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Related Experiment Videos

[Fetal echocardiography--possibilities and limits].

B Heublein, U Rössler, R Schulte

    Zeitschrift Fur Kardiologie
    |July 1, 1984
    PubMed
    Summary

    Fetal echocardiography effectively identifies heart malformations after 30 weeks gestation, aiding in high-risk infant care. Limitations exist, particularly in twins and early gestation, impacting diagnostic accuracy.

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    Medical physics·2017

    Area of Science:

    • Cardiology
    • Prenatal Diagnostics
    • Medical Imaging

    Context:

    • Fetal echocardiography utilizes two-dimensional and impulse-Doppler techniques.
    • The study reviewed 53 cases to assess diagnostic capabilities and limitations.
    • Challenges include gestational age, ultrasound viewing conditions, and twin pregnancies.

    Purpose:

    • To evaluate the practical possibilities and limitations of fetal echocardiography.
    • To determine the optimal gestational age for accurate fetal heart morphological analysis.
    • To assess the diagnostic accuracy of fetal echocardiography in detecting congenital heart defects.

    Summary:

    • Morphological analysis of the fetal heart was successful in most cases after 22 weeks gestation, with clear differentiation achieved after 30 weeks.
    • Of 47 sonographically assessed fetal hearts, 3 were classified as malformations; 2 were confirmed postnatally, while 1 was not.
    • Fetal echocardiography provides valuable information for managing high-risk pregnancies and neonates.

    Impact:

    • This preliminary study highlights fetal echocardiography's role in improving perinatal care for infants with potential cardiac conditions.
    • The findings suggest potential for complex functional analysis of the fetal heart under pharmacological treatment.
    • Enhanced prenatal diagnosis can lead to better-informed clinical decisions and improved outcomes for affected newborns.

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