The Four-Chamber View and Its Sensitivity in Detecting Congenital Heart DefectsFernandez C.O. · Ramaciotti C. · Martin L.B. · Twickler D.M.
Departments of a Obstetrics and Gynecology, b Pediatric Cardiology and c Radiology, University of Texas Southwestern Medical School, Dallas, Tex., USA
We sought to determine the sensitivity of detecting congenital heart defects with routine antenatal ultrasound including the four-chamber view in a population at low risk for cardiac anomalies. Neonatal outcome and anomaly databases were reviewed to identify cases of morphologic cardiac defects from 1988–1992. Of 176 cases identified, 62 (35%) had routine antenatal ultrasound including the four-chamber view. Thirteen of these 62 (21%) were diagnosed by ultrasound and 18 of the 116 (15%) total defects present were seen. Of these, only 16 of 25 (64%) defects reasonably expected to be seen by the four-chamber cardiac view alone were detected. The routine ultrasound four-chamber cardiac evaluation is limited and detection depends on the type of cardiac defect present.
Carlos O. Fernandez, MD
Department of Obstetrics and Gynecology
University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard
Dallas, TX 75235-9032 (USA)
Tel. +1 214 648 2646, Fax +1 214 648 7262
Received: Received: June 15, 1998
Accepted: July 23, 1998
Number of Print Pages : 5
Number of Figures : 2, Number of Tables : 4, Number of References : 20
Cardiology (International Journal of Cardiovascular Medicine, Surgery andPathology)
Founded 1937 as ‘Cardiologia’ by Bruno Kisch and WilhelmLöffler
Vol. 90, No. 3, Year 1998 (Cover Date: Released December 1998)
Journal Editor: Joseph S. Alpert, Tucson, Ariz.
ISSN: 0008–6312 (print), 1421–9751 (Online)
For additional information:http://www.karger.com/journals/crd