Prenatal screening for congenital heart disease: Status report in a level 3 maternity hospital

F. Mraihi, J. Basli, A. Mezni, O. Mchirgui, M.M. Gharbi, D. Chelli
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Abstract

Introduction

Congenital heart disease is a condition in which the heart and blood vessels are affected at the time of birth antenatal diagnosis of these malformations allows the organization of neonatal care.

Objective

The objective of our study is to evaluate the value of ultrasound in the diagnosis of congenital heart disease and the contribution of ultrasound in the management of this disease.

Methods

We conducted a retrospective, descriptive study carried out at the department of gynecology-obstetrics D. We included in this study pregnant women aged 18 years and older and whose gestational age (GA) was ≥ 14 weeks of amenorrhea. Clear and informed consent was sought from the patients to participate in the study.

Results/Expected results

During our study, 96 observations were included. The average age of the patients was 32.4 years, ranging from 20 to 45 years. The most represented age group (36%) was between 30 and 35 years old. The majority of marriages were non-consanguineous at 70%. 7% of the heart diseases were detected before 18 weeks of amenorrhea and 49% between 18 and 24 weeks of amenorrhea. The majority of the heart diseases were detected after 24 weeks (43%). In total, 62% of the cardiopathies corresponds to abnormalities of the 4 chambers. 35% of the malformations are conotronic disorders. 4% of the congenital heart diseases are abnormalities of the heart rhythm. 15% of the 4 cavities anomalies are related to chromosomal aberrations. 38% of CAV are related to T21. 18% of patients had a medical termination of pregnancy (MTP), against 81% who continued their pregnancies.

Conclusion/Perspectives

In spite of the progress made in the prenatal diagnosis of Congenital Heart Disease and the increasing competence of referral ultrasound physicians in the detection of these anomalies, the rate of detection in the general population is still low as well as the term of detection.

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先天性心脏病产前筛查:某三级妇产医院现状报告
先天性心脏病是一种在出生时心脏和血管受到影响的疾病,对这些畸形进行产前诊断可以组织新生儿护理。目的探讨超声在先天性心脏病诊断中的价值及在先天性心脏病治疗中的作用。方法我们在d妇产科进行了一项回顾性、描述性研究。我们纳入了18岁及以上、孕龄≥14周闭经的孕妇。明确和知情的同意从患者参与研究。结果/预期结果本研究共纳入96项观察结果。患者平均年龄为32.4岁,年龄从20岁到45岁不等。最具代表性的年龄组(36%)在30至35岁之间。70%的婚姻是非近亲婚姻。7%的患者在闭经18周之前被检测出心脏病,49%的患者在闭经18周至24周之间被检测出心脏病。大多数心脏疾病在24周后被发现(43%)。总的来说,62%的心脏病与这四个腔室的异常有关。35%的畸形为控制功能障碍。4%的先天性心脏病是心律异常。4个空腔异常中有15%与染色体畸变有关。38%的CAV与T21有关。18%的患者医学终止妊娠(MTP), 81%的患者继续妊娠。结论/观点尽管先天性心脏病的产前诊断取得了进展,转诊超声医生在检测这些异常方面的能力也在不断提高,但在一般人群中的检出率仍然很低,检测的期限也很短。
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来源期刊
Archives of Cardiovascular Diseases Supplements
Archives of Cardiovascular Diseases Supplements CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
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发文量
508
期刊介绍: Archives of Cardiovascular Diseases Supplements is the official journal of the French Society of Cardiology. The journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles, editorials, and Images in cardiovascular medicine. The topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Additionally, Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.
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