Key result
Prenatal diagnosis via foetal echocardiography was established in only 5.5% of neonates with congenital heart anomalies, a rate significantly lower than in other European countries.
Why the study?
What is the rate of prenatal diagnosis of congenital heart anomalies using foetal echocardiography in a cohort of pediatric patients with heart malformations?
Observational (n=73)
No
What is the rate of prenatal diagnosis of congenital heart anomalies using foetal echocardiography in a cohort of pediatric patients with heart malformations?
The rate of prenatal diagnosis of congenital heart anomalies by fetal echocardiography was very low (5.5%) in this cohort, highlighting a significant need for improved early screening to enable in utero treatment and better surgical planning.
Low detection rates highlight prenatal screening gaps; leaves open whether targeted programs improve outcomes in this population.
A modern diagnostic and therapeutical approach to paediatric cardiology enables early application of foetal echocardiography in order of achieving diagnosis of congenital heart anomalies in utero. The aim of this study is to evaluate the percentage of prenatal diagnosis of congenital heart anomalies. This study has been conducted on 73 patients at Paediatric clinic of Clinical Centre of Sarajevo in a period from January 2000 until December 2004 with diagnosis of heart malformations. Among them 14 were preterm newborns, 40 boys. Diagnosis of cardiac anomalies with left to right shunt was done in 56.1%, obstructive 13.7%, cyanotic 1.36% and complex in 28.7% patients. The prenatal diagnosis was established in 4 patients (5.5%) by ultrasound examination which is very low in comparison to other European countries. There is a need for making prenatal diagnosis of congenital heart anomalies in foetus as early as it can be done in order to treat cardiac anomalies in utero, to decrease the number of congenital heart anomalies and to reduce the cost of cardiosurgical and postsurgical treatment.
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Dinarević et al. (2005) conducted an observational in Congenital heart anomalies (n=73). Foetal echocardiography was evaluated on Prenatal diagnosis of congenital heart anomalies. Prenatal diagnosis via foetal echocardiography was established in only 5.5% of neonates with congenital heart anomalies, a rate significantly lower than in other European countries.
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