The four-chamber view and its sensitivity in detecting congenital heart defects

Carlos O. Fernandez, Claudio Ramaciotti, Lisa B. Martin, Diane M. Twickler

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)202-206
Number of pages5
JournalCardiology
Volume90
Issue number3
DOIs
StatePublished - Dec 1 1998

Keywords

  • Antenatal ultrasound
  • Congenital heart disease
  • Four-chamber view

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)

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