Naslov
Sensitivity of fetal cardiac diagnosis

Autori
Malčić, Ivan, Dasović-Buljević, Andrea, Mustapić, Željka

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
J Perinat Med 33 (2005) Suppl. I / - Zagreb, 2005

Skup
7th world congress of perinatal medicine

Mjesto i datum
Zagreb, Hrvatska, 09.2005

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
fetal cardiology; sensitivity

Sažetak
We present our first experiences in fetal cardiology which we have been practising for the last two years. This presentation is based on comparation of prenatal and postnatal diagnoses. We have done 218 fetal echocardiography scans in 185 pregnant women. Forty five of them (24.3%) are still pregnant, and in 32 (17.3%) we have postnatal evaluation. Early prenatal screening for congenital heart disease in 11th -14th week of pregnancy we did at 6 (3%) women. The rest of them were scanned after the 20th week of pregnancy. The indications for fetal echocardiography (by Association of European Pediatric Cardiology) were maternal in 4 (12.5%) cases, fetal in 9 (28.1%) and familial in 19 (59.4%) cases. We had 23 (12.4%) patologic findings of which 15 (65.2%) were morphological abnormalities, 2 (8.7%) intracardiac tumors and 6 (26.1%) arrhythmias (supraventricular paroxysmal tachycardia (4) and ectopic beats(2)). All morphological abnormalities were deformations (pulmonary valve atresia (2), hypoplastic left heart syndrome (3), morbus Ebstein (1), atrial septal defect (4), right atrium membrane (1), tricuspid valve atresia with transposition of great arteries (1), patent ductus arteriosus (2), ventricular septal defect (2), foramen ovale apertum (2)). We succesfuly treated 3 cases of fetal arrhythmias with digitalis (1) and amiodarone (2). None of the pregnant women had genetic counselling but we were able to programme delivery and postnatal care by intensive neonatal transport (N=4, 17.4%) and transport ''in utero'' (N=9, 39.1%). Prenatal diagnose was fully confirmed in 24 (75%) cases, in 3 (9.4%) parcialy and in 5 pregnant women (15.6 %) we made wrong diagnose. Fetal echocardiography scans were performed at pediatric cardiology out-patient clinic with Wingmed CFM 800 (Sonotron) ultrasound device using 3.5 MHz and 5 MHz transducers. We integrated fetal cardiology service in our pediatric cardiology what much improved therapeutic strategy for patients with congenital heart defects or arrhythmias as well as prognosis of these children.

Izvorni jezik
Engleski

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