Assessment of the quality of fetal heart standard views using the FAST, STAR, and FINE four‐dimensional ultrasound techniques in the screening of congenital heart diseases

2019 ◽  
Vol 37 (1) ◽  
pp. 114-123
Author(s):  
Milene Carvalho Carrilho ◽  
Liliam Cristine Rolo ◽  
Gabriele Tonni ◽  
Edward Araujo Júnior
Keyword(s):  
Congenital Heart ◽  
Fetal Heart ◽  
Heart Diseases ◽  
Congenital Heart Diseases

scholarly journals Quality of life among Children with Congenital Heart Diseases

2020 ◽  
Vol 11 (2) ◽  
pp. 85-97
Author(s):  
Sabrein Elsayed Mahmoud ◽  
Safaa Salah Ismail ◽  
Salma Elsayed Hassan
Keyword(s):  
Quality Of Life ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Congenital Heart Diseases

scholarly journals Accuracy of Prenatal Diagnosis of Congenital Cardiac Malformations

2018 ◽  
Vol 41 (01) ◽  
pp. 011-016 ◽  
Author(s):  
Diesa Pinheiro ◽  
Bruna Varisco ◽  
Marcelo Silva ◽  
Rafaela Duarte ◽  
Graciele Deliberali ◽  
...  
Keyword(s):  
Risk Factors ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Fetal Heart ◽  
Heart Diseases ◽  
Fetal Echocardiography ◽  
Congenital Heart Diseases ◽  
Obstetric Ultrasound ◽  
Morphological Evaluation

Abstract Objective To evaluate the accuracy of the diagnosis of fetal heart diseases obtained through ultrasound examinations performed during the prenatal period compared with the postnatal evaluation. Methods A retrospective cohort study with 96 pregnant women who were attended at the Echocardiography Service and whose deliveries occurred at the Complexo Hospitalar Santa Casa de Porto Alegre, in the state of Rio Grande do Sul, Brazil. Risk factor assessment plus sensitivity and specificity analysis were used, comparing the accuracy of the screening for congenital heart disease by means of obstetrical ultrasound and morphological evaluation and fetal echocardiography, considering p < 0.05 as significant. The present study was approved by the Research Ethics Committee of the Institution. Results The analysis of risk factors shows that 31.3% of the fetuses with congenital heart disease could be identified by anamnesis. The antepartum echocardiography demonstrated a sensitivity of 97.7%, a specificity of 88.9%, and accuracy of 93% in the diagnosis of congenital heart disease. A sensitivity of 29.3% was found for the obstetric ultrasound, of 54.3% for the morphological ultrasound, and of 97.7% for the fetal echocardiography. The fetal echocardiography detected fetal heart disease in 67.7% of the cases, the morphological ultrasound in 16.7%, and the obstetric ultrasound in 11.5% of the cases. Conclusion There is a high proportion of congenital heart disease in pregnancies with no risk factors for this outcome. Faced with the disappointing results of obstetric ultrasound for the detection of congenital heart diseases and the current unfeasibility of universal screening of congenital heart diseases through fetal echocardiography, the importance of the fetal morphological ultrasound and its performance by qualified professionals is reinforced for a more appropriate management of these pregnancies.

scholarly journals Life quality of children with congenital heart diseases

2018 ◽  
Vol 53 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Tamay Sertcelik ◽  
◽  
Fatos Alkan ◽  
Sermin Yalin Sapmaz ◽  
Senol Coskun ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Diseases ◽  
Life Quality ◽  
Congenital Heart Diseases

scholarly journals Quality of life among children with congenital heart diseases: Comparative multi-center cross-sectional study

2013 ◽  
Vol 106 (8-9) ◽  
pp. 470
Author(s):  
P. Amedro ◽  
R. Dorka ◽  
S. Moniotte ◽  
S. Guillaumont ◽  
M.C. Picot ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Cross Sectional Study ◽  
Congenital Heart Diseases ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Comparison of Quality of Life in Mothers of Children with Congenital Heart Diseases before and after Cardiac Surgery in Vali-E Asr Hospital in 2017

2020 ◽  
Author(s):  
Hamid Reza Riasi ◽  
Reza Shabanian ◽  
Shiva Salehi ◽  
Siavash Kafian Atary ◽  
Forod Salehi
Keyword(s):  
Quality Of Life ◽  
Cardiac Surgery ◽  
Congenital Heart ◽  
Emotional Health ◽  
Heart Diseases ◽  
Initial Time ◽  
Life Questionnaire ◽  
Congenital Heart Diseases ◽  
Before And After

Introduction: Congenital heart diseases (CHD) are the most common congenital anomalies in children that can adversely influence children and families mental health, physical performance, and family economic. The aim of present study was to compare the quality of life (QOL) in mothers with children with CHD before and after cardiac surgery in South Khorasan Province (East of Iran). Methods: In this cross sectional study the QOL of 60 mothers with CHD children admitted in Vali-e Asr Hospital were evaluated before and after cardiac surgery in 2017. They were incorporated upon provision of informed consent. The Mac new Heart Disease Health -related quality of life Questionnaire scale was completed by the mothers 10 days before and three months after the surgery. The data were analyzed in SPSS software (version 22) using relative tests. p<0.05 was considered as significant difference. Results: The results of the present study showed that the mean of QOL score were significantly increased from 40.8±2.7 in initial time to 66.50± 2.2 in 3 months after surgery (p<0.001). Conclusion: Cardiac surgery in children with CHD could improve the overall QOL score and all of its subscales (physical health, emotional health and social health) of their parents.

