atrial flutter in a newborn: a case report

Background: neonatal cardiac arrhythmias are found in 1% to 5% of newborns during the first 10 days of life. the most common symptomatic arrhythmia in the neonatal period is supra ventricular tachicardia(svt), which has an incidence of 1/25,000. idiopathic neonatal atrial flutter (afl) is a rare rhythm disorder usually occurring in the first days of life and characterized by sustained tachycardia in newborns and infants with an atrial rate around 340-580 beats/minute(bmp). afl may manifest as asymptomatic tachycardia, congestive heart failure, or hydrops and may be life-threatening and fatal. case presentation: we reported a 38 weeks female neanate presented with tachycardia during the first physical examination and recieved adenosine therapy and cardioversion. conclusion : afl, as a rare but life-threatening rhythm disorder in the fetal and neonatal period that can cause fetal hydrops and infant death, should be considered by neonatologists.