[Fetal cardiopathy diagnostic approach at Instituto Nacional de Perinatologia].
BACKGROUND
Congenital prenatal heart disease diagnosis is made by high definition ultrasound within 16 to 20 weeks of pregnancy, and each day more and more early.


OBJECTIVE
To describe fetal heart disease cases, to evaluate its confirmation thorough post-natal diagnosis and perinatal result, and to establish a diagnose management algorithm.


METHODS
Cases series of maternal-fetal medicine department at Instituto Nacional de Perinatología, from January 1996 to June 2006. With the presumptive diagnosis, patients were evaluated thorough echocardiography by pediatrician cardiologist without knowing findings of fetal physician. Descriptive statistics was used: frequencies, percents, and central and dispersion trend mean.


RESULTS
Seventy-three cases of diagnosis of fetal heart disease were registered. Mean age was 28 +/- 8 years old. Diabetes was present in 16.4%, and 5.47% had a child with a heart disease. Most frequent defects were Ebstein anomaly (19%), septal defects (20.5%), ventricular-auricular channel (17.8%), and hypoplastic left ventricle (17.8%). Sixty-eight percent of the cases diagnosis was confirmed by post-natal evaluation.


CONCLUSIONS
It is important to establish right prenatal diagnosis of fetal heart disease, to give accurately advice to parents, perform necessary interventions, and improve fetal and neonatal prognosis.
Torres
Berenice Velázquez
BV
Departamento de medicina materno-fetal, Instituto Nacional de Perinatologia, Isidro Espinosa de los Reyes, Departmento de medicina materno-fetal, México DF. berevelazquez70@yahoo.com.mx
Gaona
Juan Manuel Gallardo
JM
Gallegos
Sandra Acevedo
SA
Huerta
Mario Estanislao Guzmán
ME
D000328:Adult; D000465:Algorithms; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D016216:Ultrasonography, Prenatal