Selected data from the Polish National Prenatal Cardiac Pathology Registry from the year 2016

Abstract

Introduction: Analysis have been subjected to evaluate standard data reports from the Polish National Prenatal Cardiac Pathology Registry from the year 2016, compared to previous years. Material and methods: The methodology of this work was comparison of the data from previous years that have been published in the Prenatal Cardiology and records generated in www. orpkp.pl from the year 2016. The total number of records entered in the Registry in the year 2016 was n=774. Results: Top 10 most common prenatal CHD in 2016 were such as follow: HLHS, AVSD, VSD, d-TGA, TOF, AvS, muscular VSD, Aberrant origin R subclavian artery, RAA, CoA. In the centers Lodz and Krakow the most common prenatal congenital heart defects were severe CHD requiring surgery in 1 st month of life. In the contrast, in Warsaw the first place was taken by a “critical heart defects” regardless whether cardiac surgery was planned in first week (contemporary definition of prenatal critical heart defects) or first month - contemporary definition of severe planned heart defects of postnatal life. Conclusion: The fact that in 2016 most common cause of referrals to targeted the fetal chocardiography was abnormal, large vessels view and not the abnormal 4 chamber view of the heart, suggests more and better training of hysicians performing the screening or basic study of fetal heart in Poland.

Detection screening and seasonality evaluation of hypoplastic left heart syndrome in the polish national registry for fetal cardiac anomalies from the years 2004 to 2016

“…Nowadays, the effects of Poland's prenatal CHD screening are similar to results obtained across the rest of Europe, where the rate of detection of univentricular defects is greater than 85% . According to the Polish National Registry of Cardiac Surgery, in 2015 and 2016, 87.7% and 98.9% of newborns with HLHS were diagnosed prenatally, respectively . Over the period of our study, we observed that the mean gestational age of HLHS detection decreased by 5 weeks, from 26.0 weeks in 2004 to 20.8 weeks in 2016, and this was a statistically significant improvement.…”

Fetal Cardiac Hemodynamic and Sonographic Anomalies in Maternal COVID-19 Infection Depending on Vaccination Status—Polish Multicenter Cohort Study

“…These centers sent a protocol from examinations to the main center. The Polish centers of prenatal cardiology have rank C or B in the prenatal cardiology system in Poland (www.orpkp.pl) (accessed on 20 October 2022), which means that they are referral centers (mostly patients with high-risk pregnancies; more than 100 congenital heart defect cases per year) and perform referral fetal echocardiography and"genetic" ultrasonography examinations [13]. The data of the patients were de-identified and this was an observational study and we did not change the method of medical management but focused on the interpretation of additional collected data, thus; a new approval from the Ethical Committee was not necessary.…”

Prenatal diagnosis of hypoplastic left heart syndrome with PAPVC and FO restriction and pulmonary hypertension – coexisting factors suggesting poor prognosis due to pulmonary hypertension with histopathological confirmation

“…Hypoplastic left heart syndrome (HLHS) is one of the most common, prenatally diagnosed congenital heart diseases (CHD) [1][2][3]. In this CHD, the right ventricle serves as the main pump supplying blood to both pulmonary and systemic circulation, while the left ventricle has almost no haemodynamic function.…”