Efficacy of fetal echocardiography in prenatal diagnosis of congenital heart diseases

Midan, Mahmoud Farouk; Alsheemy, Refaat I.; Eid, Samia Mohamed; Salam, Marwa E. Abdel

doi:10.18203/2320-1770.ijrcog20161323

Cited by 4 publications

(11 citation statements)

References 19 publications

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“…Taking in consideration the availability and cost of these methods, they are far from to be the ideal screening test for CHD. Even more expensive, limited to the more privilege part of the world is the 1st TST combined to optional fetal echo-2D, which can deliver high rates in detecting CHD when indicated [17][18][19][20][21][22]. On the other hand, the only means of early universally offered postnatal detection, for CHD has been a physical examination that is delivered by a pediatrician in best cases, just before discharge from a maternity facility.…”

Section: Discussionmentioning

confidence: 99%

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Prevention and Early Detection of Congenital Heart Defects. Where do we stand.

Petropoulos¹

2021

Journal of Clinic Sciences

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Introduction: Since the origin of Medicine in 4th BC. Century research has taught us that learning and practicing preventive medicine is properly the best method to prevent disease from happening in the first place. Preventive health care must be planned and executed ahead of time, even when illness/ disease, is absent, especially for those that are common and fаtal. Among neonates and infants, congenital heart disease (CHD) is responsible for the largest proportion of mortality caused by birth defects. Actual numbers of patients and mortality resulting from CHD reportedly is increasing. In the developed world the treatment of CHD has escalating costs for health care systems and private covered patients, while in low-income countries it is not always available. Prevention is urgently needed to tackle the increasing needs. Aim: To present the current practice in preventing/early detecting CHD and justify why pulse oximetry is the best available, early detecting postnatal screening test we currently have. Methods: The existing in use preventing/early detecting methods for avoiding or early diagnosing CHD are: 1. Eliminate the maternal risk factors by obtaining a good level of health and medical surveillance during pregnancy. 2. Avoiding teratogenic agents, 3. Detecting risk factors from Family History, 4. Delivering a balanced Nutrition during Pregnancy 5. Obtaining at least an experienced 4-chamber view and outflow tracts imaging during the 20-weeks anomaly scan. 6. Fetal Echocardiography when indicated 7. Postnatal evaluation by experienced Pediatricians. 8. Pulse Oximetry, screening test after 72 hours post-delivery in term babies. 9. Hyperoxia test when indicated. Conclusion: Although CHD’s are the most common, high morbidity and mortality, congenital malformations, we still lack a single, easy to apply, non-invasive and low-cost screening test, for early detection. The current preventive methods must be combined to counterbalance the CHD prevalence. Meanwhile, they are costly and partially accessible. The most advantageous method for minimizing CHD deaths worldwide seems to be currently, pulse oximetry combined with clinical assessment. Original publication: Petropoulos AC. Prevention and Early Detection of Congenital Heart Defects. Where do we Stand. J Cardiol 2018, 2(1): 000111.

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Section: Discussionmentioning

confidence: 99%

“…In recent years three more indications have been added. Multiple pregnancy, In-vitro fertilized fetuses and increased nuchal translucency (NT) [17]. Since the first reported use of echocardiography (echo-2D) for prenatal diagnosis of CHD in 1980 by pediatric cardiologists [18] this technique has been used worldwide to detect prenatally CHDs.…”

Section: Methodsmentioning

confidence: 99%

Prevention and Early Detection of Congenital Heart Defects. Where do we stand.

Petropoulos¹

2021

Journal of Clinic Sciences

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show abstract

“…Taking in consideration the availability and cost of these methods, they are far from to be the ideal screening test for CHD. Even more expensive, limited to the more privilege part of the world is the 1 st TST combined to optional fetal echo-2D, which can deliver high rates in detecting CHD when indicated [17][18][19][20][21][22]. On the other hand, the only means of early universally offered postnatal detection, for CHD has been a physical examination that is delivered by a pediatrician in best cases, just before discharge from a maternity facility.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years three more indications have been added. Multiple pregnancy, In-vitro fertilized fetuses and increased nuchal translucency (NT) [17].…”

