TY - CHAP M1 - Book, Section TI - The Screening Examination of the Fetal Heart: A Practical Approach A1 - DeVore, Greggory R. A2 - Fleischer, Arthur C. A2 - Abramowicz, Jacques S. A2 - Gonçalves, Luis F. A2 - Manning, Frank A. A2 - Monteagudo, Ana A2 - Timor, Ilan E. A2 - Toy, Eugene C. PY - 2017 T2 - Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e AB - Fetal echocardiography was introduced to clinical medicine in the early 1980s when the first studies reported its use for evaluation of cardiac arrhythmias as well as basic cardiac anatomy using M-mode, M-mode-directed real-time, and real-time ultrasound.1-29 Although the prenatal diagnosis of congenital heart defects was the goal, a logical approach to the problem was not available until investigators in 1985 suggested the concept of using the four-chamber view as an initial screening tool to detect fetuses at risk for structural malformations.30-36 After DeVore et al introduced the inclusion of color Doppler in the screening protocol to improve detection of congenital heart defects, other investigators reported similar results.32,37-44 While using the four-chamber view to screen for congenital heart disease seemed promising, it met with varied success.1,32,45-49 One of the main reasons was that not all major heart defects altered the size, shape, or anatomy of the structures identified in the four-chamber view.47 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - obgyn.mhmedical.com/content.aspx?aid=1151030174 ER -