Document Detail

Fetal cardiac screening: why bother?
MedLine Citation:
PMID:  20019198     Owner:  NLM     Status:  MEDLINE    
Congenital heart disease (CHD) is a common form of congenital malformation associated with significant morbidity and mortality. Antenatal diagnosis of life-threatening forms of CHD may help to improve survival and morbidity as well as allowing parental choice and preparation. The diagnosis of CHD during fetal life can be made with a very high level of diagnostic accuracy in tertiary centres dealing with high-risk pregnancies. However, most cases of CHD will occur in low-risk groups and will only be detected by screening at the time of obstetric ultrasound scans. The concept of antenatal screening for CHD was introduced in the UK over 20 years ago, and current national guidelines recommend that the heart should be examined at the time of the obstetric anomaly scan. However, there remains a large regional variation in prenatal detection rates of CHD. Widespread teaching and training is required to achieve a more uniform standard but this will be associated with significant resource implications.
G Sharland
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  95     ISSN:  1468-2052     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-18     Completed Date:  2010-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F64-8     Citation Subset:  AIM; IM    
Fetal Cardiology Unit, 1st Floor, Evelina Children's Hospital, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK.
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MeSH Terms
Attitude to Health
Family Health
Great Britain / epidemiology
Healthcare Disparities / statistics & numerical data
Heart Defects, Congenital / diagnosis*,  epidemiology
Infant, Newborn
Nuchal Translucency Measurement
Parents / psychology
Pregnancy, High-Risk
Prenatal Diagnosis*
Sensitivity and Specificity
Ultrasonography, Prenatal / methods,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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