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Ethnicity and other factors that may affect the prevalence of echogenic intracardiac foci in the fetus
Author(s) -
Lim Louis,
Aptekar Leslie,
Bombard Allan,
Juliard Kell,
Meenakshi Bhillakar,
Weiner Zeev
Publication year - 2006
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20240
Subject(s) - medicine , gestational age , intracardiac injection , fetus , gestation , obstetrics , incidence (geometry) , cohort , pregnancy , pediatrics , pathology , surgery , genetics , physics , optics , biology
Abstract Purpose. To study ethnicity and other possible factors that may affect the incidence of echogenic intracardiac foci (EIF) when detected via sonographic examination. Materials and Methods. Patients were referred to our institution for sonographic evaluation from a wide range of practice formats, including both private obstetric practices as well as community outpatient clinics. The study protocol included presence or absence of EIF, maternal age, ethnicity, gestational age during the examination, optimal versus suboptimal scans, presence of other fetal malformations and sonographic markers, and presence of chromosomal anomalies. Fetal outcome was ascertained in 90% of the study group. For statistical analysis, the chi‐square test and the Student t ‐test were used. Results. The study group included 1,543 patients who had a fetal anatomy survey between 16 and 24 weeks' gestation. The prevalence of EIF was similar in all 4 ethnic groups (Asian, Hispanic, black, and white). There were 76 cases of EIF—an overall prevalence of 4.9%. Seventy‐one of these cases were isolated in the left ventricle, 2 were isolated in the right ventricle, and 3 showed multiple foci. The prevalence of EIF was similar between younger and older patients, early and late gestational age at the time of sonographic examination, and optimal and suboptimal sonograms. Fetuses with EIF had significantly more congenital anomalies and other sonographic markers compared with fetuses without EIF. Conclusions. We did not find any significant difference in the prevalence of EIF among the 4 different ethnic groups. The association between congenital anomalies and other sonographic markers should be studied further. © 2006 Wiley Periodicals, Inc. J Clin Ultrasound 34:327–329, 2006