Prenatal detection of congenital heart disease in southern Nevada - The need for universal fetal cardiac evaluation

被引:73
作者
Acherman, Ruben J. [1 ,2 ]
Evans, William N. [1 ,2 ]
Luna, Carlos F. [1 ,2 ]
Rollins, Robert [1 ,2 ]
Kip, Katrinka T. [1 ,2 ]
Collazos, Juan C. [1 ,2 ,3 ]
Restrepo, Humberto [1 ,2 ]
Adasheck, Joseph [3 ,4 ]
Iriye, Brian K. [5 ]
Roberts, Donald [3 ,6 ]
Sacks, Alan J. [3 ,7 ]
机构
[1] Childrens Heart Ctr, Fetal Cardiol Program, Las Vegas, NV 89109 USA
[2] Univ Nevada, Sch Med, Dept Pediat, Las Vegas, NV 89154 USA
[3] Univ Nevada, Sch Med, Dept Obstet Gynecol, Las Vegas, NV 89154 USA
[4] Desert Perinatal Associates, Las Vegas, NV USA
[5] Ctr Maternal Fetal Med, Las Vegas, NV USA
[6] Univ Med Ctr, Dept Obstet & Gynecol, Las Vegas, NV USA
[7] Alan J Sacks Maternal Fetal Med, Las Vegas, NV USA
关键词
congenital heart disease; fetal echocardiography; prenatal diagnosis; prenatal ultrasound;
D O I
10.7863/jum.2007.26.12.1715
中图分类号
O42 [声学];
学科分类号
070206 [声学]; 082403 [水声工程];
摘要
Objective. Congenital cardiac malformations are common developmental anomalies. In the United States, congenital heart disease is the number one cause of infant mortality from congenital malformations. Prenatal diagnosis of congenital heart defects aids treatment coordination. Our aim was to evaluate prenatal detection of serious congenital heart malformations in Clark County, Nevada. Methods. We electronically searched our research department-maintained computer database for patients with serious congenital heart disease born in Clark County between May 2003 and April 2006. We excluded patients that did not have at least 1 local prenatal ultrasound examination. All prenatal ultrasound studies were performed in obstetric offices, radiology imaging centers, or maternal-fetal medicine specialty practices. Fetal echocardiography was performed in maternal-fetal medicine specialists' offices under the supervision of a fetal cardiologist. Pediatric cardiologists performed all postnatal echocardiographic examinations. Results. During the study period, we diagnosed serious congenital heart malformations in 161 patients among a total estimated 77,000 births (2/1000). Of the 161 patients, 58 (36%) had a prenatal diagnosis, and 103 (64%) had an exclusively postnatal diagnosis. Conclusions. Standard prenatal ultrasound fails to show congenital heart disease in most fetuses.
引用
收藏
页码:1715 / 1719
页数:5
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