High Prevalence of Complex Congenital Cardiac Anomalies Detected by Fetal Echocardiography in a Cohort of Saudi Women Referred for Prenatal Assessment

Emam, Soha

doi:10.12816/0006317

Cited by 7 publications

(11 citation statements)

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“…This is in discordance with the literature that already reported a greater indication of fetal heart screening for increased nuchal translucency [6], intrauterine fetal death in previous pregnancy [3], finding abnormal prenatal sonographic [22, 23], and family history of a child with CHD [24]. …”

Section: Discussioncontrasting

confidence: 88%

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Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil

Rocha

Júnior

Rôlo

et al. 2014

Cardiology Research and Practice

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Objective. To describe the experience of a tertiary center in Brazil to which patients are referred whose fetuses are at increased risk for congenital heart diseases (CHDs). Methods. This was a cross-sectional observational study. The data was collected prospectively, during the year 2012, through a screening protocol of the fetal heart adapted from the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guideline. We performed a fetal echocardiogram screening for all pregnant women who were referred to the fetal cardiology outpatient obstetrics clinic of a university hospital. The exams were classified as normal or abnormal. The cases considered abnormal were undergone to a postnatal echocardiogram. We categorized the abnormal fetal heart according to severity in “complex,” “significant,” “minor,” and “others.” Results. We performed 271 fetal heart screening. The incidence of abnormal screenings was 9.96% (27 fetuses). The structural CHD when categorized due to severity showed 48.1% (n = 13) of “complex” cases, 18.5% (n = 5) “significant” cases, and 7.4% (n = 2) “minor” cases. The most common referral reason was by maternal causes (67%) followed by fetal causes (33%). The main referral indication was maternal metabolic disease (30%), but there was just one fetus with CHD in such cases (1.2%). CHDs were found in 19/29 fetuses with suspicion of some cardiac abnormality by obstetrician (65.5%). Conclusion. We observed a high rate of CHD in our population. We also found that there was higher incidence of complex cases.

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Section: Discussioncontrasting

confidence: 88%

“…This finding suggests that in general our cases are very severe which can justify the high mortality in our center. There are other researches about incidence of CDH that show the same severity of heart disease [23, 24] and its related to fatal cases.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil

Rocha

Júnior

Rôlo

et al. 2014

Cardiology Research and Practice

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“…While Ozkutlu et al had the same indications arrangements like our study. [17][18][19][20] In this study, we scheduled the visits starting from 18-22 weeks of gestation, 28 weeks and 32 weeks. Best results of obtaining all of the screening views were in the first visits.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of fetal echocardiography in prenatal diagnosis of congenital heart diseases

Midan

Alsheemy

Eid

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…Current literature shows that the highest rate of indication for screening of CHD consists of changes in nuchal translucency, fetal death in a previous pregnancy, or the suspicion of a fetal abnormality in a prior ultrasound examination. We then observed that fetal and familial causes are the most frequent . Maternal cause was the most frequent indication in our study; however, we must stress that our study population included only fetuses with normal hearts.…”

Section: Discussionmentioning

confidence: 99%

“…We then observed that fetal and familial causes are the most frequent. 4,7,25,26 Maternal cause was the most frequent indication in our study; however, we must stress that our study population included only fetuses with normal hearts. Thus, the indications for screening the analyzed sample probably suffered from selection bias due to the inclusion criteria used.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Quality of Fetal Heart Views by 3D/4D Ultrasonography Using Spatio‐Temporal Image Correlation in the Second and Third Trimesters of Pregnancy

et al. 2014

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High Prevalence of Complex Congenital Cardiac Anomalies Detected by Fetal Echocardiography in a Cohort of Saudi Women Referred for Prenatal Assessment

Cited by 7 publications

References 0 publications

Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil

Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil

Efficacy of fetal echocardiography in prenatal diagnosis of congenital heart diseases

Assessment of Quality of Fetal Heart Views by 3D/4D Ultrasonography Using Spatio‐Temporal Image Correlation in the Second and Third Trimesters of Pregnancy

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