Work

Prenatal Detection of Congenital Fetal Heart Diseasesusing 2d Greyscale Ultrasound Combined Four-chamberview and Three-vessel View Followed by Doppler in a Highrisk Population -

Year: 2020
Type: article
Study design: Observational Study
Abstract: Aim: We aimed to assess the accuracy and predictive value of fetal cardiac screening for congenital heart disease (CHD) at 18-22 gestational weeks in high-risk patients Methods: In this study of fetal cardiac screening, four-chamber view, three-vessel view, outflow tracts followed by Doppler were recorded by obstetricians at 18–22 gestational weeks. A total of 438 fetuses that were scheduled for delivery at our hospital were included. Results: Forty-four newborns were born with CHD (10.9%). The prenatal detection rate of CHD was (72.7%). Although 80% of structural abnormality was diagnosed antenatally, only 44.4 % of valvular abnormality was diagnosed. Conclusion: Detailed fetal heart scan performed by skilled obstetricians had a high detection rate for structural rather than valvular CHD in high-risk populations. The integration of this scan with multiple appropriate cardiac views into routine second trimester scan may improve the detection rate of fetal CHD and give a chance for parental counseling.
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W3201063141
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