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Fetal heart finding

MedGen UID:
452506
•Concept ID:
C0426037
•
Finding
Synonyms: Fetal Heart Finding; Fetal heart observation; Foetal heart finding; Foetal heart observation
SNOMED CT: Fetal heart observation (249042007); Foetal heart observation (249042007); Foetal heart finding (249042007); Fetal heart finding (249042007)

Definition

An observation of the fetal heart that may or may not be abnormal. [from NCI]

Professional guidelines

PubMed

Antepartum Fetal Surveillance: ACOG Practice Bulletin, Number 229.
Obstet Gynecol 2021 Jun 1;137(6):e116-e127. doi: 10.1097/AOG.0000000000004410. PMID: 34011889
Management of clinical chorioamnionitis: an evidence-based approach.
Conde-Agudelo A, Romero R, Jung EJ, Garcia Sánchez ÁJ
Am J Obstet Gynecol 2020 Dec;223(6):848-869. Epub 2020 Sep 29 doi: 10.1016/j.ajog.2020.09.044. PMID: 33007269Free PMC Article
Congenital heart disease, prenatal diagnosis and management.
Meller CH, Grinenco S, Aiello H, Córdoba A, Sáenz-Tejeira MM, Marantz P, Otaño L
Arch Argent Pediatr 2020 Apr;118(2):e149-e161. doi: 10.5546/aap.2020.eng.e149. PMID: 32199055

Recent clinical studies

Etiology

Main Patterns of Fetal Cardiac Remodeling.
Crispi F, Sepúlveda-Martínez Á, Crovetto F, Gómez O, Bijnens B, Gratacós E
Fetal Diagn Ther 2020;47(5):337-344. Epub 2020 Mar 26 doi: 10.1159/000506047. PMID: 32213773
Cardiac function and dysfunction in the fetus.
Eckersley L, Hornberger LK
Echocardiography 2017 Dec;34(12):1776-1787. doi: 10.1111/echo.13654. PMID: 29287133
Clinician performed ultrasound in fetal growth restriction: fetal, neonatal and pediatric aspects.
Sehgal A, Crispi F, Skilton MR, de Boode WP
J Perinatol 2017 Dec;37(12):1251-1258. Epub 2017 Aug 24 doi: 10.1038/jp.2017.119. PMID: 28837134
The nuchal translucency and the fetal heart: a literature review.
Clur SA, Ottenkamp J, Bilardo CM
Prenat Diagn 2009 Aug;29(8):739-48. doi: 10.1002/pd.2281. PMID: 19399754
First and early second trimester fetal heart screening.
Yagel S, Cohen SM, Messing B
Curr Opin Obstet Gynecol 2007 Apr;19(2):183-90. doi: 10.1097/GCO.0b013e3280895de6. PMID: 17353687

Diagnosis

Prenatal therapy for fetal cardiac disorders.
Kumar S, Lodge J
J Matern Fetal Neonatal Med 2019 Nov;32(22):3871-3881. Epub 2018 May 15 doi: 10.1080/14767058.2018.1472224. PMID: 29716424
Diagnosis and treatment of foetal heart failure: foetal echocardiography and foetal hydrops.
Huhta JC
Cardiol Young 2015 Aug;25 Suppl 2:100-6. doi: 10.1017/S104795111500089X. PMID: 26377716
The nuchal translucency and the fetal heart: a literature review.
Clur SA, Ottenkamp J, Bilardo CM
Prenat Diagn 2009 Aug;29(8):739-48. doi: 10.1002/pd.2281. PMID: 19399754
Intrapartum fetal heart rate monitoring.
Boehm FH
Obstet Gynecol Clin North Am 1999 Dec;26(4):623-39, vi-vii. doi: 10.1016/s0889-8545(05)70103-0. PMID: 10587959
Three-dimensional fetal echocardiography.
Nelson TR
Prog Biophys Mol Biol 1998;69(2-3):257-72. doi: 10.1016/s0079-6107(98)00011-x. PMID: 9785942

Therapy

First-trimester ultrasound detection of fetal heart anomalies: systematic review and meta-analysis.
Karim JN, Bradburn E, Roberts N, Papageorghiou AT; ACCEPTS study
Ultrasound Obstet Gynecol 2022 Jan;59(1):11-25. doi: 10.1002/uog.23740. PMID: 34369613Free PMC Article
Effect of maternal diabetes on fetal heart function on echocardiography: systematic review and meta-analysis.
Depla AL, De Wit L, Steenhuis TJ, Slieker MG, Voormolen DN, Scheffer PG, De Heus R, Van Rijn BB, Bekker MN
Ultrasound Obstet Gynecol 2021 Apr;57(4):539-550. doi: 10.1002/uog.22163. PMID: 32730637Free PMC Article
Fetal cardiac interventions: Where do we stand?
Friedman KG, Tworetzky W
Arch Cardiovasc Dis 2020 Feb;113(2):121-128. Epub 2020 Feb 26 doi: 10.1016/j.acvd.2019.06.007. PMID: 32113817
Fetal cardiac interventions: myths and facts.
Van Aerschot I, Rosenblatt J, Boudjemline Y
Arch Cardiovasc Dis 2012 Jun-Jul;105(6-7):366-72. Epub 2012 Jun 19 doi: 10.1016/j.acvd.2012.01.011. PMID: 22800721
Intrapartum fetal heart rate monitoring.
Boehm FH
Obstet Gynecol Clin North Am 1999 Dec;26(4):623-39, vi-vii. doi: 10.1016/s0889-8545(05)70103-0. PMID: 10587959

