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J Perinatol. 2013 Apr;33(4):268-70. doi: 10.1038/jp.2011.113. Epub 2011 Aug 11.

Fetal echogenic cardiac foci: prospective postnatal electrocardiographic follow-up.

Author information

1
Department of Pediatrics, Tawam Hospital, Al Ain, United Arab Emirates. mhamdan@tawamhospital.ae

Abstract

OBJECTIVE:

To determine postnatal electrocardiographic abnormalities in fetuses with echogenic cardiac foci (ECF) and no congenital heart disease (CHD).

STUDY DESIGN:

A total of 41 fetuses with ECF and no CHD, were prospectively followed after birth with serial echocardiograms, electrocardiogram (ECG) and 24-h ECG (Holter). The primary outcome was presence of significant abnormalities in the ECG or Holter.

RESULT:

ECF diagnosed at a mean (s.d.) of 25.6 (4.6) weeks gestation, were located in the ventricles and in the atria in 39 (95.1%), and 2 fetuses (4.9%), respectively. Postnatal follow-up was for 8.1 (4.6) months (range 1 to 24). None of the infants had any clinically significant abnormality in the ECG or Holter. ECF resolved in 10 infants (24.3%) by 24 months of age. There was no difference between infants with resolved or persistent ECF in various ECG or Holter measurements compared.

CONCLUSION:

Fetuses with ECF and no CHD have no significant postnatal electrocardiographic abnormalities, irrespective of ECF persistence or resolution.

PMID:
21836548
DOI:
10.1038/jp.2011.113
[Indexed for MEDLINE]

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