(ABC NEWS) -- When Claire Ives was seven months pregnant
with her third child, she used a handheld device to listen to her unborn son's
heartbeat. As she turned the machine on, she thought something had
malfunctioned.
"I thought I wasn't listening right or
something," Ives, a nurse in London, told ABCNews.com. "I didn't believe his
[heart] rate could be that fast."
Ives' son had a heart rate of about 300 beats per minute, nearly double the
normal 160.
After doctors were alerted to the baby's elevated heart rate, Ives delivered
her son, Edward Ives, five weeks early via emergency cesarean at the University
College London Hospital.
Edward Ives was born with supraventricular tachycardia (SVT) and was given a five
percent chance of survival. SVT is caused by improper electrical impulses in the
heart that leads to an irregular rapid heartbeat heart, which then can lead to
heart failure or affect internal organs. When the heart beats too quickly, it
can't fill up properly and then distribute blood to vital organs correctly.
"I just thought he was going to die," said Ives.
A few hours after Edward was born, his heart started to race again. Doctors
attempted to reset his heart rate by shocking his heart and giving him different
medications, but when that failed they were left without many options except one
they had never tried for SVT: They would lower Edward's body temperature to
protect his vital organs and slow his heart rate.
"We'd gone through all the usual maneuvers that usually work in babies,
giving drugs ... trying to shock the heart, the baby and get [a healthy heart rate
back]," said Dr. Nicola Robertson, who works in the neonatal unit at the
University College London Hospital.
Over a period of hours the doctors used a cold gel blanket to lower Edward's
body temperature to approximately 91 degrees, which both protected his organs
and slowed the electrical circuit in his heart. Unfortunately, over the next
day, as Edward was warmed up, his heart began to race again. So the team again
cooled his body temperature, three days after they had initially lowered it.
"That was one of the worst nights," recalled Ives. "I asked one of the nurses
if he was going to die and she said he might."
Ives was sent out of the room when the doctors again attempted to slow his
heart rate down by not only cooling but administering medication. Eventually
they came to tell her that his heart rate had slowed, although he would again
need to be warmed up to see if his heart rate was stable.
"It was really strange highs and lows because he was doing extremely poorly,"
said Ives. "But, oh, thank God! It worked."
Doctors then began the slow process of warming Edward, this time going at a
slower rate as they carefully raised his temperature only half a degree every 12
hours. This time his heart rate remained stable.
It wasn't until 10 days after giving birth that Claire Ives was able to hold
her son. A month later she and her husband, Phillip Ives, were able to bring
Edward home to join his two older siblings.
Now a healthy six-month old, Edward has an excellent prognosis and is
unlikely to need further hospitalizations for SVT although he is being closely
monitored to see if the irregular heartbeat returns.
"It's made me appreciate all the small things about my children," said Claire
Ives, who is planning to run a half-marathon to raise awareness about neonatal SVT. "It's the best thing
ever to bring him home."
By Gillian Mohney