en یافته های مشاهده شده در قلب جنین بر اساس اکوکاردیوگرافی و بیماری مادر: یک مطالعه مقطعی Pregnancy Health Original Article Original Article <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ناهنجاری&shy;های قلبی عروقی مادرزادی شایع&shy;ترین گروه نقایص بدو تولد است و اکوکاردیوگرافی جنین جهت تشخیص این ناهنجاری&shy;ها در جمعیت&shy;های کم&shy;خطر و پر&shy;خطر از حساسیت و ویژگی بالایی برخوردار است.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این مطالعه با هدف<b> </b>ارزیابی یافته&shy;های مشاهده شده در قلب جنین بر اساس اکوکاردیوگرافی انجام گردید.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش&shy; ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این مطالعه مقطعی در 114 زن باردار مراجعه&shy;کننده به بیمارستان افشار یزد از مهر ماه&nbsp; تا اسفند ماه 1395 انجام شد. همه زنان حامله بر اساس پروتوکل غربالگری قلب جنین و با استفاده از راهنمای انجمن بین &shy;المللی سونوگرافی زنان و زایمان بررسی شدند. اطلاعات به دست آمده از جمله علت ارجاع مادران باردار، سن حاملگی، سن مادر، تعداد بارداری و تشخیص پس از تولد ثبت گردید.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">متوسط سن بارداری 20 هفته بود. شایع&shy;ترین علت ارجاع مادران باردار دیابت (8/36%)، آریتمی جنین (14%)، سن بالای مادر(7%) و کانون اکوژن (1/6%) بود. یافته&shy;های پس از تولد شامل: 78 مورد (4/68%) طبیعی، 20 مورد (6/17%) ناهنجاری قلبی و16 مورد (14%) آریتمی داشتند. نتایج براساس اکوکاردیوگرافی پس از تولد بجز در 2 مورد با اکوکاردیوگرافی جنینی مطابقت داشت.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه &shy;گیری</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">: این مطالعه نشان داد که اکوکاردیوگرافی جنین می&shy;تواند در تشخیص و درمان زودهنگام بیماری&shy;های قلبی مادرزادی و یا سقط درمانی بکار رود.</span></span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Congenital cardiovascular malformation is the most common group of birth defects. Fetal echocardiography is highly sensitive and specific in the diagnosis of congenital heart disease in low- and high-risk populations.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span><br> <span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Objective:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This study aimed to assess</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">abnormal findings in fetal echocardiography and maternal disease</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span></span></span><br> <span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This cross-sectional study was performed on 114 pregnant women referred to Afshar hospital, Yazd, Iran from October 2016 to March 2017. All pregnant women underwent fetal echocardiography through fetal heart screening protocol, which is administered by the international society of ultrasound in obstetrics and gynecology guidelines. Data collected included referral cause, gestational age, maternal age, gravida, and final diagnosis after an accurate fetal echocardiography. </span></span></span></span><br> <span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The mean gestational age was 20 wk. The most common referral cause of pregnant women included diabetes (36.8%), fetal arrhythmia (14%), high maternal age (7%), and echogenic focus on ultrasound (6.1%). The most common postpartum findings were normal (68.4%), cardiac abnormalities (17.6%), and arrhythmias (14%). In postnatal echocardiography, the results were consistent with fetal echocardiography except in 2 women.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span><br> <span style="font-size:11pt"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This study showed that fetal echocardiography can be used in the early diagnosis and treatment of congenital heart diseases</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></div> جنین, اکوکاردیوگرافی, بیماری قلبی مادرزادی. Fetus, Echocardiography, Heart defects, Congenital. 405 412 http://ijrm.ir/browse.php?a_code=A-10-1653-1&slc_lang=en&sid=1 Mohammad Reza Alipour dralipour53@yahoo.com 0000-0002-1365-8050 No Assistant Professor in Pediatric Cardiology, Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Hossein Moradi dehosseinmoradi202@gmail.com 0000-0002-6263-9024 No Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Seyedeh Mahdieh Namayandeh drnamayandeh@gmail.com 0000-0003-3616-2864 No Yazd Cardiovascular Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Fatemeh Majidpour biostatistic2015@gmail.com 0000-0002-9923-5576 No Yazd Cardiovascular Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Zohreh Pezeskpour dr.zpezeshkpour@gmail.com 0000-0002-6165-1160 Yes Research and Clinical Center Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mohammadtaghi Sarebanhassanabadi mtsareban@gmail.com 0000-0002-8867-4714 No Yazd Cardiovascular Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.