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Fetal Heart

The Assessment of Fetal Cardiac Function

Functional echocardiography helps to identify high-risk populations and may have an effect on the outcome of several fetal conditions.

We recently invited Prof. Basky Thiliganathan and Dr. Olga Patey to share their thoughts and insights into how fetal cardiac function can and could be used to improve the fetal outcomes using present and future technologies.

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What is the State of the Art Technology for Evaluating Fetal Cardiac Function?

4 chamber view

Normal 4-chamber view

B-Mode imaging based on RSA

Dedicated fetal cardiac presets: High-frame-rate, high-resolution imaging

m-mode

M-Mode

M-Mode

  • Anatomical M-Mode, 1 or 2 M-Mode lines
  • Color M-Mode
  • Raw data M-Mode
  • TAPSE+MAPSE
slowflow hd

SlowflowHD

tissue doppler

Tissue Doppler (TD)

aortic outflow

Aortic outflow tract

color Doppler

  • High frame rates
  • Dedicated color Doppler maps, inluding turbulence maps
  • HD-Flow™ for accurate visualization of PV, VSD and other parameters
  • Dedicated DV settings
  • Radiantflow
  • Slowflow3D
  • Tissue Doppler (TD)
cw doppler

CW Doppler

spectral Doppler

  • PW+Steerable CW on curved and phased array probes
  • Auto Optimization
  • Dedicated Tissue Doppler technology
  • Dedicated fetal cardiac measurement package including myocardial performance index (MPI)
split screen view

Split screen view

estic volume

Multiplanar and rendered image out of an eSTIC Volume

silhouette mode

Thoraco-abdominal vessels, HDlive™ Flow and Silhouette Mode

Volume techniques 3D/4D and electronic 4D

  • 3D MPI
  • Real-time 4D
  • STIC+eSTIC including CFM, Radiantflow, Silhouette
  • VCI-A
  • Biplane, including CFM, HD-Flow, Radiantflow
  • OmniView
  • TUI

fetalHQ

Easily and comprehensively evaluate the size, shape and contractility of the fetal heart from the 4-chamber view using measurements based on 2D imaging and speckle tracking. fetalHQ contains an in-depth report page including z-scores and percentiles for each cardiac measurement.

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Why Evaluate Fetal Heart Size, Shape and Contractility?

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Size

The fetal heart can compensate for deficiencies by growing in size and/or becoming hypertrophic.

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Shape

The fetal heart can also become more rounded (globular) with cardiac dysfunction as it compensates for lack of oxygen (also valvular disease)

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Contractility

The fetal heart can also compensate by pumping harder to distribute more oxygen to the body, causing contractility changes. Conservsely, it can pump less due to fluid overload or restriction.

Fetal Heart Imaging

A guide to understanding normal fetal cardiac anatomy and standard sonographic views

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Because she needs to know: Congenital Heart Defects

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Voluson Webinars

Master’s Tips on Basic Fetal Echocardiography
Clock40 Mins

Master’s Tips on Basic Fetal Echo­cardiography

Dr. Kai Heling

Dr. Kai Heling

Early Fetal Echocardiography in Low Risk Population
Clock41 Mins

Early Fetal Echo­cardiography in Low Risk Population

Dr. Edwin Quarello

Dr. Edwin Quarello

State of the Art in Fetal Echocardiography 2020
Clock44 Mins

State of the Art in Fetal Echo­cardiography 2020

Dr. Kai Heling

Dr. Kai Heling

Advanced VISUS: STIC Volume Ultrasound of the fetal heart
Clock31 Mins

Advanced VISUS: STIC Volume Ultrasound of the fetal heart

Dr. Kai Heling

Dr. Kai Heling

3D/4D Fetal Echocardiography
Clock16 Mins

3D/4D Fetal Echo­cardiography

Dr. Rabih Chaoui

Dr. Rabih Chaoui

The Basics of fetalHQ
Clock5 Mins

The Basics of fetalHQ

Dr. Greggory R. Devore

Dr. Greggory R. Devore

Questions?

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