FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD

Objective: To determine the frequency of congenital cardiac lesions in pregnant women reporting for fetal echocardiogram and correlate with obstetrical risk factors. Study Design: Descriptive cross-sectional study. Place and Duration of Study: To be conducted at pediatric cardiology and obstet...

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Autores principales:	Hajira Akbar, Asma Ansari, Sadaf Nawaz, Hafsa Khalil, Khurram Akhter, Amjad Mehmood, Nadeem Sadiq, Mehboob Sultan, Shahid Nafees
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	congenital heart diseases fetal echocardiogram obstetrical risks Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4d78fb2110664ddcb6d242a27f4383af
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spelling	oai:doaj.org-article:4d78fb2110664ddcb6d242a27f4383af2021-12-02T19:11:08ZFETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHDdoi.org/10.51253/pafmj.v70iSuppl-4.60280030-96482411-8842https://doaj.org/article/4d78fb2110664ddcb6d242a27f4383af2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6028https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of congenital cardiac lesions in pregnant women reporting for fetal echocardiogram and correlate with obstetrical risk factors. Study Design: Descriptive cross-sectional study. Place and Duration of Study: To be conducted at pediatric cardiology and obstetrical unit of AFIC/NIHD and CMH Rawalpindi, from Jan 2009 to Jan 2020. Methodology: Pregnant women referred for fetal echocardiogram from 19-49 years of age were enrolled. Echo was done between 20 to 36 weeks gestation. Primary outcome was the nature of cardiac lesion and gestation at diagnosis. Neonatal scan was done at follow up to confirm cardiac diagnosis. Secondary outcome was obstetrical risk factors which were the reason for referral. This included age consanguinity, family history, previous history of intrauterine death or early neonatal death, maternal and paternal diseases. Data was collected and analyzed n frequencies and percentage. Chi-square was applied for association between variable and p-valve 0.05 was considered significant. Results: A total of n=967 pregnant women referred to outpatient department for fetal echocardiogram. Congenital cardiac lesion were detected in n=83 patients. Majority of patients had CAVSD (1.2%) CCAVB (1.2%) followed by ASD (1.1%) VSD (0.9%) Abnormal heart rate (0.8%) Single ventricle (0.3%). Most significant maternal age group was between 21 to 30 and 30-40 years (43.7 and 46.2%). Only 3% below 20 years and 6.7% above 40 years of age. Most important maternal risk factor was previous off spring 0.5% past family history 0.3% and abnormal obstetrical ultrasound 0.3% Followed by maternal diabetes 0.1% and maternal hypertension 0.1%. The yield of detection of congenital cardiac lesions was 8.3%. Conclusions: Congenital cardiac diseases are the second most common congenital anomaly and huge burden n pediatric population. Timely diagnosis and referral can be lifesaving.Hajira AkbarAsma AnsariSadaf NawazHafsa KhalilKhurram AkhterAmjad MehmoodNadeem SadiqMehboob SultanShahid NafeesArmy Medical College Rawalpindiarticlecongenital heart diseasesfetal echocardiogramobstetrical risksMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 803-808 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital heart diseases fetal echocardiogram obstetrical risks Medicine R Medicine (General) R5-920
spellingShingle	congenital heart diseases fetal echocardiogram obstetrical risks Medicine R Medicine (General) R5-920 Hajira Akbar Asma Ansari Sadaf Nawaz Hafsa Khalil Khurram Akhter Amjad Mehmood Nadeem Sadiq Mehboob Sultan Shahid Nafees FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD
description	Objective: To determine the frequency of congenital cardiac lesions in pregnant women reporting for fetal echocardiogram and correlate with obstetrical risk factors. Study Design: Descriptive cross-sectional study. Place and Duration of Study: To be conducted at pediatric cardiology and obstetrical unit of AFIC/NIHD and CMH Rawalpindi, from Jan 2009 to Jan 2020. Methodology: Pregnant women referred for fetal echocardiogram from 19-49 years of age were enrolled. Echo was done between 20 to 36 weeks gestation. Primary outcome was the nature of cardiac lesion and gestation at diagnosis. Neonatal scan was done at follow up to confirm cardiac diagnosis. Secondary outcome was obstetrical risk factors which were the reason for referral. This included age consanguinity, family history, previous history of intrauterine death or early neonatal death, maternal and paternal diseases. Data was collected and analyzed n frequencies and percentage. Chi-square was applied for association between variable and p-valve 0.05 was considered significant. Results: A total of n=967 pregnant women referred to outpatient department for fetal echocardiogram. Congenital cardiac lesion were detected in n=83 patients. Majority of patients had CAVSD (1.2%) CCAVB (1.2%) followed by ASD (1.1%) VSD (0.9%) Abnormal heart rate (0.8%) Single ventricle (0.3%). Most significant maternal age group was between 21 to 30 and 30-40 years (43.7 and 46.2%). Only 3% below 20 years and 6.7% above 40 years of age. Most important maternal risk factor was previous off spring 0.5% past family history 0.3% and abnormal obstetrical ultrasound 0.3% Followed by maternal diabetes 0.1% and maternal hypertension 0.1%. The yield of detection of congenital cardiac lesions was 8.3%. Conclusions: Congenital cardiac diseases are the second most common congenital anomaly and huge burden n pediatric population. Timely diagnosis and referral can be lifesaving.
format	article
author	Hajira Akbar Asma Ansari Sadaf Nawaz Hafsa Khalil Khurram Akhter Amjad Mehmood Nadeem Sadiq Mehboob Sultan Shahid Nafees
author_facet	Hajira Akbar Asma Ansari Sadaf Nawaz Hafsa Khalil Khurram Akhter Amjad Mehmood Nadeem Sadiq Mehboob Sultan Shahid Nafees
author_sort	Hajira Akbar
title	FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD
title_short	FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD
title_full	FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD
title_fullStr	FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD
title_full_unstemmed	FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD
title_sort	fetal echocardiography: 12 years experience at afic /nihd
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/4d78fb2110664ddcb6d242a27f4383af
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FETAL ECHOCARDIOGRAPHY: 12 YEARS EXPERIENCE AT AFIC /NIHD

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