Detection and Diagnosis of Fetal Heart conditions
Examination of the fetal heart – making a diagnosis
and avoiding pitfalls,
Ultrasound,
May 2007;15(2):62-67
This
article
discusses
how the
five transverse views
plus additional coronal and longitudinal views of the fetus
help to form a cardiac diagnosis. Some
common pitfalls in imaging and interpretation are identified.
Read the article: Start
at the Introduction
> Introduction &
Cardiac Position |
Four Chambers &
Septal Defects | Great Arteries
&
Arch Abnormalities | Figures |
References & Glossary
||
heart conditions | heart sketch
The
publishers have granted permission for us to reproduce this article.
Link to Publishers
www.ingentaconnect.com/content/maney
Previous
article (2005):
Antenatal detection of heart defects is
important and achievable,
Ultrasound
August 2005;13(3):164-169
This article from
2005 refers to the
five transverse views - a
systematic and practical way to scan the fetal heart using obstetric
ultrasound, at around 20 week's gestation, to identify cardiac and
cardiovascular anomalies and improve the
detection of congenital heart disease.
Abstract: Congenital heart disease occurs in about 1 in 125 live births,
approximately half of which require urgent evaluation and
management. Cardiovascular malformations account for 10% of infant
deaths and nearly half of all deaths from all malformations. They
are, therefore, both important and common, but are still frequently
missed in primary screening programmes worldwide. The UK average
detection rate is 23% with wide postcode variation. The reasons for
missing defects are difficult to ascertain. However, with 'hands-on'
training of obstetric sonographers in their own unit, detection
levels may increase to 70–80%. With ongoing support these levels are
sustainable. This 'hands-on' training uses a systematic protocol,
the five transverse views, which allows the majority of defects to
be detected at the routine 20-week scan without increasing routine
examination time.
Link to Publishers and Abstract:
www.ingentaconnect.com/content/maney/ultra/2005/00000013/00000003/art00004
|
