Efficacy of fetal echocardiography and an evaluation of indications.

Simple item page
dc.contributor.authorSoongswang, Jarupimen_US
dc.contributor.authorThitadilok, Wiboolphanen_US
dc.contributor.authorSunsaneevithayakul, Praserten_US
dc.contributor.authorSutanthavibul, Anuwaten_US
dc.contributor.authorRuangvutilert, Pornpimolen_US
dc.contributor.authorWansanit, Kanchanaen_US
dc.contributor.authorPunlee, Kesareeen_US
dc.contributor.authorPhrudprisan, Suteeraen_US
dc.contributor.authorKangkakate, Charuwanen_US
dc.date.accessioned2009-05-27T18:27:14Z
dc.date.available2009-05-27T18:27:14Z
dc.date.issued2005-11-22en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractFetal echocardiography has been accepted as a prenatal noninvasive diagnostic tool of cardiovascular diseases in fetuses for more than three decades. There are limited data in Thailand. A retrospective study of prenatal, natal and postnatal data of pregnant women who had fetal echocardiography at Siriraj Hospital, Bangkok, Thailand, from January 1999 to July 2005 was conducted. In total, there were 117 pregnant women who had fetal echocardiography under standard indications. Median age of pregnant women was 30.2 (17.3-44.2) years old. Median gestational age at the first fetal echocardiography was 29 (17-40) weeks. Median number of time the women had fetal echocardiography was 1 (1-10). Indications for fetal echocardiography were; obstetricians suspected of fetal cardiovascular diseases, multiple anomalies, family history of congenital heart diseases, chromosome anomalies, hydrops fetalis, and other indications (53.8%, 12%, 11.1%, 8.5%, 8.5% and 6.0% respectively). There were 49 (41.8%) cases who had abnormal cardiovascular problems, i.e., structural heart diseases 26 cases, rhythm disturbance 15 cases, and cardiac masses 8 cases. Upon comparison with postnatal echocardiography and/or autopsy findings, fetal echocardiography had a sensitivity of 96.9%, specificity of 90.6%, and accuracy of 92.8%. There was various degrees of risk to have cardiovascular problems for each of the indication taking fetal echocardiography and postnatal data into consideration. Fetal echocardiography had an impact on the management in 57.3% of cases. Conclusion: Fetal echocardiography is a reliable prenatal diagnostic tool for cardiovascular problems with high accuracy and has an impact on the management at prenatal, natal and postnatal period. Different indications for fetal echocardiography have an effect on the relative risk of fetal cardiovascular diseases.en_US
dc.description.affiliationDivision of Cardiology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. sijsw@mahidol.ac.then_US
dc.identifier.citationSoongswang J, Thitadilok W, Sunsaneevithayakul P, Sutanthavibul A, Ruangvutilert P, Wansanit K, Punlee K, Phrudprisan S, Kangkakate C. Efficacy of fetal echocardiography and an evaluation of indications. Journal of the Medical Association of Thailand. 2005 Nov; 88 Suppl 8(): S215-20en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39177
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshCardiovascular Diseases --ultrasonographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFetal Diseases --ultrasonographyen_US
dc.subject.meshFetal Heart --ultrasonographyen_US
dc.subject.meshGestational Ageen_US
dc.subject.meshHumansen_US
dc.subject.meshUltrasonography, Prenatalen_US
dc.titleEfficacy of fetal echocardiography and an evaluation of indications.en_US
dc.typeJournal Articleen_US
Files
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
Journal of the Medical Association of Thailand