Who Should Have a Fetal Echocardiogram
Pregnancies may be at risk for congenital heart disease for a variety of reasons. You may be referred to a CHOC fetal cardiologist for a number of reasons, including:
Fetal risk factors include:
- An abnormal appearing heart
- Abnormal heart rate or arrhythmia on routine screening ultrasound
- Aneuploidy (chromosomal abnormality)
- Increased nuchal translucency thickness at first trimester evaluation
- Noncardiac fetal structural abnormalities
- A two-vessel umbilical cord
- Fluid accumulation in the fetus.
Maternal risk factors include:
- Maternal diabetes, lupus or other systemic disease that involves the heart
- First-trimester use of known teratogens
- Assisted reproduction technology
- Maternal congenital heart disease.
Familial risk factors include:
- A history of a previous child being born with a heart defect
- The father being born with a heart defect
- Other close relatives being born with heart defects or syndromes known to involve the heart.