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[Fetal echocardiography].

I Shapiro1, S Degani, D Sharif

  • 1Obstetrical Sonography Unit, Bnai-Zion Medical Center, Rothschild, Haifa.

Harefuah
|April 15, 1991
PubMed
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Fetal echocardiography identified significant cardiac conditions in 13.9% of examined fetuses. Early diagnosis of severe heart defects or arrhythmias in fetuses led to interventions like pregnancy termination or neonatal treatment.

Area of Science:

  • Cardiology
  • Prenatal Diagnosis
  • Medical Imaging

Background:

  • Fetal echocardiography is a key ultrasound technique for diagnosing fetal cardiac issues.
  • Cardiac anomalies and arrhythmias pose significant risks to fetal well-being.

Purpose of the Study:

  • To analyze the prevalence and outcomes of fetal cardiac conditions detected via echocardiography.
  • To evaluate the impact of diagnosing severe fetal heart defects and arrhythmias.

Main Methods:

  • Retrospective analysis of 1800 women undergoing fetal echocardiography between 1981-1990.
  • Examinations were performed electively, for high-risk cases, or when fetal arrhythmia/defect was suspected.

Main Results:

  • Pathological cardiac conditions found in 13.9% (251 fetuses), including structural heart defects in 2.8% (51 fetuses).

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  • Fetal arrhythmias detected in 11.9% (215 fetuses), with 15.8% endangered, primarily by supraventricular tachycardia, atrial fibrillation, or flutter.
  • Pregnancy termination was accepted in 35% of cases with poor-prognosis defects diagnosed in the 2nd trimester. 12% experienced intrauterine fetal death, and 52% had live births with 50% mortality within 6 months.

    • Conclusions:

    • Fetal echocardiography is crucial for identifying a substantial number of cardiac anomalies and arrhythmias.
    • Early diagnosis impacts management decisions, including pregnancy termination and therapeutic interventions for arrhythmias.
    • Outcomes for fetuses with diagnosed cardiac conditions remain challenging, highlighting the need for improved prenatal and postnatal care.