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Number of results
2014 | 4 | 2 | 6-10

Article title

The follow up of 114 fetuses and newborns (without chromosomal aberrations) with echogenic intracardiac focus detected in prenatal USG

Content

Title variants

Languages of publication

EN

Abstracts

EN
Introduction: The majority of research regarding echogenic intracardiac focus (EIF) concentrates on its weak correlation with the occurrence of Down syndrome. The aim of our research was to approach this problem from a wider perspective and to find out, if the prenatal diagnosis of EIF is connected with the occurrence of other abnormalities of prenatal and postnatal period. Materials & Methods: The data of 114 patients with prenatally diagnosed EIF were analyzed retrospectively. No fetal or neonatal chromosomal abnormalities were included. Results: In 13/114 (11,4%) fetuses cardiological abnormalities other then EIF were diagnosed: 8/114 (7%) cases of congenital heart defects and 7/114 (6,1%) cases of tricuspid valve regurgitation. Extracardiac malformations were diagnosed in 11/114 (8,8%) of fetuses. In 7/114 (6,1%) of the cases the abnormal volume of amniotic fluid was diagnosed. In 4/114 (3,5%) of pregnancies the premature rapture of membranes (PROM) occurred. Six, 6/114 (5,3%) of pregnancies were at risk of intrauterine asphyxia in perinatal period. 12/114 (10,5%) newborns were delivered before 37th week of gestation, stillbirth occurred in 1/114 (0,9%) case. Most newborns (86/114; 75,4%) birth weight >3000g. In 19/114 (16,7%) of newborns birth weight was 2500g-3000g. In 9/114 (7,9%) of newborns birth weight was <2500g Conclusions: Fetuses with EIF without chromosomal aberrations may present heart defects which are hard to diagnose in basic obstetrical USG scan. Therefore, those patients should be directed to prenatal cardiology facilities for evaluation of the fetal heart. Prenatal EIF in fetuses without chromosomal aberrations may indicate low birth weight (<2500g) in the future. Further research of this matter is needed.

Publisher

Year

Volume

4

Issue

2

Pages

6-10

Physical description

Dates

published
1 - 6 - 2014
online
30 - 12 - 2015
accepted
30 - 6 - 2014
received
5 - 4 - 2014

Contributors

  • Students’ Scientific Circle of Prenatal Cardiology
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
  • Department of Diagnoses and Prevention Fetal Malformations Medical University of Lodz

References

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  • 3. Borgida AF1, Maffeo C, Gianferarri EA, Bolnick AD, Zelop CM, Egan JF. Frequency of echogenic intracardiac focus by race/ethnicity in euploid fetuses. J Matern Fetal Neonatal Med 2005;18(1):65-66.
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  • 9. Koklanaris N, Roman AS, Perle MA, Monteagudo A. Isolated echogenic intracardiac foci in patients with low-risk triple screen results: assessing the risk of trisomy 21. J Perinat Med 2005;33(6):539-542.
  • 10. Bradley KE, Santulli TS, Gregory KD, Herbert W, Carlson DE, Platt LD. An isolated intracardiac echogenic focus as a marker for aneuploidy. Am J Obstet Gynecol 2005;192(6):2021-2026; discussion 2026-2028.[Crossref]
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  • 14. Carriço A, Matias A, Areias JC. How important is a cardiac echogenic focus in a routine fetal examination? Rev Port Cardiol 2004;23(3):459-461.
  • 15. Liu HH, Lin MT, Chang CC, Wang JK, Wu MH, Shyu MK, Lee CN, Hsieh FJ. Postnatal outcome of fetal cardiac echogenic foci. J Formos Med Assoc 2002;101(5):329-336.
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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_12847_06141
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