Prognosis

Diagnosis of major heart defects by routine first-trimester ultrasound examination: association with increased nuchal translucency, tricuspid regurgitation and abnormal flow in ductus venosus.
Minnella GP, Crupano FM, Syngelaki A, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2020 May;55(5):637-644. doi: 10.1002/uog.21956. PMID: 31875326
Early fetal echocardiography.
McBrien A, Hornberger LK
Birth Defects Res 2019 May 1;111(8):370-379. Epub 2018 Nov 14 doi: 10.1002/bdr2.1414. PMID: 30430770
Fetal cardiac tumors: clinical features, management and prognosis.
Yuan SM
J Perinat Med 2018 Feb 23;46(2):115-121. doi: 10.1515/jpm-2016-0311. PMID: 28343178
Cardiac function and dysfunction in the fetus.
Eckersley L, Hornberger LK
Echocardiography 2017 Dec;34(12):1776-1787. doi: 10.1111/echo.13654. PMID: 29287133
Intrauterine growth retardation.
Beischer NA, Abell DA, Drew JH
Aust N Z J Obstet Gynaecol 1983 Nov;23(4):191-6. doi: 10.1111/j.1479-828x.1983.tb00576.x. PMID: 6424639

Clinical prediction guides

First-trimester ultrasound detection of fetal heart anomalies: systematic review and meta-analysis.
Karim JN, Bradburn E, Roberts N, Papageorghiou AT; ACCEPTS study
Ultrasound Obstet Gynecol 2022 Jan;59(1):11-25. doi: 10.1002/uog.23740. PMID: 34369613Free PMC Article
Main Patterns of Fetal Cardiac Remodeling.
Crispi F, Sepúlveda-Martínez Á, Crovetto F, Gómez O, Bijnens B, Gratacós E
Fetal Diagn Ther 2020;47(5):337-344. Epub 2020 Mar 26 doi: 10.1159/000506047. PMID: 32213773
Diagnosis of major heart defects by routine first-trimester ultrasound examination: association with increased nuchal translucency, tricuspid regurgitation and abnormal flow in ductus venosus.
Minnella GP, Crupano FM, Syngelaki A, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2020 May;55(5):637-644. doi: 10.1002/uog.21956. PMID: 31875326
Antenatal foetal heart monitoring.
Murray H
Best Pract Res Clin Obstet Gynaecol 2017 Jan;38:2-11. Epub 2016 Oct 21 doi: 10.1016/j.bpobgyn.2016.10.008. PMID: 27866937
Fetal intervention for critical aortic stenosis: advances, research and postnatal follow-up.
Marantz P, Grinenco S
Curr Opin Cardiol 2015 Jan;30(1):89-94. doi: 10.1097/HCO.0000000000000128. PMID: 25389651

Recent systematic reviews

Association between maternal thyroid function and risk of gestational hypertension and pre-eclampsia: a systematic review and individual-participant data meta-analysis.
Toloza FJK, Derakhshan A, Männistö T, Bliddal S, Popova PV, Carty DM, Chen L, Taylor P, Mosso L, Oken E, Suvanto E, Itoh S, Kishi R, Bassols J, Auvinen J, López-Bermejo A, Brown SJ, Boucai L, Hisada A, Yoshinaga J, Shilova E, Grineva EN, Vrijkotte TGM, Sunyer J, Jiménez-Zabala A, Riaño-Galan I, Lopez-Espinosa MJ, Prokop LJ, Singh Ospina N, Brito JP, Rodriguez-Gutierrez R, Alexander EK, Chaker L, Pearce EN, Peeters RP, Feldt-Rasmussen U, Guxens M, Chatzi L, Delles C, Roeters van Lennep JE, Pop VJM, Lu X, Walsh JP, Nelson SM, Korevaar TIM, Maraka S
Lancet Diabetes Endocrinol 2022 Apr;10(4):243-252. Epub 2022 Mar 4 doi: 10.1016/S2213-8587(22)00007-9. PMID: 35255260Free PMC Article
First-trimester ultrasound detection of fetal heart anomalies: systematic review and meta-analysis.
Karim JN, Bradburn E, Roberts N, Papageorghiou AT; ACCEPTS study
Ultrasound Obstet Gynecol 2022 Jan;59(1):11-25. doi: 10.1002/uog.23740. PMID: 34369613Free PMC Article
Outcome of Cesarean scar pregnancy managed expectantly: systematic review and meta-analysis.
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021
A systematic review of maternal smoking during pregnancy and fetal measurements with meta-analysis.
Abraham M, Alramadhan S, Iniguez C, Duijts L, Jaddoe VW, Den Dekker HT, Crozier S, Godfrey KM, Hindmarsh P, Vik T, Jacobsen GW, Hanke W, Sobala W, Devereux G, Turner S
PLoS One 2017;12(2):e0170946. Epub 2017 Feb 23 doi: 10.1371/journal.pone.0170946. PMID: 28231292Free PMC Article
Preconception care: nutritional risks and interventions.
Dean SV, Lassi ZS, Imam AM, Bhutta ZA
Reprod Health 2014 Sep 26;11 Suppl 3(Suppl 3):S3. doi: 10.1186/1742-4755-11-S3-S3. PMID: 25415364Free PMC Article

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