Fetal Echocardiography:Short Term Profle from Shahid Gangalal National Heart Centre, Kathmandu, Nepal
Journal Title: Nepalese Heart Journal - Year 2016, Vol 13, Issue 1
Abstract
Background and Aims: Fetal echocardiography is helpful in early detection of Congenital Heart Disease.Our study was conducted to evaluate the most common indications of referral and outcome in a tertiary-care fetal echocardiography practice. Methods: A Cross-sectional analysis of all pregnant women referred by obstetricians to cardiology unit for fetal echocardiography over a 1-year period (July 2014 and July 2015) was performed. The primary indications for referral for fetal echocardiography were obtained from the obstetric referral forms. Outcome data were extracted from performa containing client’s demographic, physical examination and the fetal echocardiograhic data. Postnatal Echocardiography was advised to all cases having positive echocardiographic fnding. Results: A series of 251 fetal cardiac studies were reviewed. Average gestational age was 25.6 weeks (range, 18 to 38 weeks). Thirty-eight (15.1%) pregnant women had abnormal fetal cardiac fndings. The most common referral for fetal cardiac scan was related to maternal indications (48.6%). Other indications were abnormal prenatal fetal fndings in ultrasonography (23.1%), family history of CHD (12%), general screening (15.5%), and follow up of IVF(In-vitro fertilization) (0.8%). The highest yield of signifcant abnormal fndings was there among patients referred with abnormal prenatal fetal fnding in ultrasonography (47%). Conclusion: Majority of referral were for abnormal prenatal ultrasonographic fndings. So, fetal echocardiography is an important part of overall management of the pregnancy at risk for producing an infant with congenital heart disease.
Authors and Affiliations
Sudhir Regmi| Department of cardiology, National Academy of Medical sciences, Bir Hospital, Kathmandu,Nepal, Deewakar Sharma| Corresponding Author: Sudhir Regmi. Department of cardiology, National Academy of Medical sciences, Bir Hospital, Kathmandu, Nepal
Keywords
Related Articles
- EP ID EP15768
- DOI http://dx.doi.org/10.3126/njh.v13i1.14538
- Views 361
- Downloads 18
Predicton of Cardiovascular Disease in suburban populaton of 3 municipalites in Nepal
Background Cardiovascular disease (CVD) is a major cause of morbidity and mortality throughout the world including Nepal. The assessment of risk factors responsible for CVD can predict 10 year risk of CVD. World Health O...
Atrial fbrillation following electric shock requiring cardioversion
Cardiac arrhythmias following electrical injury falls in a minority. Atrial arrhythmias including atrial fbrillation secondary to electrical shock are even more uncommon. This is a case report of AF requiring pharmacol...
Pattern of Heart Valve Involvement in Rheumatic Heart Disease
Rheumatic heart disease is the most important consequence of acute rheumatic fever. Both are common cardiovascular problems in Nepal. Echocardiographic detection of rheumatic heart disease is important to establish the...
Immediate impact of percutaneous transvenous mitral commissurotomy on right ventricular function
Background and Aims: Abnormal Right Ventricular (RV) function affects the long term outcome and clinical symptoms in patients with mitral stenosis (MS). This study evaluates the immediate effect of Percutaneous Transmit...
Abstracts Presented at the Conquering Heart Disease in the Himalayan Region International Conference 12-13 November 2010