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Fetal Echocardiography for Evaluation of in Utero Congestive Heart Failure: A Technique for Study of Nonimmune Fetal Hydrops
Abstract
Thirteen fetuses with nonimmune hydrops (22 to 39 weeks of gestation) were evaluated with two-dimensional and M-mode echocardiography. Ten fetuses had cardiovascular abnormalities resulting in heart failure, and three had noncardiac causes of hydrops. In three cases, hydrops was caused by supraventricular tachycardia. One of these fetuses responded to cardioversion at birth, another responded to transplacental digoxin therapy, and the third died with atrial flutter and high-grade atrioventricular block before delivery. There were no cases of "idiopathic" hydrops. Our results show that fetal echocardiography is useful in determining cardiac causes of in utero heart failure resulting in hydrops fetalis. The fetal echocardiogram may also be used in monitoring transplacental therapy of heart failure.
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Cited by
Donofrio, M. T., Moon-Grady, A. J., Hornberger, L. K., Copel, J. A., Sklansky, M. S., Abuhamad, A., Cuneo, B. F., Huhta, J. C., Jonas, R. A., Krishnan, A., et al. (2014) · Circulation · doi:10.1161/01.cir.0000437597.44550.5d · Cited by 1,275
Perinatal outcome of fetal complete atrioventricular block: A multicenter experience
Schmidt, K. G., Ulmer, H. E., Silverman, N. H., Kleinman, C. S., & Copel, J. A. (1991) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(10)80148-2 · Cited by 344
Self-citationHydrops revisited: Literature review of 1, 414 cases published in the 1980s
Machin, G. A. (1989) · American Journal of Medical Genetics · doi:10.1002/ajmg.1320340313 · Cited by 259
Metadata
- Authors
- Kleinman, C. S., Donnerstein, R. L., DeVore, G. R., Jaffe, C. C., Lynch, D. C., Berkowitz, R. L., Talner, N. S., & Hobbins, J. C.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1982-03-11
- Volume
- 306
- Issue
- 10
- Pages
- 568-575
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2319785455
- Cited by
- 244
- References
- 0
- FWCI
- 24.92
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Fetal Echocardiography for Evaluation of in Utero Congestive Heart Failure: A Technique for Study of Nonimmune Fetal Hydrops. https://app.cochat.ai/papers/10.1056/nejm198203113061003
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- Kleinman, C. S., Donnerstein, R. L., DeVore, G. R., Jaffe, C. C., Lynch, D. C., Berkowitz, R. L., Talner, N. S., & Hobbins, J. C. (1982). Fetal Echocardiography for Evaluation of in Utero Congestive Heart Failure: A Technique for Study of Nonimmune Fetal Hydrops. New England Journal of Medicine. https://doi.org/10.1056/nejm198203113061003
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