scholarly journals Fetal echocardiography - 25-year experience in Serbia

2019 ◽  
Vol 147 (1-2) ◽  
pp. 70-73
Author(s):  
Svetlana Vrzic-Petronijevic ◽  
Milos Petronijevic ◽  
Vojislav Parezanovic ◽  
Jelena Stamenkovic-Dukanac ◽  
Zorica Jestrovic ◽  
...  
Keyword(s):  
Congenital Heart Defect ◽  
Congenital Heart ◽  
Fetal Heart ◽  
Heart Diseases ◽  
Fetal Echocardiography ◽  
Heart Defects ◽  
Pathological Finding ◽  
Congenital Heart Diseases ◽  
Heart Defect ◽  
Specificity And Sensitivity

Introduction/Objective. Congenital heart diseases are the most common congenital anomalies. The objective of the study was to determine reliability, specificity, and sensitivity of fetal echocardiography in detection of congenital heart diseases in a referral center for fetal echocardiography. Methods. We analyzed 14,500 fetal echocardiography exams (FEC) between 1991 and 2014, performed in two tertiary centers. Results. The average maternal age at the time of diagnosis was 32 years. The mean gestational age at the time of diagnosis was 25.9 weeks. The most common indications for FEC were suspicious abnormal cardiac findings in obstetrical screening sonography (50.6%). Among 9,055 examined fetuses, pathological finding on the fetal heart was found in 638 cases. The most common congenital heart diseases were structural anomalies of the fetal heart in 81%, of which 13.3% were fetuses with hypoplastic left heart syndrome and 11.2% with ventricular septal defect. Of all fetuses with diagnosed congenital heart defect, 46.2% were born alive and had good postnatal prognosis, while 2.7% died in utero, and 10.6% died in the early neonatal period. Pregnancy was terminated in 40.4% of fetuses with severe congenital heart defect. Sensitivity of the diagnostic procedure in our study was 95.9%, and specificity was 99.9%. Conclusion. Our study proves that FEC is a reliable, informative diagnostic tool in detecting congenital heart defects with high specificity and sensitivity. With multidisciplinary approach, it provides an optimal time window for improving perinatal outcome.

scholarly journals Az N-terminális pro-B natriureticus peptid jelentősége a felnőtt korú congenitalis szívbetegek gondozásában – Eredmények a CSONGRAD Regiszterből

2018 ◽  
Vol 159 (4) ◽  
pp. 141-148
Author(s):  
Nóra Ambrus ◽  
Kálmán Havasi ◽  
Krisztina Berek ◽  
Anita Kalapos ◽  
István Hartyánszky ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Nyha Class ◽  
Area Under The Curve ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Congenital Heart Diseases ◽  
Ventricular Ejection Fraction

Abstract: Introduction: The prognostic role of B-type natriuretic peptide (BNP) level was confirmed in chronic heart failure and congenital heart diseases irrespective of the aetiology. Aim: The aim of this study was to compare NT‑proBNP measured in the clinical practice and important clinical and echocardiographic parameters in patients with adult congenital heart diseases under our care. Method: Data of a total of 70 patients were analysed; 34 patients had corrected tetralogy of Fallot and 19 patients had corrected transposition of the great arteries. In 17 further cases, patients with other congenital vitiums have been involved in the study. In all cases, out-patient examination was performed with electrocardiography, echocardiography and NT-proBNP measurement. The New York Heart Association (NYHA) stages of the patients were determined and the patients filled in a questionnaire regarding their quality of life. Results: Elevated NT-proBNP level resulted in a worse quality of life (visual analogue scale, VAS) and an increased right ventricular end diastolic diameter; the incidence of arrhythmia increased as well. Negative correlation was found between the NT-proBNP level and the VAS value (r = –0.45, p = 0.0001) and the left ventricular ejection fraction (LV-EF) (r = –0.67, p = <0.0001). ROC analysis showed that NT‑proBNP≥668.1 pg/ml was the cut-off value that most accurately predicted NYHA class III–IV (sensitivity 93%, specificity 63%, area under the curve 80%, p = 0.001). Similarly, NT-proBNP≥184.7 pg/ml was found to be the cut-off value most accurately predicting LV-EF below 55% (sensitivity 66%, specificity 67%, area under the curve 77%, p = 0.02). Conclusions: NT-proBNP has a role in the evaluation of adult patients with congenital heart diseases and in determining the prognosis of these patients, and in addition to other examinations used in the follow-up of these patients, NT-proBNP may help in determining the time of reoperation or potential heart transplantation. Orv Hetil. 2018; 159(4): 141–148.

Quality of life and specific problems after cardiac surgery in adolescents and adults with congenital heart diseases

2005 ◽  
Vol 12 (2) ◽  
pp. 138-143 ◽  
Author(s):  
Franz F. Immer ◽  
Stefanie M. Althaus ◽  
Pascal A. Berdat ◽  
Hugo Saner ◽  
Thierry P. Carrel
Keyword(s):  
Quality Of Life ◽  
Cardiac Surgery ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Congenital Heart Diseases ◽  
Adolescents And Adults
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