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Doctor insights on: When Is A Fetal Echocardiogram Important

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When is a fetal echocardiogram important?

When is a fetal echocardiogram important?

Suspected problems: If you ob/gyn doctor or maternal fetal medicine specialist recommend a fetal echocardiogram, it is usually because they suspect some sort of malformation in the fetuses heart, lungs, etc. It may be because they notice something on a prior ultrasound, or they just want to be safe/cautious if you are at a higher risk of having a baby with a congenital heart problem. ...Read more

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Dr. Rick Koch
372 doctors shared insights

Cardiac Echo (Definition)

"shorthand" term for echocardiogram, an ...Read more


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What is a fetal heart ultrasound?

What is a fetal heart ultrasound?

Fetal echocardiogram: A fetal echocardiogram is a specialized ultrasound of the fetal heart, usually only done when there is an increased risk of a heart defect in the fetus. It is a detailed look at lots of different parts of a baby's heart anatomy and function. ...Read more

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Is it possible that congenital heart defects be detected on a regular prenatal ultrasound?

Is it possible that congenital heart defects be detected on a regular prenatal ultrasound?

Yes: Most important congenital heard defects can be detected by fetal ultrasound. The person (doctor or sonographer) needs to have a certain amount of training and expertise to make sure all of the appropriate images are obtained. Plus the physician (perinatologist or pediatric cardiologist) who is interpreting the images needs to have a full understanding of congenital heart disease. ...Read more

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What is the difference between a fetal targeted ultrasound and an echocardiography?

What is the difference between a fetal targeted ultrasound and an echocardiography?

MFM vs. Ped/cards.: Maternal-fetal medicine specialists can perform and interpret targeted fetal cardiac examinations and fetal echos with up to 75% detection rate. Pediatric cardiologists can perform fetal echos with up to 95% detection rate. ...Read more

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Is it true that a myocardial wall motion study is the same as a nuclear stress test?

Is it true that a myocardial wall motion study is the same as a nuclear stress test?

Part of study: Wall motion a small part of myocardial perfusion study. Important findings of perfusion are related to ischemia and infarction of myocardial muscle. Spect (tomographic imaging) obrtains images in sagittal, coronal, and transaxial projections during stress and resting phase. 2 phases compared.. Technetium99m and thallium201 are isotopes. Also see cardiac chamber size and cardiac ejection fraction. ...Read more

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Is cholesterol testing a good indicator of future heart problems? Is an ECG a good way to measure if your heart is working properly/heart health?

Is cholesterol testing a good indicator of future heart problems? Is an ECG a good way to measure if your heart is working properly/heart health?

Risk factors: High cholesterol is only one of the risk factors for coronary artery disease, among other risks such as diabetes, hypertension, smoking, and family history. Ecg evaluates heart rhythm and can diagnose some problems with the heart but is a very limited test. Depending on symptoms, further testing may be recommended. ...Read more

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Is an EKG test a reliable way of knowing your heart is ok?

Is an EKG test a reliable way of knowing your heart is ok?

Ecg: The ECG is diagnostic for cardiac rhythm, it is indicative of other things. After history and physical exam it is one of the first basic tests we use. Other tests are more informative for things other than rhythm. ...Read more

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Is it important to repeat echo to diagnose moderate pulmonary hypertension and three mild leaking valves? Or is it not accurate?

Is it important to repeat echo to diagnose moderate pulmonary hypertension and three mild leaking valves?
Or is it not accurate?

Depends: ECHO can give information on the status of leaky valves, heart chambers and walls function. It also helps physician determine the function of right side of the heart closely linked with pulmonary artery. ECHO is least invasive test to determine and follow up the cardiac function and pulmonary hypertension. So your doctor might repeat it depending on time interval and therapy. Nothing is 100%. ...Read more

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When a fetus is "measuring small" how is that determined? Wouldn't it just mean that the fetal / gestational age is off?

When a fetus is "measuring small" how is that determined? Wouldn't it just mean that the fetal / gestational age is off?

Yes and no: Yes, if the gestational dates are off. No, if they are not and the biparietal diameter of the fetus does not "measure up" to the appropriate age indicating "small for gestational age or intrauterine growth retardation.". ...Read more

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What is a stress test for the heart and why is it important?

What is a stress test for the heart and why is it important?

ForAdvancedDisease: Promoted for detecting artery disease, but misses most disease; arteries expand, not narrow. ~75%, or more, narrowing required before stress tests, all forms, begin to detect any abnormalities. Nuclear (more expensive ; radiation) promoted as more sensitive. For all I have seen, a well done ekg exercise stress more sensitive ; accurate. I quit doing stress tests 1995; for better protection options. ...Read more

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Is it normal to not see the fetal pole at 6w2d in a vaginal ultrasound? There's a healthy yolk sac but we wouldn't find the baby.

Is it normal to not see the fetal pole at 6w2d in a vaginal ultrasound? There's a healthy yolk sac but we wouldn't find the baby.

Fetal pole: 6 weeks is then pivotal point. Usually we do see a pole at 6 weeks but there isn't one seen, a repeat u/s in 1 weeks would certainly solve the question. It's a horrible emotional place to be but 1 more week will solve it most likely. ...Read more

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Is it possible that an aortic aneurysm be seen on a routine echocardiogram?

Is it possible that an aortic aneurysm be seen on a routine echocardiogram?

Yes: It's the same equipment that is used to find an aortic aneurysm on ultrasound. If aimed towards aorta it may be able to image the aorta in some locations. Depends on transducer used. ...Read more

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What is a fetal pulmonary sequestration and what is treatment like for the baby after delivery?

What is a fetal pulmonary sequestration and what is treatment like for the baby after delivery?

Definition/Prognosis: Bronchopulmonary sequestration is a lump of lung tissue that doesn't connect to the windpipe, so it doesn't work like a lung. In most cases, it doesn't cause any problems. If it fills too much space in the baby's chest, or presses on a vital organ, it needs to be removed. How quickly to do surgery depends on whether the mass keeps the baby from breathing or circulating blood normally. ...Read more

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Is a coronary calcium ct scan a good test to see of there is plaque in the heart arteries? how accurate is it? my cta was inconclusive. heart rate fas

Is a coronary calcium ct scan a good test to see of there is plaque in the heart arteries? how accurate is it? my cta was inconclusive. heart rate fas

Coronary Calcium: Coronary Calcium analysis is a method to detect calcified cholesterol in the coronary arteries. A score of zero is quite helpful and predictive in the correct age group. The difficulty is that in younger people, there may be noncalcified cholesterol plaques in the arteries which would not be detected on a coronary calcium screening test, so cardiac CTA or invasive angiography would be considered. ...Read more

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What is a non-reassuring fetal heart rate tracing?

What is a non-reassuring fetal heart rate tracing?

Babies tell us a lot: Monitoring a fetus by fetal hr, ultrasound or the expectant woman's perception of activity is important. No one test can tell us everything we need to know, but together they can tell us which babies might be better off delivered. If a baby is near term and the testing is worrisome then obstetric specialists or subspecialists might deliver. But conditions can change. Plus every case is different. ...Read more

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Dr. Rick Koch
388 doctors shared insights

Echocardiogram (Definition)

Ultrasound ...Read more