ADOPA
Publicado: 19-12-2023
DOI: https://doi.org/10.58994/adopa.v1i3.20
Primera experiencia en diagnóstico prenatal de cardiopatías congénitas estructurales y funcionales por ecocardiografía fetal en la República Dominicana
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Resumen
Introduction: Recently, the use of fetal echocardiography (FE) has increased due to the high incidence of congenital heart disease (CHD), specifically in high-risk pregnancies. FE has made it possible to optimize prenatal and postnatal care for critical CHD. The purpose of this study is to describe how FE is performed in the population of the Dominican Republic.
Methodology: This retrospective observational study was based on secondary data collected from 851 reports performed by a single operator over a 10-year period. Data collection was done using the RedCap database and data analysis was performed using STATA.
Results: CHD was detected in 36.3% of the study sample. Of these CHDs, 78.5% had structural abnormalities and 21.5% had functional abnormalities, while 16.6% had arrhythmias. A total of 82% of all referrals were made in the third trimester. Also 45.6% of all referrals were due to abnormal ultrasound findings and 46% of pregnancies had some form of exposure to medication.
Conclusion: FE pared with an exhaustive and timely maternal-prenatal history can provide an effective screening of CHD, when recommended for the general population. This benefits both mother and fetus by providing preventive approaches and an appropriate care plan.
Abstract
Introduction: Recently, the use of fetal echocardiography (FE) has increased due to the high incidence of congenital heart disease (CHD), specifically in high-risk pregnancies. FE has made it possible to optimize prenatal and postnatal care for critical CHD. The purpose of this study is to describe how FE is performed in the population of the Dominican Republic.
Methodology: This retrospective observational study was based on secondary data collected from 851 reports performed by a single operator over a 10-year period. Data collection was done using the RedCap database and data analysis was performed using STATA.
Results: CHD was detected in 36.3% of the study sample. Of these CHDs, 78.5% had structural abnormalities and 21.5% had functional abnormalities, while 16.6% had arrhythmias. A total of 82% of all referrals were made in the third trimester. Also 45.6% of all referrals were due to abnormal ultrasound findings and 46% of pregnancies had some form of exposure to medication.
Conclusion: FE pared with an exhaustive and timely maternal-prenatal history can provide an effective screening of CHD, when recommended for the general population. This benefits both mother and fetus by providing preventive approaches and an appropriate care plan.
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Referencias
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