Section: Methodsmentioning

confidence: 99%

Prevention and Early Detection of Congenital Heart Defects. Where do we Stand

Petropoulos¹

2018

OAJC

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Introduction: Since the origin of Medicine in 4 th BC. Century research has taught us that learning and practicing preventive medicine is properly the best method to prevent disease from happening in the first place. Preventive health care must be planned and executed ahead of time, even when illness/ disease, is absent, especially for those that are common and fetal. Among neonates and infants, congenital heart disease (CHD) is responsible for the largest proportion of mortality caused by birth defects. Actual numbers of patients and mortality resulting from CHD reportedly is increasing. In the developed world the treatment of CHD has escalating costs for health care systems and private covered patients, while in low-income countries it is not always available. Prevention is urgently needed to tackle the increasing needs. Aim: To present the current practice in preventing/early detecting CHD and justify why pulse oximetry is the best available, early detecting postnatal screening test we currently have. Methods: The existing in use preventing/early detecting methods for avoiding or early diagnosing CHD are: 1. Eliminate the maternal risk factors by obtaining a good level of health and medical surveillance during pregnancy. 2. Avoiding teratogenic agents, 3. Detecting risk factors from Family History, 4. Delivering a balanced Nutrition during Pregnancy 5. Obtaining at least an experienced 4-chamber view and outflow tracts imaging during the 20-weeks anomaly scan. 6. Fetal Echocardiography when indicated 7. Postnatal evaluation by experienced Pediatricians. 8. Pulse Oximetry, screening test after 72 hours post-delivery in term babies.9. Hyperoxia test when indicated. Conclusion: Although CHD's are the most common, high morbidity and mortality, congenital malformations, we still lack a single, easy to apply, non-invasive and low-cost screening test, for prevention/early detection. The current preventive methods must be combined to counterbalance the CHD prevalence. Meanwhile, they are costly and partially accessible. The most advantageous method for minimizing CHD deaths worldwide seems to be currently, pulse oximetry combined with clinical assessment.

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“…These lesions, represent at least 25% of all CHD. Although, associated with cyanosis, can be clinically undetected during the early neonatal age, due to the "cyanotic clinical blind spot" that appears as hemoglobin >13.5gr/dL at birth [12][13][14][15][16][17][18][19][20]. Based on the existing low peripheral perfusion in left heart obstructive conditions, as severe aortic valve stenosis, coarctation of the aorta and interrupted aortic arch conditions, resent studies show that technological advanced devises using perfusion index, can improve detection rates of not cyanotic forms of c-CHD [15,17].…”

Section: Methodsmentioning

confidence: 99%

Right use of Screening Pulse Oximetry test for early detection of Critical Congenital Heart Diseases

Petropoulos¹,

Huseynov

2021

Journal of Clinic Sciences

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Introduction: Preventive medicine is the ideal way in dealing with frequent and fatal diseases. Congenital heart disease (CHD) is responsible for the largest proportion of mortality caused by birth defects in the first year of life. Actual numbers and mortality from CHD is increasing. In the developed world the treatment of CHD has escalating costs for health care systems and private covered patients, while in low-income countries the resources are minimal. Prevention/early detection is urgently needed to tackle the increasing needs. Aim: To justify why pulse oximetry (pox) is the best available, early detecting postnatal screening test currently. Conclusion: Although CHD’s are both frequent and carry a high morbidity and mortality, we still lack a single, easy to apply, non-invasive and low-cost screening test, worldwide. The most advantageous method for minimizing CHD deaths worldwide seems to be currently, the combination of clinical assessment with pox. Original publication: https://crimsonpublishers.com/ojchd/pdf/OJCHD.000510.pdf Open Journal of Cardiology and Heart Diseases.

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Efficacy of fetal echocardiography in prenatal diagnosis of congenital heart diseases

Cited by 4 publications

References 19 publications

Prevention and Early Detection of Congenital Heart Defects. Where do we stand.

Prevention and Early Detection of Congenital Heart Defects. Where do we stand.

Prevention and Early Detection of Congenital Heart Defects. Where do we Stand

Right use of Screening Pulse Oximetry test for early detection of Critical Congenital Heart Diseases

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