Foetal Echocardiography: A Novel Method for Detecting Congenital Heart Disease
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 2
Abstract
ABSTRACT Introduction: Management and outcomes of prenatal and postnatal cardiac diseases have been affected significantly by prenatal detection of foetal Congenital Heart Disease (CHD). Foetal echocardiography plays an important role in this diagnosis. Aim: To estimate the efficiency of echocardiography in detecting type and frequency of foetal CHD in a group of pregnant women regardless of presenting risk factors. Materials and Methods: In this cross-sectional study, 263 pregnant women undergoing foetal echocardiography with a gestational age of 20 to 40 weeks referred to the Echocardiography Unit at Baghdad Teaching Hospital, Iraq from April 2016 to June 2018 were included. The women were divided into high, low and no risk groups as per their referral for foetal echocardiography which is in accordance to the American Heart Association. Foetal 2D and Doppler echocardiography was done. Postnatal echocardiography was performed in cases diagnosed with foetal CHD. Results: A total of 263 pregnant women were included in the study. Fourteen cases of CHD were diagnosed based on abnormal foetal echocardiography. However, only nine of the 14 cases of CHD occurred in high risk mother while the remaining five occurred in mothers with no risk for developing foetal CHD. Twenty-two cardiac abnormalities were detected in those 14 fetuses in which eight fetuses were categorised as having a simple cardiac abnormality and six cases with complex cardiac abnormalities. Complete agreement between prenatal and postnatal diagnosis of CHD was observed in 80% of cases. Conclusion: From the present study, it can be concluded that foetal echocardiography should be recommended to be involved as a part of antenatal screening for all pregnant women regardless of the risk factors among the mother.
Authors and Affiliations
Sura Adnan Raheem, Ghazi F Haji
Keywords
Related Articles
- EP ID EP558600
- DOI 10.7860/JCDR/2019/38300.12607
- Views 76
- Downloads 0
Translation, Cross-Cultural Adaptation and Reliability of the Lower Extremity Functional Scale into a Gujarati Version and Validation
ABSTRACT Introduction: Lower Extremity Functional Scale (LEFS) is one of the most commonly used scales to assess wide range of patients with lower extremity problems. It was originally developed in English and later was...
Effect of Motives for Food Choice on Oral Health among Primary School Children in Mangalore: An Analytical Survey
Introduction: Parents influence children’s eating behaviours by making some foods available than others and by acting as models of eating behaviour. Food selected by parents influence general and oral health of their chi...
Analysis of Risk Factors and Outcome of Renal Failure in Benign Prostatic Hyperplasia
ABSTRACT Introduction: Benign Prostatic Hyperplasia (BPH) is one of the most common diseases of aging men, affecting 50% by 60 years of age and increasing to 90% by ninth decade of life. A small percentage of men with ob...
Subcutaneous Cryptococcosis Mimicking Cold Abscess
ABSTRACT Cryptococcosis is a fungal infection caused by the yeast belonging to the Cryptococcus species which includes broadly two categories Cryptococcus neoformans and Cryptococcus gattii. It most commonly affects the...
Management of Flabby Tissue with Reinforcement of Metal Mesh in Custom Tray
ABSTRACT Patients with flabby tissue require impression procedures which will record the entire denture bearing area in a functional form and the flabby tissue in undisplaced form. This article presents simple and practi...