Recommendations for Fetal Echocardiography in Singleton Pregnancy in 2015

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The first recommendations and guidelines for physicians training in fetal echocardiography (FE) were created in 1990 and later on up-dated by multiple medical associations and journals in Europe and the United States. This time advanced fetal cardiac ultrasound recommendations focused more on the organizational and logistical aspects of FE, to better define the fetal echo guidelines for practitioners in tertiary centers. Underlined is FE in 3rd trimester, with special attention to the direction of flow across the foramen ovale and ductus arteriosus.

AHA classification of heart defects in prenatal cardiology into seven major groups (from 2014) is presented as well as the Polish classification into four groups (from 2012) related to the urgency of required time to postnatal treatment/intervention based on FE findings in the 3rd trimester of pregnancy.

Current definition of fetal cardiologist in 2015 is also presented.

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  • 1. Meyer RA Hagler D Huhta J Smallhorn J Snider R Williams R Kleinman C Silverman NH.: Guidelines for physician training in fetal echocardiography: recommendations of the Society of Pediatric Echocardiography Committee on Physician Training. J Am Soc Echocardiogr. 19903:1-3

  • 2. Rychik J Ayres N Cuneo B Gotteiner N Hornberger L Spevak F. Van Der Veld M.: American Society of Echocardiography Guidelines and Standards for Performance of the Fetal Echocardiogram. J Am Soc Echocardiogr 200417:803-10

  • 3. Allan L Dangel J Fesslova V Marek J Mellander M Oberhänsli I Oberhoffer R Sharland G Simpson J Sonesson SE.: Fetal Cardiology Working Group; Association for European Paediatric Cardiology. Recommendations for the practice of fetal cardiology in Europe. Cardiol Young. 200414:109-14

  • 4. Respondek-Liberska M Dangel J Włoch A.: Certyficate for Basic Fetal Heart Evaluation Section of Echocardiography and Prenatal Cardiology Polish Ultrasound Ultrasonografia 2006 25:82-86

  • 5. Respondek-Liberska M Dangel J Włoch A.: Certificate for Echocardiography Fetal Heart Exam (advanced level). Section of Echocardiography and Prenatal Cardiology Polish Ultrasound. Ultrasonografia 200625:87-90

  • 6. Sklansky M. Prenatal screening for congenital heart disease: A moving proposal. J Ultrasound Med 200726:1-3

  • 7. Lee W Allan L Carvalho J et al.: ISUOG consensus statement: what constitutes a fetal echocardiogram? Ultrasound Obstet Gynecol 200832:239-242

  • 8. Wood D Respondek-Liberska M Puerto B Weiner S.: Perinatal echocardiography: Protocols for evaluating the fetal and neonatal heart . Journal of Perinatal Medicine. 200937:5-11

  • 9. Slodki M Respondek-Liberska M.: Proposal of screening fetal heart examination form granted by Polish Ministry of Health Program Kardio-Prenatal 2008. Ginekol Pol. 200980:466-470

  • 10. Respondek-Liberska M Janiak K.: Fetal echocardiography protocol for reference centers. Polski Przegląd Kardiologiczny 201012:212-218

  • 11. Benacerraf BR.: American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of obstetric ultrasound examinations. J Ultrasound Med 201029:157-166.

  • 12. Sklansky M.: Current guidelines for fetal echocardiography: time to raise the bar. J Ultrasound Med 201130:284-286

  • 13. ISUOG practice guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstet Gynecol 201341:348-359

  • 14. American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of obstetric ultrasound examinations. J Ultrasound Med 201332:1083-1101

  • 15. American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of fetal echocardiography. J Ultrasound Med 201332:1067-1082

  • 16. Donofrio MT Moon-Grady AJ Hornberger LK Copel JA Sklansky MS Abuhamad A Cuneo BF Huhta JC Jonas RA Krishnan A Lacey S Lee W Michelfelder EC Rempel RN Silverman NH Spray TL Strasburger JF Tworetzky W Rychik J.: Diagnosis and Treatment of Fetal Cardiac Disease A Scientific Statement From the American Heart Association. Circulation 2014129:2183-2242

  • 17. Davey BT Donofrio MT Moon-Grady AJ Fifer CG Cuneo B Falkansammer CB Szwast AL Rychik J.: Development and Validation of a Fetal Cardiovascular Disease Severity Scale Pediatr Cardiol 201418.

  • 18. Słodki M.: Opracowanie modelu opieki nad ciężarną z wrodzoną wadą serca u płodu na podstawie nowego prenatalnego podziału wad serca [Prenatal and perinatal management for pregnant women with fetal cardiac defects based on new prenatal cardiac anomalies classification]. Habilitation thesis Medical University Łódź PWSZ Plock 2012

  • 19. Respondek-Liberska M.: Atlas wad serca u płodu [Atlas of fetal congenital heart disease]. Łódź 2011 ADI ART

  • 20. Donofrio MT Levy RJ Schuette JJ Skurow-Todd K Sten MB Stallings C Pike JI Krishnan A Ratnayaka K Sinha P duPlessis AJ Downing DS Fries MI Berger JT.: Specialized delivery room planning for fetuses with critical congenital heart disease. Am J Cardiol. 2013111:737-47.

  • 21. Pruetz JD Carroll C Trento LU Chang RK Detterich J Miller DA Sklansky M.: Outcomes of critical congenital heart disease requiring emergent neonatal cardiac intervention. Prenat Diagn. 201434:1127-32.

  • 22. Zielinsky P. Constriction of fetal ductus arteriosus and maternal intake of polyphenol-rich foods. Prenat Cardio. 20144(4):6-18.

  • 23. Respondek Liberska M. Fetal thymus - review. Prenat Cardio. 2014 4(1) 9-12.

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