Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist
Joint Authors
Tasha, Ilir
Brook, Rachel
Frasure, Heidi
Lazebnik, Noam
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-01
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Aim.
To determine agreement of cardiac anomalies between maternal fetal medicine (MFM) physicians and pediatric cardiologists (PC) in fetuses with single umbilical artery (SUA).
Methods.
A retrospective review of all fetuses with SUA between 1999 and 2008.
Subjects were studied by MFM and PC, delivered at our institution, and had confirmation of SUA and cardiac anomaly by antenatal and neonatal PC follow-up.
Subjects were divided into four groups: isolated SUA, SUA and isolated cardiac anomaly, SUA and multiple anomalies without heart anomalies, and SUA and multiple malformations including cardiac anomaly.
Results.
39,942 cases were studied between 1999 and 2008.
In 376 of 39,942 cases (0.94%), SUA was diagnosed.
Only 182 (48.4%) met inclusion criteria.
Cardiac anomalies were found in 21% (38/182).
Agreement between MFM physicians and PC in all groups combined was 94% (171/182) (95% CI [89.2, 96.8]).
MFM physicians overdiagnosed cardiac anomalies in 4.4% (8/182).
MFM physicians and PC failed to antenatally diagnose cardiac anomaly in the same two cases.
Conclusions.
Good agreement was noted between MFM physicians and PC in our institution.
Studies performed antenatally by MFM physicians and PC are less likely to uncover the entire spectrum of cardiac abnormalities and thus neonatal follow-up is suggested.
American Psychological Association (APA)
Tasha, Ilir& Brook, Rachel& Frasure, Heidi& Lazebnik, Noam. 2014. Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist. Journal of Pregnancy،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1042717
Modern Language Association (MLA)
Tasha, Ilir…[et al.]. Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist. Journal of Pregnancy No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1042717
American Medical Association (AMA)
Tasha, Ilir& Brook, Rachel& Frasure, Heidi& Lazebnik, Noam. Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist. Journal of Pregnancy. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1042717
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042717