Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases

Lamees Mohamed Ghith; Rania Essam-El-Dein Mohamed Ali; Emad Mohamed Mashaly; Alshaimaa Zakarya Elshahawy

doi:doi:10.11648/j.ijmi.20200804.12

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Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases

Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy

Published in International Journal of Medical Imaging (Volume 8, Issue 4)

Received: 25 September 2020 Accepted: 10 October 2020 Published: 30 October 2020

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Abstract

Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.

Published in	International Journal of Medical Imaging (Volume 8, Issue 4)
DOI	10.11648/j.ijmi.20200804.12
Page(s)	72-83
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Fetal Echocardiography, Congenital Heart Diseases, Prenatal, Low Risk, Risk Factors

References

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APA Style

Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy. (2020). Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. International Journal of Medical Imaging, 8(4), 72-83. https://doi.org/10.11648/j.ijmi.20200804.12

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ACS Style

Lamees Mohamed Ghith; Rania Essam-El-Dein Mohamed Ali; Emad Mohamed Mashaly; Alshaimaa Zakarya Elshahawy. Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. Int. J. Med. Imaging 2020, 8(4), 72-83. doi: 10.11648/j.ijmi.20200804.12

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AMA Style

Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy. Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. Int J Med Imaging. 2020;8(4):72-83. doi: 10.11648/j.ijmi.20200804.12

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@article{10.11648/j.ijmi.20200804.12,
  author = {Lamees Mohamed Ghith and Rania Essam-El-Dein Mohamed Ali and Emad Mohamed Mashaly and Alshaimaa Zakarya Elshahawy},
  title = {Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases},
  journal = {International Journal of Medical Imaging},
  volume = {8},
  number = {4},
  pages = {72-83},
  doi = {10.11648/j.ijmi.20200804.12},
  url = {https://doi.org/10.11648/j.ijmi.20200804.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200804.12},
  abstract = {Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.},
 year = {2020}
}

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TY  - JOUR
T1  - Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases
AU  - Lamees Mohamed Ghith
AU  - Rania Essam-El-Dein Mohamed Ali
AU  - Emad Mohamed Mashaly
AU  - Alshaimaa Zakarya Elshahawy
Y1  - 2020/10/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ijmi.20200804.12
DO  - 10.11648/j.ijmi.20200804.12
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 72
EP  - 83
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20200804.12
AB  - Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.
VL  - 8
IS  - 4
ER  -

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Author Information

Lamees Mohamed Ghith

Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt
Rania Essam-El-Dein Mohamed Ali

Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt
Emad Mohamed Mashaly

Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt
Alshaimaa Zakarya Elshahawy

Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt

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APA Style

Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy. (2020). Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. International Journal of Medical Imaging, 8(4), 72-83. https://doi.org/10.11648/j.ijmi.20200804.12

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ACS Style

Lamees Mohamed Ghith; Rania Essam-El-Dein Mohamed Ali; Emad Mohamed Mashaly; Alshaimaa Zakarya Elshahawy. Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. Int. J. Med. Imaging 2020, 8(4), 72-83. doi: 10.11648/j.ijmi.20200804.12

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AMA Style

Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy. Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. Int J Med Imaging. 2020;8(4):72-83. doi: 10.11648/j.ijmi.20200804.12

Copy | Download

@article{10.11648/j.ijmi.20200804.12,
  author = {Lamees Mohamed Ghith and Rania Essam-El-Dein Mohamed Ali and Emad Mohamed Mashaly and Alshaimaa Zakarya Elshahawy},
  title = {Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases},
  journal = {International Journal of Medical Imaging},
  volume = {8},
  number = {4},
  pages = {72-83},
  doi = {10.11648/j.ijmi.20200804.12},
  url = {https://doi.org/10.11648/j.ijmi.20200804.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200804.12},
  abstract = {Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases
AU  - Lamees Mohamed Ghith
AU  - Rania Essam-El-Dein Mohamed Ali
AU  - Emad Mohamed Mashaly
AU  - Alshaimaa Zakarya Elshahawy
Y1  - 2020/10/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ijmi.20200804.12
DO  - 10.11648/j.ijmi.20200804.12
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 72
EP  - 83
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20200804.12
AB  - Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.
VL  - 8
IS  - 4
ER  -

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