Discrepancy Between Pre- and Postnatal Diagnoses of Congenital Heart Disease and Impact on Neonatal Clinical Course - A Retrospective Study at a Japanese Tertiary Institution.

Circulation Journal : Official Journal of the Japanese Circulation Society
Kenichi KurosakiSatoshi Yasuda

Abstract

Congenital heart disease (CHD) is often diagnosed prenatally using fetal echocardiography, but few studies have evaluated the accuracy of these fetal cardiac diagnoses in detail. We investigated the discrepancy between pre- and postnatal diagnoses of CHD and the impact of discrepant diagnoses.Methods and Results:This retrospective study at a tertiary institution included data from the medical records of 207 neonates with prenatally diagnosed CHD admitted to the cardiac neonatal intensive care unit between January 2011 and December 2016. Pre- and postnatal diagnoses of CHD differed in 12% of neonates. Coarctation of the aorta and ventricular septal defects were the most frequent causes of discrepant diagnosis. Unexpected treatments were added to 38% of discrepant diagnostic cases. However, discrepant diagnoses did not adversely affect the clinical course. The 9% of the 207 neonates who required invasive intervention within 24 h of delivery were accurately diagnosed prenatally. Pre- and postnatal diagnoses differed in only a few neonates, with differences not adversely affecting the clinical course. Neonates who required invasive intervention immediately after delivery were accurately diagnosed prenatally. Prenatal diagnosis thus...Continue Reading

References

May 18, 2004·Journal of the American College of Cardiology·Mio TaketazuLisa K Hornberger
Jun 4, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·M BlythD Wellesley
Oct 15, 2008·Circulation·Hikoro MatsuiHelena M Gardiner
Jun 2, 2009·American Journal of Obstetrics and Gynecology·Keiko UedaIsao Shiraishi
Feb 18, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Rajesh Punn, Norman H Silverman
Jan 21, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A N SealeUNKNOWN British Congenital Cardiac Association
Mar 31, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·V JowettH M Gardiner
Apr 13, 2012·Prenatal Diagnosis·S A ClurC M Bilardo
May 19, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D LauxD Bonnet
May 31, 2012·Interactive Cardiovascular and Thoracic Surgery·Yorihiko MatsumotoHajime Ichikawa
Aug 7, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Isao Shiraishi, Hajime Ichikawa
Nov 24, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takaya HoashiHajime Ichikawa
Apr 1, 2012·World Journal for Pediatric & Congenital Heart Surgery·James L Wilkinson, Robert H Anderson
Apr 26, 2014·Circulation·Mary T DonofrioUNKNOWN American Heart Association Adults With Congenital Heart Disease Joint Committee of the Council on Cardiovascular Disease in
Jun 3, 2014·Obstetrics & Gynecology Science·Mi-Young LeeAhm Kim
Feb 26, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Gengi Satomi
Sep 10, 2015·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C L van VelzenM C Haak
Aug 27, 2016·Journal of the American College of Cardiology·Myriam BensemlaliDamien Bonnet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
C L van VelzenMonique C Haak
Cardiology in the Young
Christina J GeAngie C Jelin
© 2021 Meta ULC. All rights reserved