PMID: 12231598Sep 17, 2002Paper

Improving the effectiveness of routine prenatal screening for major congenital heart defects

Heart
J S CarvalhoB Thilaganathan

Abstract

To evaluate the effectiveness of adding outlet views to the four chamber view in routine prenatal ultrasound screening for major congenital heart defects (CHD) as performed by trained sonographers, and to compare the procedure with current practice. Prospective observational study at a London teaching hospital. 9277 women booked at a single institution (80% had first trimester nuchal translucency measurement) due to have routine fetal cardiac screening using the four chamber and outflow tract views at > 18 weeks of gestation. Identification of major CHD in chromosomally normal and abnormal pregnancies antenatally or postnatally. There were 40 abnormalities (4.3/1000), of which 30 were chromosomally normal (3.3/1000). The overall antenatal detection rate was 75% (95% confidence interval (CI) 59% to 87%) and 70% (95% CI 51% to 85%) for euploid pregnancies. Abnormal cardiac views accounted for 70% of all prenatal diagnoses, 30% of which were made at < or = 18 weeks. The sensitivity of cardiac views during the first scan at > 18 weeks was 52%. Of all patients undergoing nuchal translucency screening, 34 had major CHD, nine with increased nuchal translucency (26.5%). Factors influencing the results of this screening programme were t...Continue Reading

References

Oct 1, 1978·The American Journal of Cardiology·J I Hoffman, R Christianson
Oct 1, 1992·American Journal of Obstetrics and Gynecology·P VerganiP Cerruti
Jul 1, 1992·The British Journal of Radiology·I M ShirleyV P Robinson
Mar 1, 1992·British Journal of Obstetrics and Gynaecology·G K Sharland, L D Allan
Aug 1, 1985·Journal of the American College of Cardiology·V RoseM Allen
Mar 1, 1971·Circulation·S C MitchellH W Berendes
Jun 1, 1995·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E TegnanderD T Linker
Jun 1, 1995·American Journal of Obstetrics and Gynecology·W J Ott
Nov 1, 1995·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M A RusticoG Mandruzzato
Jul 1, 1996·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Meyer-WittkopfG K Sharland
Apr 18, 1998·Lancet·J S CarvalhoY Ville
May 18, 1999·Archives of Disease in Childhood. Fetal and Neonatal Edition·S AinsworthC Wren
Aug 24, 1999·British Journal of Obstetrics and Gynaecology·N ZosmerK H Nicolaides
Mar 17, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E MavridesJ S Carvalho

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Citations

Aug 4, 2005·Indian Journal of Pediatrics·Anita Saxena, N Reeni Soni
Nov 19, 2008·Pediatric Cardiology·Tara M SwansonDoff B McElhinney
Nov 3, 2012·Pediatric Cardiology·Denis J LevyMark S Sklansky
May 10, 2003·Obstetrics and Gynecology·Federico PrefumoJulene S Carvalho
Jan 6, 2011·Cardiology in the Young·Saeed DastgiriMohammad Heidarzadeh
Sep 26, 2003·Current Opinion in Pediatrics·Mark Sklansky
Dec 24, 2010·Current Opinion in Obstetrics & Gynecology·Jimmy Espinoza
Feb 22, 2012·Clinical Obstetrics and Gynecology·Luís F GonçalvesWesley Lee
Nov 5, 2003·The Journal of Clinical Investigation·Leslie J CiarleglioJoan H Marks
Dec 23, 2008·Journal of Perinatal Medicine·Dennis WoodUNKNOWN World Association of Perinatal Medicine Ultrasonography Working Group
Feb 14, 2014·Cardiology Research and Practice·Luciane Alves RochaAntonio Fernandes Moron
Jun 12, 2012·ISRN Obstetrics and Gynecology·Torbjørn Moe EggebøChristian Lycke Ellingsen
Jun 4, 2014·BMC Medical Imaging·Eric HildebrandBirgitta Janerot-Sjoberg
Aug 20, 2014·Current Opinion in Pediatrics·Stacy A S KillenAnn Kavanaugh-McHugh
Jun 12, 2013·Seminars in Fetal & Neonatal Medicine·Asma Khalil, Kypros H Nicolaides
Aug 28, 2014·Cardiology in the Young·Sally-Ann B Clur, Caterina M Bilardo
Feb 3, 2007·Obstetrics and Gynecology·Lynn L SimpsonMary E D'Alton
Sep 22, 2011·Obstetrics and Gynecology·Alexander M FriedmanNadav Schwartz
Apr 25, 2012·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·José A SainzRogelio Garrido Teruel
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
Sep 1, 2010·Expert Opinion on Medical Diagnostics·Edward Araujo JúniorAntonio Fernandes Moron
Nov 2, 2013·Seminars in Perinatology·Lyndon M Hill
Dec 14, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·F ViñalsA Giuliano
Jul 11, 2012·Best Practice & Research. Clinical Obstetrics & Gynaecology·Jennifer C Donnelly, Fergal D Malone
Jun 1, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Carla RamalhoNuno Montenegro
Feb 27, 2010·The American Journal of Cardiology·Melanie VogelWayne Tworetzky
Oct 13, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·C Rodríguez DehliE García López
Jun 30, 2009·Clinics in Perinatology·Christopher G B TurnerRussell W Jennings
Apr 28, 2009·The Journal of Pediatrics·Mark K FriedbergLisa K Hornberger
Mar 28, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·I DurandC Marguet
Apr 7, 2009·Gynécologie, obstétrique & fertilité·E Quarello
Dec 6, 2005·Clinics in Perinatology·Meryl S Cohen, Michele A Frommelt
Dec 20, 2013·Pediatric Cardiology·Karim A Diab, Sawsan Awad
Oct 27, 2004·Prenatal Diagnosis·Mark K Friedberg, Norman H Silverman
Mar 1, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J S Carvalho
Dec 23, 2004·Prenatal Diagnosis·Julene S Carvalho
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
Dec 23, 2004·Prenatal Diagnosis·Eva PajkrtLyn S Chitty
Oct 13, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Y XiongT K Lau
Jul 15, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R Chaoui

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