Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil
Objective. To describe the experience of a tertiary center in Brazil to which patients are referred whose fetuses are at increased risk for congenital heart diseases (CHDs). Methods. This was a cross-sectional observational study. The data was collected prospectively, during the year 2012, through a...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/175635 |
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| author | Luciane Alves Rocha Edward Araujo Júnior Liliam Cristine Rolo Fernanda Silveira Bello Barros Karina Peres da Silva Ana Teresa Figueiredo Stochero Leslie Luciano Marcondes Machado Nardozza Antonio Fernandes Moron |
| author_facet | Luciane Alves Rocha Edward Araujo Júnior Liliam Cristine Rolo Fernanda Silveira Bello Barros Karina Peres da Silva Ana Teresa Figueiredo Stochero Leslie Luciano Marcondes Machado Nardozza Antonio Fernandes Moron |
| author_sort | Luciane Alves Rocha |
| collection | DOAJ |
| description | Objective. To describe the experience of a tertiary center in Brazil to which patients are referred whose fetuses are at increased risk for congenital heart diseases (CHDs). Methods. This was a cross-sectional observational study. The data was collected prospectively, during the year 2012, through a screening protocol of the fetal heart adapted from the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guideline. We performed a fetal echocardiogram screening for all pregnant women who were referred to the fetal cardiology outpatient obstetrics clinic of a university hospital. The exams were classified as normal or abnormal. The cases considered abnormal were undergone to a postnatal echocardiogram. We categorized the abnormal fetal heart according to severity in “complex,” “significant,” “minor,” and “others.” Results. We performed 271 fetal heart screening. The incidence of abnormal screenings was 9.96% (27 fetuses). The structural CHD when categorized due to severity showed 48.1% (n=13) of “complex” cases, 18.5% (n=5) “significant” cases, and 7.4% (n=2) “minor” cases. The most common referral reason was by maternal causes (67%) followed by fetal causes (33%). The main referral indication was maternal metabolic disease (30%), but there was just one fetus with CHD in such cases (1.2%). CHDs were found in 19/29 fetuses with suspicion of some cardiac abnormality by obstetrician (65.5%). Conclusion. We observed a high rate of CHD in our population. We also found that there was higher incidence of complex cases. |
| format | Article |
| id | doaj-art-99a672d6df4d402b96fb2dd6facfa369 |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-99a672d6df4d402b96fb2dd6facfa3692025-02-03T05:53:21ZengWileyCardiology Research and Practice2090-80162090-05972014-01-01201410.1155/2014/175635175635Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in BrazilLuciane Alves Rocha0Edward Araujo Júnior1Liliam Cristine Rolo2Fernanda Silveira Bello Barros3Karina Peres da Silva4Ana Teresa Figueiredo Stochero Leslie5Luciano Marcondes Machado Nardozza6Antonio Fernandes Moron7Fetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilFetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilFetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilFetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilFetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilDiscipline of Neonatology, Department of Pediatrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilFetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilFetal Cardiology Unit, Department of Obstetrics, Federal University of São Paulo (UNIFESP), 05303-000 São Paulo, SP, BrazilObjective. To describe the experience of a tertiary center in Brazil to which patients are referred whose fetuses are at increased risk for congenital heart diseases (CHDs). Methods. This was a cross-sectional observational study. The data was collected prospectively, during the year 2012, through a screening protocol of the fetal heart adapted from the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guideline. We performed a fetal echocardiogram screening for all pregnant women who were referred to the fetal cardiology outpatient obstetrics clinic of a university hospital. The exams were classified as normal or abnormal. The cases considered abnormal were undergone to a postnatal echocardiogram. We categorized the abnormal fetal heart according to severity in “complex,” “significant,” “minor,” and “others.” Results. We performed 271 fetal heart screening. The incidence of abnormal screenings was 9.96% (27 fetuses). The structural CHD when categorized due to severity showed 48.1% (n=13) of “complex” cases, 18.5% (n=5) “significant” cases, and 7.4% (n=2) “minor” cases. The most common referral reason was by maternal causes (67%) followed by fetal causes (33%). The main referral indication was maternal metabolic disease (30%), but there was just one fetus with CHD in such cases (1.2%). CHDs were found in 19/29 fetuses with suspicion of some cardiac abnormality by obstetrician (65.5%). Conclusion. We observed a high rate of CHD in our population. We also found that there was higher incidence of complex cases.http://dx.doi.org/10.1155/2014/175635 |
| spellingShingle | Luciane Alves Rocha Edward Araujo Júnior Liliam Cristine Rolo Fernanda Silveira Bello Barros Karina Peres da Silva Ana Teresa Figueiredo Stochero Leslie Luciano Marcondes Machado Nardozza Antonio Fernandes Moron Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil Cardiology Research and Practice |
| title | Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil |
| title_full | Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil |
| title_fullStr | Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil |
| title_full_unstemmed | Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil |
| title_short | Prenatal Detection of Congenital Heart Diseases: One-Year Survey Performing a Screening Protocol in a Single Reference Center in Brazil |
| title_sort | prenatal detection of congenital heart diseases one year survey performing a screening protocol in a single reference center in brazil |
| url | http://dx.doi.org/10.1155/2014/175635 |
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