What question did this study set out to answer?

To evaluate the diagnostic accuracy and clinical value of fetal echocardiography in detecting congenital heart defects among high-risk pregnant women over a six-year period.

January 1, 1987Fetal Diagnosis and Therapy

Fetal Echocardiography: A Review of Six Years Experience

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Why the study?

Does fetal echocardiography accurately diagnose congenital heart defects prenatally in pregnant patients?

Population

2,060 pregnant patients scanned for congenital heart defects. 76.5% had an increased risk of CHDs in their…

Design

Cohort

Authors

PSPatricia A. StewartExponent (United States)JWJ. W. WladimiroffErasmus University Rotterdam ARA. ReussOrthopädische Praxis

Discussion

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Implication

Supports indication-specific prenatal detection; leaves open refinement of protocols for increased-risk pregnancies.

Key Points

To evaluate the diagnostic accuracy and clinical value of fetal echocardiography in detecting congenital heart defects among high-risk pregnant women over a six-year period.
Retrospectively analyzed N=2,060 pregnant patients evaluated between January 1982 and January 1988.
Categorized indications into high risk of congenital heart defects (76.5% of cohort) versus current fetal pathology including arrhythmia, polyhydramnios, severe intrauterine growth retardation, or ascites (23.5% of cohort).
In the increased-risk group, 27 congenital heart defects were identified, with 17 correctly diagnosed prenatally.
In the fetal pathology group, 82 congenital heart defects were identified, with 79 correctly diagnosed prenatally, and an abnormal karyotype rate of 35%.

Structured PICO

Does fetal echocardiography accurately diagnose congenital heart defects prenatally in pregnant patients?

Population

2,060 pregnant patients scanned for congenital heart defects (CHD). 76.5% had an increased risk of CHDs in their offspring, and 23.5% had fetal pathology in the present pregnancy (fetal cardiac arrhythmia, polyhydramnios, severe intrauterine growth retardation, fetal ascites and suspected structural anomalies).

Intervention

Fetal echocardiography

Outcome

Prenatal diagnosis of congenital heart defects (CHD)

Fetal echocardiography is highly effective at diagnosing congenital heart defects prenatally, particularly when indicated by fetal pathology, allowing for appropriate obstetric planning and prognostic counseling.

Cite This Study

Stewart et al. (1987) studied this question.

synapsesocial.com/papers/6a8b1fa2f19228bbb2fb4962 https://doi.org/10.1159/000263321

Topics

Echocardiography Congenital heart disease adults

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Fetal Echocardiography: A Review of Six Years Experience

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Fetal Echocardiography: A Review of Six Years Experience

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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