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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1989-4-20
|
| pubmed:abstractText |
Congenital cardiac malformations (CCM) are the commonest congenital anomalies. Using ultrasonography (US), the incidence of CCM in a selected group of fetuses and the impact of CCM on perinatal and postnatal care was evaluated. The indication for fetal echocardiography (F-ECHO) in 152 pregnancies was a positive family history in 61, fetal arrhythmias seen by routine obstetrical controls in 53, suspected CCM during obstetrical US in 9, growth retardation in 3 and contracted maternal factors in 6. Twenty pregnancies had no special indication. F-ECHO was performed between the 18th and the 39th gestational week. Twenty-seven cardiac malformations were found (18%), 10 of which were important; 3 succumbed at birth, 2 after surgical intervention, 1 was aborted and 4 needed intensive care at birth. Of 53 cases with arrhythmias, 3 needed special care during pregnancy: Digitalis in a case of atrial flutter, sick leave and bedrest in 2 with supraventricular tachycardia, premature delivery in 1 case with complete AV block due to an intraventricular tumor. The extremely high incidence of CCM in this group proves the need for careful fetal evaluation to detect malformations. Nowadays F-ECHO can and should be performed as early as in the 18th gestational week, allowing either to interrupt a pregnancy or to plan delivery in a well-equipped center which provides the necessary measures for these newborns.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0301-0449
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
19
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
94-9
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2922230-Echocardiography,
pubmed-meshheading:2922230-Female,
pubmed-meshheading:2922230-Gestational Age,
pubmed-meshheading:2922230-Heart Defects, Congenital,
pubmed-meshheading:2922230-Humans,
pubmed-meshheading:2922230-Infant, Newborn,
pubmed-meshheading:2922230-Pregnancy,
pubmed-meshheading:2922230-Prenatal Diagnosis,
pubmed-meshheading:2922230-Risk Factors
|
| pubmed:year |
1989
|
| pubmed:articleTitle |
Ultrasound screening for congenital cardiac malformations in the fetus. Its importance for peri- and postnatal care.
|
| pubmed:affiliation |
Pediatric Cardiology Unit, University of Geneva, Switzerland.
|
| pubmed:publicationType |
Journal Article
|