Prenatal measurement of cardiothoracic ratio in evaluation of heart disease
Open accessAbstract
The cardiothoracic ratio was measured in 410 normal fetuses and in a group of 73 fetuses with functional or structural heart disease. In normal fetuses it was fairly constant throughout pregnancy, but of those with congenital heart disease it was raised in cases of Ebstein's anomaly, tricuspid dysplasia, atrioventricular septal defect, and complete heart block. In some forms of congenital heart disease, however, it was within the normal range. There was a significant positive correlation between the cardiothoracic ratio and fetal hydrops in the group of 15 fetuses with supraventricular tachycardias. In these fetuses the cardiac size decreased significantly once the fetus reverted to sinus rhythm after the mother had been treated. Measurement of the cardiothoracic ratio is essential in the evaluation of fetal hydrops, as an increased value may point to the diagnosis of an intermittent fetal tachycardia if the fetus is assessed during a period of sinus rhythm. The measurement of this index forms a part of the complete prenatal evaluation of structural heart disease. The degree of cardiomegaly may provide useful information about secondary lung compression or cardiac failure and therefore assist in giving an accurate prognosis for postnatal survival.
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The cardiothoracic area ratio, the ratio of the area of the heart and the thorax on 4CV, is a representative indicator of congenital heart diseases (CHDs) and fetal heart failure.
“the cardiothoracic area ratio, the ratio of the area of the heart and the thorax on 4CV, is a representative indicator of congenital heart diseases (CHDs) and fetal heart failure [35,36].”
From Model-Agnostic Method for Thoracic Wall Segmentation in Fetal Ultrasound Videos (2020) · cites this paper as [35]
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M-mode echocardiography in the developing human fetus.
Allan, L. D., Joseph, M. C., Boyd, E., Campbell, S. C., & Tynan, M. J. (1982) · Heart · doi:10.1136/hrt.47.6.573 · Cited by 207 · see citing works
Self-citationDeVore, G. R., Donnerstein, R. L., Kleinman, C. S., et al. (1982) · PubMed · Cited by 52 · see citing works
DeVore, G. R., Horenstein, J. M., & Platt, L. D. (1986) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(86)90351-0 · Cited by 44 · see citing works
Cardiac size during prenatal development.
Hv, J. (1987) · PubMed · Cited by 16 · see citing works
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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 · see citing works
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Model-Agnostic Method for Thoracic Wall Segmentation in Fetal Ultrasound Videos
Shozu, K., Komatsu, M., Sakai, A., Komatsu, R., Dozen, A., Machino, H., Yasutomi, S., Arakaki, T., Asada, K., Kaneko, S., et al. (2020) · Biomolecules · doi:10.3390/biom10121691 · Cited by 38 · see citing works
- Authors
- Paladini, D., Chita, S. K., & Allan, L. D.
- Affiliations
- Guy's Hospital (GB)
- ORCID
- Paladini, D
- Venue
- Archives of Disease in Childhood
- Publisher
- BMJ
- Published
- 1990-01-01
- Volume
- 65
- Issue
- 1 Spec No
- Pages
- 20-23
- ISSN
- 0003-9888 (ISSN-L)
- 1468-2044
- PMC
- PMC1590163
- OpenAlex
- W2134299263
- Cited by
- 148
- References
- 4
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 7 · 2019: 2 · 2018: 6 · 2017: 6 · 2016: 7 · 2015: 3 · 2014: 7 · 2013: 5 · 2012: 7
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Disease in Childhood (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Keywords
- cardiothoracic ratio, fetal heart disease, congenital heart disease, hydrops fetalis, supraventricular tachycardia, Ebstein's anomaly, atrioventricular septal defect, complete heart block, fetal echocardiography, prenatal diagnosis, cardiomegaly, heart failure, prognosis
- MeSH terms
- Female, Fetal Diseases, Fetal Heart, Heart Defects, Congenital, Humans, Pregnancy, Prenatal Diagnosis, Thorax, Ultrasonography
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