Advanced Fetal Echocardiography

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Presentation

  • Fetal cardiology is a defined sub-specialty within fetal medicine. It requires a high degree of knowledge of foetal cardiac anatomy and circulation and a mastery of techniques for the visualisation of cardiac structure and function throughout the three trimesters of gestation. A thorough knowledge of the possible intrauterine evolution, associated pathologies and of course the prognosis of the different cardiac malformations is also necessary. Fetal cardiology defines a new field of knowledge that is clearly supradisciplinary, in which it is necessary to combine original knowledge of fetal medicine and paediatric cardiology. Although it is essential that an advanced unit has both types of specialists, it is essential that all members have a detailed knowledge of aspects of the other speciality in order to offer the patient the best medicine available.

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Content

Introduction

  1. Importance and epidemiology of congenital heart disease. JM Martínez
  2. Fetal echocardiography. JM. Martínez
  3. Techniques for the measurement of fetal cardiac function. F. Crispi
  4. Study of fetal cardiac function: indications and considerations. F. Crispi

Module 1. Septal Congenital Heart Diseases 

  1. Ventricular septal defect. O. Gómez
  2. Atrioventricular septal defect. F. Crispi
  3. Double inlet single ventricle. O. Gómez

Module 2. Left Congenital Heart Diseases  

  1. Left hypoplastic heart and Mitral atresia. O. Gómez
  2. Aortic stenosis / Atresia. O. Gómez
  3. Coarctation of aorta. O. Gómez
  4. Interrupted aortic arch. O. Gómez
  5. Other aortic arch anomalies: a) Right aortic arch b) Aberrant right subclavian artery c) Double aortic arch. O. Gómez

Module 3. Right Congenital Heart Diseases  

  1. Tricuspid atresia. JM. Martínez.
  2. Ebstein anomaly,Tricuspid valve dysplasia. JM. Martínez.
  3. Pulmonary stenosis-atresia. JM. Martínez.

Module 4. Conotruncal Congenital Heart Diseases  

  1. Tetralogy of Fallot. M. Bennasar.
  2. Transposition of great arteries. M. Bennasar.
  3. “Corrected” transposition of great arteries. M. Bennasar.
  4. Double outlet right ventricle. M. Bennasar.
  5. Truncus arteriosus. M. Bennasar.URL

Module 5. Other Defects

  1. Anomalies of pulmonary and systemic venous return. JM. Martínez.
  2. Other congenital heart defects: a) Isomerisms b) Cardiomyopathies c) Tumors. JM. Martínez.
  3. Alert signs: a) Intracardiac echogenic focus b) Asymmetry c) Cardiac axis deviation d) Tricuspid regurgitation e) Pericardial effusion. JM. Martínez.
  4. Arrhythmias: a) Irregular Rhythms b) Tachyarrhythmias c) Bradyarrhythmias. O. Gómez.
  5. Fetal therapy: Cardiac intervention. JM. Martínez.
  6. Final summery and conclusions. JM. Martínez.URL

Details

Course beggining and duration

From 2022, August 8th to 2023, August 7th. Inscription will close on 2023, July 3rd.

The student will have access from the moment he/she purchases the course until the deadline for the publication of the course.

Adressed to:

This course is aimed at fetal medicine specialists with an advanced level of echocardiography, or paediatric cardiologists with an interest and/or practice in fetal medicine. The course is focused on the diagnosis and advanced orientation of these pathologies, which implies a mastery of 2D and Doppler fetal echocardiography techniques. However, it also covers in depth aspects that are essential for the proper practice of foetal cardiology, and therefore a significant amount of time is devoted to discussing aspects of postnatal prognosis and different surgical correction techniques. This provides the specialist with the necessary knowledge to enable him/her to adequately orientate the complementary study and advice to parents, aspects as relevant as prognosis.

Course objectives

  1. Understand and know how to use the methodology for the evaluation of the foetal cardiovascular system and its clinical significance.
  2. Know and know how to apply the new technologies and parameters for the study of foetal cardiac function.
  3. Understand the use of echocardiography in the first trimester of gestation.
  4. Know the new technologies in the study of the foetal heart.
  5. To explain the estimation of the prognosis of the different cardiopathies detected in the prenatal phase and the different neonatal and early childhood therapeutic options.
  6. Understand and know how to use the methodology for the evaluation of the foetal cardiovascular system and its clinical significance.
  7. Know and know how to apply the new technologies and parameters for the study of foetal cardiac function.
  8. Understand the use of echocardiography in the first trimester of gestation.
  9. Know the new technologies in the study of the foetal heart.
  10. To explain the estimation of the prognosis of the different heart diseases detected in the prenatal phase and the different therapeutic options for neonatal and early childhood.

Methodology

  1. Theoretical classes grouped by topics, always with practical cases interspersed throughout the presentation, following the “problem solving” methodology so that students consolidate the concepts proposed in the objectives.
  2. During these classes, images of real clinical cases diagnosed and treated in our centre will be massively used and algorithms and protocols of action will be presented. Photos and videos of practically all the cardiopathies that can be diagnosed prenatally at this time are presented.
  3. Final evaluation by means of an exam consisting of different real clinical cases presented with videos, with multiple-choice multiple-choice questions. A 70% of correct answers is required to pass the exam.

Evaluation

The presentation of the topics will be structured on the basis of problem solving through the essential theoretical content. The development of each topic will follow a clinical outline and will use images and videos. At the end of the presentations, the student can obtain a certificate of completion of the theoretical training and pass the knowledge acquisition test. Once the knowledge has been acquired and in order to obtain the certificate, a multiple-choice test must be taken. For the validation test you have 3 attempts and must answer 70% of the answers correctly. Each time you enter the test, even if you do not answer any questions, it counts as an attempt.

Access to the course:

The student will have access from the moment he/she purchases the course until the deadline for the publication of the course.

To access the course, you must log in to the Virtual Campus with your username and password.

Certifications

This course offers a certificate of achievement from Fetal I+D Education Barcelona.

Teaching Team

COURSE MANAGEMENT

Dr. Olga Gómez / Dr. José M. Martínez

Faculty

The teaching staff is made up of interdisciplinary medical specialists with extensive experience in the field of perinatal infections, mostly from BCNatal and Hospital Clínic de Barcelona.