PMID: 9380318Nov 5, 1997Paper

Maternal diabetes mellitus: which views are essential for fetal echocardiography?

Obstetrics and Gynecology
R S SmithW Lee

Abstract

To determine which fetal echocardiography views are essential to detect the majority of cardiac defects in fetuses of women with diabetes mellitus. Fetal echocardiograms performed from February 1990 through May 1996 on insulin-requiring women with diabetes were reviewed. Individual component views of the examination were analyzed for the detection of fetal congenital heart defects. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated. Multiple gestations and patients with additional risk factors for congenital heart defects were excluded. A total of 223 patients were included in the study. There were 11 (4.9%) congenital heart defects, eight of which were conotruncal. When the four-chamber view and outflow tracts appeared normal, additional views such as the ductal and aortic arches did not detect a cardiac defect. The sensitivity of the four-chamber view for detecting an abnormal heart increased from 73% to 82% with the addition of the aortic outflow tract. There were two false-negative and no false-positive diagnoses. The four-chamber and outflow tracts are the essential views that will detect most cardiac defects in fetuses of women with insulin-requiring diabetes mellitus.

References

Jul 1, 1992·European Journal of Epidemiology·M A Ramos-ArroyoJ F Cordero
May 11, 1992·American Journal of Obstetrics and Gynecology·B BromleyB R Benacerraf
Mar 1, 1991·AJR. American Journal of Roentgenology·J P McGahan
Aug 1, 1989·Journal of the American College of Cardiology·M M AdamsK Dooley
Sep 1, 1986·Diabetic Medicine : a Journal of the British Diabetic Association·C LowyJ Goldschmidt
Nov 1, 1973·The Journal of Pediatrics·T W RowlandA S Nadas
Mar 1, 1971·Circulation·S C MitchellH W Berendes
Jun 1, 1995·American Journal of Obstetrics and Gynecology·W J Ott
Nov 1, 1994·Archives of Disease in Childhood. Fetal and Neonatal Edition·R Fraser
Sep 1, 1994·American Journal of Perinatology·J E MaherJ C Hauth
Jun 1, 1993·Prenatal Diagnosis·C StollB De Geeter
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

❮ Previous
Next ❯

Citations

Nov 9, 2002·Obstetrics and Gynecology·Dana R GossettChristian A Chisholm
Apr 23, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ahmed A NassrBrian C Brost
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
Jul 20, 1999·Current Problems in Pediatrics·C K PhoonM Rutkowski
Jan 27, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S SekhavatJ C Levine
Aug 6, 2013·Diabetic Medicine : a Journal of the British Diabetic Association·J J NewhamR Bell
Apr 25, 2009·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Roman S StarikovGlenn R Markenson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.

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.