Please wait...

Journal Club: Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome.

Journal Club: Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome.
Citation: Sharma S, Kaur N, Kaur K, Pawar NC.J Clin Diagn Res. 2017 Apr;11(4):TC12-TC14. 
doi: 10.7860/JCDR/2017/25929.9750.


INTRODUCTION: Congenital Heart Defects (CHDs) are one of the most common forms of
congenital anomalies. Fetal echocardiography performed during second trimester
aims at early diagnosis of congenital heart disease which is instrumental in
proper planning of delivery, perinatal care and counselling of parents.
AIM: To evaluate the role of fetal echocardiography in prenatal screening of CHDs
and to study the role of associated extracardiac anomalies.
MATERIALS AND METHODS: This was a hospital based prospective and correlative type
of study, done over a period of one year. Antenatal screening of fetal heart was 
done in mid-trimester high and low risk pregnancies. The prenatal echo findings
were co-related with postnatal findings in case of any abnormality detected. The 
extra-cardiac anomalies associated with positive cases were evaluated and studied
for their impact on postnatal outcome.
RESULTS: A total of 1200 pregnancies were screened out of which 672 were low risk
and 528 were high risk. The cases with abnormal echo findings were followed
postnatally. The overall incidence of CHD in study population was 15 per 1000.
The incidence in high and low risk pregnancies were 16.3 and 13.25 per thousand
respectively. Complete agreement of 68.17% was found between prenatal and
postnatal findings. The most frequent Extra-Cardiac Anomalies (ECA) in cases with
CHD was of musculoskeletal system. The CHD cases with ECA were significantly of
low birth weight, born preterm and delivered by Lower Segment Caesarean Section
(LSCS).
CONCLUSION: Fetal heart is the most overlooked part in every routine anomaly
scan. We conclude that fetal echocardiography should be an integral part of every
second trimester anomaly scan for all pregnant females irrespective of their risk
factors. The associated ECAs are another factor that causes increased mortality
both in antenatal and neonatal life, again warranting an early fetal echo.

Read the complete article


Leave comments

Your email is safe with us.

IT Managers

Campaign Managers

Event Managers

Travel Managers

Registration Managers