Provocarea continuă de a diagnostica malformaţiile cardiace congenitale – experienţa unui centru terţiar

Objective. To detect the role of ultrasonographic screening courses for the identification of fetal heart anomalies in a centre from Târgu-Mures. Material and methods. Yearly scientific meetings on this theme, organized by paediatric cardiologists and obstetricians, attracted more than 600 participants. We assessed the casuistry of the centre from Târgu-Mures, evaluated by obstetrician and pediatric cardiologist, between 28.02.2007 and 10.11.2015, which consisted of 363 cases referred with the suspicion of abnormal fetal heart. Results. The fetal heart anomalies detection rate increased from 4 patients in 2007 to 93 patients in 2015. Due to the improvement of the first trimester ultrasound, the first fetal cardiac anomalies were detected at the 11-13 weeks screening, with a number of 5 cases in 2015-2016. In the 2010-2013 period, more than 80% had the suspicion of fetal cardiac abnormalities established after 24 weeks of gestation, while in 2015 more than 80% of the cases were referred before 24 weeks of gestation. Conclusion. The detection age for cardiac abnormalities decreased in our country as well. The gestational age at which patients receive counseling continues to remain too high. The continuous learning process of the obstetricians led to an obvious improvement of the results.