Fetal cardiology in the Czech Republic: current management of prenatally diagnosed congenital heart diseases and arrhythmias
Reliable diagnosis of congenital heart defects and arrhythmias in utero has been possible since the introduction of fetal echocardiography. The nation-wide prenatal ultrasound screening program in the Czech Republic enabled detection of cardiac abnormalities in 1/3 of patients born with any congenit...
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| Veröffentlicht in: | Physiological research 2009, Vol.58 Suppl 2, p.S159-S166 |
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| container_title | Physiological research |
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| creator | Tomek, V Marek, J Jičínská, H Škovránek, J |
| description | Reliable diagnosis of congenital heart defects and arrhythmias in utero has been possible since the introduction of fetal echocardiography. The nation-wide prenatal ultrasound screening program in the Czech Republic enabled detection of cardiac abnormalities in 1/3 of patients born with any congenital heart disease and up to 83 % of those with critical forms. Prenatal frequency of individual heart anomalies significantly differed from the postnatal frequency. Fetal isolated complete atrioventricular block and supraventricular tachycardia may lead to heart failure and are important causes of fetal mortality. The regression of heart failure was achieved by a conversion to the sinus rhythm in the supraventricular tachycardia and by increase of ventricular rate in the complete atrioventricular block. |
| doi_str_mv | 10.33549/physiolres.931912 |
| format | Article |
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The nation-wide prenatal ultrasound screening program in the Czech Republic enabled detection of cardiac abnormalities in 1/3 of patients born with any congenital heart disease and up to 83 % of those with critical forms. Prenatal frequency of individual heart anomalies significantly differed from the postnatal frequency. Fetal isolated complete atrioventricular block and supraventricular tachycardia may lead to heart failure and are important causes of fetal mortality. The regression of heart failure was achieved by a conversion to the sinus rhythm in the supraventricular tachycardia and by increase of ventricular rate in the complete atrioventricular block.</description><identifier>ISSN: 0862-8408</identifier><identifier>EISSN: 1802-9973</identifier><identifier>DOI: 10.33549/physiolres.931912</identifier><identifier>PMID: 20131933</identifier><language>eng</language><publisher>Czech Republic: Institute of Physiology</publisher><subject>Arrhythmias, Cardiac - diagnostic imaging ; Arrhythmias, Cardiac - embryology ; Arrhythmias, Cardiac - therapy ; Cardiac arrhythmia ; Cardiovascular disease ; Czech Republic ; Female ; Fetal Death - prevention & control ; Fetal Heart - diagnostic imaging ; Heart Defects, Congenital - diagnostic imaging ; Heart Defects, Congenital - therapy ; Heart failure ; Heart rate ; Humans ; Live Birth ; Mass Screening - methods ; Mortality ; Predictive Value of Tests ; Pregnancy ; Treatment Outcome ; Ultrasonography, Prenatal</subject><ispartof>Physiological research, 2009, Vol.58 Suppl 2, p.S159-S166</ispartof><rights>Copyright Institute of Physiology 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-ef87d53b946d52691010e0a6dbdb225ee3b7fffddd061d0b770aae742e3ba52a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,865,4025,27925,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20131933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tomek, V</creatorcontrib><creatorcontrib>Marek, J</creatorcontrib><creatorcontrib>Jičínská, H</creatorcontrib><creatorcontrib>Škovránek, J</creatorcontrib><title>Fetal cardiology in the Czech Republic: current management of prenatally diagnosed congenital heart diseases and arrhythmias</title><title>Physiological research</title><addtitle>Physiol Res</addtitle><description>Reliable diagnosis of congenital heart defects and arrhythmias in utero has been possible since the introduction of fetal echocardiography. The nation-wide prenatal ultrasound screening program in the Czech Republic enabled detection of cardiac abnormalities in 1/3 of patients born with any congenital heart disease and up to 83 % of those with critical forms. Prenatal frequency of individual heart anomalies significantly differed from the postnatal frequency. Fetal isolated complete atrioventricular block and supraventricular tachycardia may lead to heart failure and are important causes of fetal mortality. 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| subjects | Arrhythmias, Cardiac - diagnostic imaging Arrhythmias, Cardiac - embryology Arrhythmias, Cardiac - therapy Cardiac arrhythmia Cardiovascular disease Czech Republic Female Fetal Death - prevention & control Fetal Heart - diagnostic imaging Heart Defects, Congenital - diagnostic imaging Heart Defects, Congenital - therapy Heart failure Heart rate Humans Live Birth Mass Screening - methods Mortality Predictive Value of Tests Pregnancy Treatment Outcome Ultrasonography, Prenatal |
| title | Fetal cardiology in the Czech Republic: current management of prenatally diagnosed congenital heart diseases and arrhythmias |
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