Document Detail


The continuing enigma of the fetal echogenic intracardiac focus in prenatal ultrasound.
MedLine Citation:
PMID:  23340246     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: The present article aims to review recent literature about intracardiac echogenic foci (ICEFs), with special emphasis in potential causes, relationships with aneuploidy and cardiac function. RECENT FINDINGS: The presence of an ICEF may be considered as a soft marker that may be of interest only in high-risk populations for chromosomal abnormalities. In cases of isolated ICEF in euploid fetuses there is not evidence of an altered cardiac function and a detailed echocardiogram is not recommended as long as the second trimester scan is normal. Cases of fetal myocardial diffuse or multiple calcifications may be related to inflammatory and hypoxic changes in fetal heart, but the relationships between these conditions and isolated ICEF remain unclear. SUMMARY: The origin of ICEF remains unclear. It is considered a normal developmental variant, but either inflammatory or hypoxic processes could be involved in its appearance. In low-risk populations for aneuploidy, the presence of an ICEF is not an indication for invasive procedures. In high-risk populations this depends on the previous calculated risk. In euploid fetuses, cardiac function is not significantly altered but further studies in specific populations may be justified. Fetuses with diffuse myocardial calcification or multiple foci may need further investigations.
Authors:
Roberto Rodriguez; Beatriz Herrero; Jose L Bartha
Related Documents :
3365076 - Serum cholesterol and 25-year incidence of and mortality from myocardial infarction and...
14730176 - A case of acute pancreatitis presenting with electrocardiographic signs of acute myocar...
19403186 - Hashitoxicosis with pericardial effusion.
6966486 - Application of multivariate analysis to the enzyme patterns in the serum of patients un...
7299306 - Concomitant presence of left anterior hemiblock and inferior myocardial infarction: ele...
15694896 - Triiodothyronine levels for risk stratification of patients with chronic heart failure.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-19
Journal Detail:
Title:  Current opinion in obstetrics & gynecology     Volume:  -     ISSN:  1473-656X     ISO Abbreviation:  Curr. Opin. Obstet. Gynecol.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007264     Medline TA:  Curr Opin Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Maternal and Fetal Medicine, University Hospital La Paz, Madrid, Spain.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  The human insula: architectonic organization and postmortem mri registration.
Next Document:  Strategies to reduce maternal mortality in developed countries.