The accuracy of antenatal fetal echocardiography screening in high- and low-risk patients

American Journal of Obstetrics and Gynecology
W J Ott

Abstract

The purpose of this study was to evaluate the accuracy of four-chamber and left ventricular outflow tract views in low-risk patients and comprehensive fetal echocardiographic examinations in high-risk patients to diagnose structural heart disease or thoracic anomalies. A prospective outcome study of two cohorts was performed; 1136 low-risk patients and 886 high-risk patients were evaluated during a 2-year period. Low-risk patients underwent routine four-chamber and left ventricular outflow tract evaluation whereas high-risk patients had detailed fetal echocardiographic examinations. Accuracy of the ultrasonographic diagnosis was evaluated from neonatal discharge data. Only 2 of 14 patients with congenital heart disease in the low-risk group were correctly identified (sensitivity 14.3%) whereas 10 of 16 patients with congenital heart disease or thoracic anomalies were correctly identified in the high-risk group (sensitivity 62.5%). The current study showed poor diagnostic accuracy of the standard four-chamber and left ventricular outflow tract views in low-risk patients for the diagnosis of structural cardiac anomalies. Patients with risk factors for congenital heart disease should be referred for comprehensive fetal echocardiog...Continue Reading

References

Oct 1, 1992·American Journal of Obstetrics and Gynecology·P VerganiP Cerruti
Nov 1, 1991·American Journal of Perinatology·N A CallanJ S Kan
Jun 28, 1986·British Medical Journal·L D AllanM J Tynan
Sep 1, 1987·American Journal of Obstetrics and Gynecology·J A CopelC S Kleinman
Dec 1, 1987·Radiology·B R BenacerrafS P Sanders
Jun 1, 1993·Prenatal Diagnosis·C StollB De Geeter

❮ Previous
Next ❯

Citations

Mar 25, 1999·The Journal of Maternal-fetal Medicine·T StefosD Lolis
Jan 16, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S F WongC Ward
Aug 25, 2000·Indian Journal of Pediatrics·S Srinivasan
Jan 28, 2009·World Journal of Pediatrics : WJP·Mathias NelleMatthias Meyer-Wittkopf
Nov 9, 2002·Obstetrics and Gynecology·Dana R GossettChristian A Chisholm
Nov 5, 1997·Obstetrics and Gynecology·R S SmithW Lee
Sep 8, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Meyer-WittkopfS Schmidt
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Meyer-WittkopfG Sholler
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E T JaeggiS G Cooper
Jun 16, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S YagelR Achiron
Jun 26, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Meyer-WittkopfG Sholler
Oct 18, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S YagelR Achiron
Dec 21, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Meyer-Wittkopf
Feb 22, 2012·Clinical Obstetrics and Gynecology·Luís F GonçalvesWesley Lee
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·N C Smith, C Hau
Sep 18, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jodi M BarbozaTeresita L Angtuaco
Apr 18, 1998·Lancet·J S CarvalhoY Ville
Dec 14, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·F ViñalsA Giuliano
Jul 24, 2007·Current Problems in Cardiology·Afshan B Hameed, Mark S Sklansky
Mar 12, 2005·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Peter R MullerJ Rene Herlong
Mar 26, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Nina AsplinPeter Conner
Aug 26, 1998·Obstetrics and Gynecology Clinics of North America·D B HessR F Fraser
Apr 6, 2004·Obstetrics and Gynecology Clinics of North America·Lynn L Simpson
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·K RitchieG Penney
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
Jun 1, 1996·American Journal of Obstetrics and Gynecology·M I EvansR J Sokol
Jan 8, 2004·American Journal of Obstetrics and Gynecology·Luís F GonçalvesRoberto Romero
Jul 2, 2016·BMC Pregnancy and Childbirth·Ying ZhangLi-Ping Huang
Mar 10, 2017·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·Marijo Aguilera, Kirsten Dummer
Jul 12, 2017·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·Aline WolterRoland Axt-Fliedner
Apr 24, 2018·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·Julia AlanenJaana Nevalainen
Nov 22, 2017·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·Julia AlanenJaana Nevalainen
Jul 15, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R Chaoui
Aug 4, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S YagelL Fermont
Dec 23, 2006·Prenatal Diagnosis·Min Hoan MoonMi Jin Song
Aug 26, 1998·Pediatric Annals·M R Brumund, W A Lutin
Jan 13, 2006·Laboratory Investigation; a Journal of Technical Methods and Pathology·Mi-Sook KimBogdan Czerniak

❮ 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.