Documented by Intra-uterine Electrocardiogram

Sidney Blumenthal M.D.1, Jerry C. Jacobs M.D.1, Charles M. Steer M.D.1, and Susan W. Williamson M.D.1

1 Departments of Obstetrics and Gynecology and Pediatrics, Columbia University, College of Physicians and Surgeons and Babies Hospital and Sloane Hosptal for Women, Columbia-Presbyterian Medical Center, 3975 Broadway, New York, New York 10032

A newborn infant shown to have atrial flutter in utero and after delivery was successfully converted to normal sinus rhythm with intramuscular digoxin. He remains well at 2 years of age. This is the first patient to be reported in whom atrial flutter was demonstrated by intra-uterine electrocardiography. This arrhythmia, when present in newborn infants without other signs of heart disease, has a good prognosis.




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