Recent Trends in Indications of Fetal Echocardiography and Postnatal Outcomes in Fetuses Diagnosed as Congenital Heart Disease
Korean Circulation Journal
; : 839-844, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-17964
Responsible library:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES:
We hypothesized that fetal echocardiography (echoCG) is an accurate diagnostic tool reflecting well postnatal echoCG findings and outcomes. SUBJECTS ANDMETHODS:
We reviewed the medical records of 290 pregnant women, including 313 fetuses, who were examined by fetal echoCG at the Seoul National University Children's Hospital from January 2008 through April 2011.RESULTS:
The mean gestational age at diagnosis was 26.2+/-5.2 weeks. The mean age of mothers at diagnosis was 31.7+/-3.8 years. We identified indications for fetal echoCG in 279 cases. The most common indication was abnormal cardiac findings in obstetrical screening sonography (52.0%). Among the 313 echoCG results, 127 (40.6%) were normal, 13 (4.2%) were minor abnormalities, 35 (11.2%) were simple cardiac anomalies, 50 (16.0%) were moderate cardiac anomalies, 60 (19.2%) were complex cardiac anomalies, 16 (5.1%) were arrhythmias, and 12 (3.8%) were twin-to-twin transfusion syndrome. The most common congenital heart disease was tetralogy of Fallot (23 fetuses, 15.9%). One hundred forty-eight neonates were examined by echoCG. We analyzed differences between fetal echoCG and postnatal echoCG. In 131 (88.5%) cases, there was no difference; in 15 (10.1%), there were minor differences; and in only 2 (1.4%) cases, there were major differences.CONCLUSION:
There is a recent increase in abnormal cardiac findings of obstetric ultrasonography screenings that indicate fetal echoCG. Fetal echoCG is still a good, accurate diagnostic method for congenital heart disease.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Arrhythmias, Cardiac
/
Prenatal Diagnosis
/
Tetralogy of Fallot
/
Echocardiography
/
Mass Screening
/
Medical Records
/
Ultrasonography, Prenatal
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Gestational Age
/
Pregnant Women
/
Fetofetal Transfusion
Type of study:
Diagnostic study
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Prognostic study
/
Screening study
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Korean Circulation Journal
Year:
2012
Document type:
Article