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首页> 美国卫生研究院文献>Journal of Pregnancy >Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist
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Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist

机译：胎儿单脐动脉心脏异常的产前检测：母婴医学和儿科心脏病专家的诊断准确性比较

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Aim. To determine agreement of cardiac anomalies between maternal fetal medicine (MFM) physicians and pediatric cardiologists (PC) in fetuses with single umbilical artery (SUA). Methods. A retrospective review of all fetuses with SUA between 1999 and 2008. Subjects were studied by MFM and PC, delivered at our institution, and had confirmation of SUA and cardiac anomaly by antenatal and neonatal PC follow-up. Subjects were divided into four groups: isolated SUA, SUA and isolated cardiac anomaly, SUA and multiple anomalies without heart anomalies, and SUA and multiple malformations including cardiac anomaly. Results. 39,942 cases were studied between 1999 and 2008. In 376 of 39,942 cases (0.94%), SUA was diagnosed. Only 182 (48.4%) met inclusion criteria. Cardiac anomalies were found in 21% (38/182). Agreement between MFM physicians and PC in all groups combined was 94% (171/182) (95% CI [89.2, 96.8]). MFM physicians overdiagnosed cardiac anomalies in 4.4% (8/182). MFM physicians and PC failed to antenatally diagnose cardiac anomaly in the same two cases. Conclusions. Good agreement was noted between MFM physicians and PC in our institution. Studies performed antenatally by MFM physicians and PC are less likely to uncover the entire spectrum of cardiac abnormalities and thus neonatal follow-up is suggested.
机译：目标。为了确定单胎脐带动脉（SUA）胎儿中的母体胎儿医学（MFM）医师和儿科心脏病学家（PC）之间的心脏异常一致性。方法。回顾性回顾了1999年至2008年间所有患有SUA的胎儿。受试者通过MFM和PC进行了研究，在我们机构进行了分娩，并通过产前和新生儿PC随访确认了SUA和心脏异常。将受试者分为四组：孤立的SUA，SUA和孤立的心脏异常，SUA和无心脏异常的多个异常，以及SUA和包括心脏异常的多种畸形。结果。在1999年至2008年之间研究了39,942例病例。在39,942例病例中，有376例（0.94％）被诊断为SUA。仅182个（48.4％）符合纳入标准。发现心脏异常的比例为21％（38/182）。所有组中，MFM医生和PC之间的协议一致性为94％（171/182）（95％CI [89.2，96.8]）。 MFM医生对心脏异常的过度诊断率为4.4％（8/182）。在相同的两个案例中，MFM医师和PC无法在产前诊断心脏异常。结论。我们机构的MFM医生和PC之间达成了良好的协议。由MFM医师和PC进行的产前研究不太可能发现心脏异常的整个频谱，因此建议进行新生儿随访。

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