Prenatal detection of congenital heart disease in southern Nevada: the need for universal fetal cardiac evaluation
| Autor: | Brian K. Iriye, K. T. Kip, Donald Roberts, Robert C. Rollins, Alan J. Sacks, Joseph Adasheck, William N. Evans, C. F. Luna, Humberto Restrepo, Juan C. Collazos, Ruben J. Acherman |
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| Rok vydání: | 2007 |
| Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Heart disease Heart malformation Prenatal diagnosis Prenatal care Risk Assessment Sensitivity and Specificity Ultrasonography Prenatal Risk Factors medicine Prevalence Humans Mass Screening Radiology Nuclear Medicine and imaging Mass screening Fetus Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Infant Newborn Prenatal Care medicine.disease Infant mortality Echocardiography Female business Fetal echocardiography Nevada |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 26(12) |
| ISSN: | 0278-4297 |
| Popis: | Objective. Congenital cardiac malformations are common developmental anomalies. In the United States, congenital heart disease is the number one cause of infant mortality from congenital malformations. Prenatal diagnosis of congenital heart defects aids treatment coordination. Our aim was to evaluate prenatal detection of serious congenital heart malformations in Clark County, Nevada. Methods. We electronically searched our research department-maintained computer database for patients with serious congenital heart disease born in Clark County between May 2003 and April 2006. We excluded patients that did not have at least 1 local prenatal ultrasound examination. All prenatal ultrasound studies were performed in obstetric offices, radiology imaging centers, or maternal-fetal medicine specialty practices. Fetal echocardiography was performed in maternal-fetal medicine specialists' offices under the supervision of a fetal cardiologist. Pediatric cardiologists performed all postnatal echocardiographic examinations. Results. During the study period, we diagnosed serious congenital heart malformations in 161 patients among a total estimated 77,000 births (2/1000). Of the 161 patients, 58 (36%) had a prenatal diagnosis, and 103 (64%) had an exclusively postnatal diagnosis. Conclusions. Standard prenatal ultrasound fails to show congenital heart disease in most fetuses. |
| Databáze: | OpenAIRE |
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