Cardiac axis evaluation as a screening method for detecting cardiac abnormalities in the first trimester of pregnancy
| Autor: | Gabriel Mihai Mekeres, Adrian Claudiu Raţiu, Mariana Racoviţă, Florian Dorel Bodog, Florina Nela Osvar, Gheorghe Florin Voiţă, Florica Voiţă-Mekereş, Mihaela Gabriela Bonţea |
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| Rok vydání: | 2020 |
| Předmět: |
Heart Defects
Congenital Embryology medicine.medical_specialty Heart malformation Regurgitation (circulation) Cardiac axis Pathology and Forensic Medicine congenital heart abnormalities Fetal Heart Nuchal translucency Pregnancy Internal medicine medicine Screening method Humans Mass Screening Prospective Studies Original Paper angle of the cardiac axis business.industry aneuploids detection Cell Biology General Medicine medicine.disease Pregnancy Trimester First First trimester cardiovascular system Cardiology Female First trimester ultrasound business Developmental Biology |
| Zdroj: | Romanian Journal of Morphology and Embryology |
| ISSN: | 2066-8279 1220-0522 |
| DOI: | 10.47162/rjme.61.1.15 |
| Popis: | Congenital cardiac abnormalities refer to especially anatomic malformations of the heart that normally occur during fetal heart development, before eight weeks after conception. Aim: The aim is to investigate the association between cardiac axis and congenital heart abnormalities for a potential underline clinical application of cardiac axis evaluation during detection by abnormalities at the time of first trimester ultrasound. It is known that aneuploids can be associated in almost half of cases with cardiac abnormalities, so the angle of the cardiac axis could be a potential indirect marker for the detection of aneuploids in the first trimester of pregnancy. Being easy to obtain, from the cross-section at the chest level with the visualization of the four chambers, does not require additional sections to those provided in the current guides, we aim to prove its usefulness in diagnosing aneuploids and congenital cardiac abnormalities along with the translucent nuchal flow, at the level of the venous duct and the presence of tricuspid regurgitation. Conclusions: Cardiac axis has a higher value for the detection of congenital cardiac abnormalities with respect to the nuchal translucency, tricuspid regurgitation and inverted A wave at the level of the venous duct. |
| Databáze: | OpenAIRE |
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