Fetal echocardiographic screening for congenital heart disease: the importance of the four-chamber view

American Journal of Obstetrics and Gynecology
J A CopelC S Kleinman

Abstract

The four-chamber view of the heart has been proposed as a screening method for obstetrical sonographers to assess the fetus for the presence of congenital heart disease. We examined the fetuses in 1022 pregnancies and found 74 structurally abnormal hearts. Seventy-one of these (96%) were found to have an abnormality as seen in the four-chamber view. The four-chamber view of the heart had 92% sensitivity and 99.7% specificity in the detection of congenital heart disease. The positive predictive value was 95.8%, and the negative predictive value was 99.4%. We conclude that the four-chamber view may be a useful screen for the presence of congenital heart disease and should be included as a part of all routine obstetric ultrasound examinations.

References

Jun 28, 1986·British Medical Journal·L D AllanM J Tynan
May 1, 1985·Journal of Clinical Ultrasound : JCU·J C HuhtaE Abinader
Sep 1, 1985·British Journal of Obstetrics and Gynaecology·D CrawfordL Allan
Jul 1, 1984·Ultrasound in Medicine & Biology·J W WladimiroffH M Tonge
Nov 1, 1984·British Heart Journal·L D AllanM J Tynan

❮ Previous
Next ❯

Citations

Aug 28, 2014·Cardiology in the Young·Fenna A R JansenMonique C Haak
Aug 28, 2014·Cardiology in the Young·Sally-Ann B Clur, Caterina M Bilardo
Apr 1, 1994·British Heart Journal·J WyllieS Hunter
Jul 1, 1997·Archives of Disease in Childhood. Fetal and Neonatal Edition·M Eronen
Jan 1, 1993·International Journal of Cardiac Imaging·G R Sutherland
Aug 25, 2000·Indian Journal of Pediatrics·S Srinivasan
Jun 1, 1999·Comprehensive Therapy·L A IzquierdoG Holmes
Jun 1, 1995·European Journal of Epidemiology·C StollM P Roth
Jul 1, 1990·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M A RusticoG P Mandruzzato
May 1, 1990·European Journal of Obstetrics, Gynecology, and Reproductive Biology·U GembruchM Hansmann
Jan 1, 1996·Ultrasound in Medicine & Biology·J DengW R Lees
Oct 29, 2002·Ultrasound in Medicine & Biology·Jing DengRobert H Anderson
Mar 16, 2007·Archives of Gynecology and Obstetrics·Hélio Antonio Guimarães FilhoRosiane Mattar
Jul 1, 1988·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·C S KleinmanN H Silverman
Feb 1, 1988·American Journal of Obstetrics and Gynecology·J A CopelC S Kleinman
May 11, 1992·American Journal of Obstetrics and Gynecology·B BromleyB R Benacerraf
Apr 1, 1989·American Journal of Obstetrics and Gynecology·N H Silverman
Nov 1, 1994·American Journal of Obstetrics and Gynecology·M L RespondekJ C Huhta
Jul 24, 2007·Current Problems in Cardiology·Afshan B Hameed, Mark S Sklansky
Mar 11, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·B M E AdriaanseM C Haak
Jul 2, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G R DeVoreL D Platt
May 30, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L S BernardA D Hull
Dec 24, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·UNKNOWN International Society of Ultrasound in Obstetrics & Gynecology
Sep 30, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L YeoS Hassan
Sep 4, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E SinkovskayaA Abuhamad
Mar 6, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology· International Society of Ultrasound in Obstetrics and GynecologyS Yagel
Jun 29, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Y XiongT K Lau
Mar 23, 2011·Congenital Heart Disease·Howard P Gutgesell
Feb 26, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Gengi Satomi
Jun 28, 2005·The American Journal of Cardiology·Uthara R MohanJeffrey H Kern
Jun 1, 1992·The American Journal of Cardiology·J F SmytheC S Kleinman
May 1, 1990·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·T OhbaH Okamura
Nov 1, 2005·Seminars in Fetal & Neonatal Medicine·Greggory R DeVore
Apr 6, 2004·Obstetrics and Gynecology Clinics of North America·Lynn L Simpson
Sep 9, 2005·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Luís F GonçalvesBetsy Beyer
Oct 28, 1998·American Journal of Obstetrics and Gynecology·A F BorgidaW A Campbell
Jun 1, 1995·American Journal of Obstetrics and Gynecology·W J Ott

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.