Screening of congenital heart disease in the second trimester of pregnancy: current knowledge and new perspectives to the clinical practice

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dc.contributor.author Rocha, Luciane Alves [UNIFESP]
dc.contributor.author Araujo Junior, Edward [UNIFESP]
dc.contributor.author Rolo, Liliam Cristine [UNIFESP]
dc.contributor.author Bello Barros, Fernanda Silveira [UNIFESP]
dc.contributor.author Silva, Karina Peres [UNIFESP]
dc.contributor.author Martinez, Luis Henrique [UNIFESP]
dc.contributor.author Machado Nardozza, Luciano Marcondes [UNIFESP]
dc.contributor.author Moron, Antonio Fernandes [UNIFESP]
dc.date.accessioned 2016-01-24T14:37:23Z
dc.date.available 2016-01-24T14:37:23Z
dc.date.issued 2014-06-01
dc.identifier http://dx.doi.org/10.1017/S1047951113001558
dc.identifier.citation Cardiology in the Young. Cambridge: Cambridge Univ Press, v. 24, n. 3, p. 388-396, 2014.
dc.identifier.issn 1047-9511
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/37837
dc.description.abstract ObjectiveCongenital heart diseases are common in foetuses, with an incidence greater than six times that of chromosomal abnormalities; however, experts in cardiac anatomy have evaluated only the foetuses of pregnant women with increased risk for congenital heart disease. Over the years, it has become clear that congenital heart disease occur in foetuses of low-risk women. in the mid-1980s, a proposal to expand the assessment of cardiac anatomy was presented to obstetricians in order to improve prenatal screening. With the aim to systematise and improve the diagnosis of congenital heart disease in foetuses, the International Society of Ultrasound in Obstetrics and Gynecology established an ultrasound heart examination guideline. in this review, we have described the important features of this guideline and discussed the applications of this tool in clinical practice.MethodsWe performed a literature search of the National Library of Medicine for publications released between 2000 and 2012; we used search terms pertinent to congenital heart disease, such as foetal echocardiography, foetal heart and cardiac screening examination.ResultsThe guidelines serve as a standard and help to systematise the screening for congenital heart diseases, but we think that some topics may be added to design the most appropriate screening method. However, we cannot expand the topics to be evaluated in this examination without good training of sonographers who undergo this screening.ConclusionAlthough the screening standardisation is a good tool to be used in day-to-day practice, the increment of aortic and ductal archs and colour Doppler to heart screening could be useful to detect further cardiac defects. en
dc.format.extent 388-396
dc.language.iso eng
dc.publisher Cambridge Univ Press
dc.relation.ispartof Cardiology in the Young
dc.rights Acesso restrito
dc.subject congenital heart disease en
dc.subject echocardiography en
dc.subject guidelines en
dc.subject Screening en
dc.title Screening of congenital heart disease in the second trimester of pregnancy: current knowledge and new perspectives to the clinical practice en
dc.type Resenha
dc.rights.license http://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Fed Univ São Paulo UNIFESP, Dept Obstet, Fetal Cardiol Unit, BR-05303000 São Paulo, Brazil
dc.description.affiliationUnifesp Fed Univ São Paulo UNIFESP, Dept Obstet, Fetal Cardiol Unit, BR-05303000 São Paulo, Brazil
dc.identifier.doi 10.1017/S1047951113001558
dc.description.source Web of Science
dc.identifier.wos WOS:000334883700002



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