This page was last edited on 3 February 2022, at 20:50. Dec 1, 2021 at 3:42 PM. An echogenic intracardiac focus (or EIF) is a small bright spot seen on a developing baby's heart during an ultrasound. 203, 2nd floor, 71 Raintree, 2nd lane, Hindu colony, Near Swaminarayan temple Dadar East . Thank you! Group Black's collective includes Essence, The Shade Room and Naturally Curly. It shows up as a bright spot on the heart in imaging, and it's thought to be a microcalcification on the heart muscle. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). . Copyright Rachel Rodgers Design 2021. They are considered to represent mineralization within the papillary muscles. or 817-882-2400, 5323 Harry Hines Blvd. Hope everything turns out okay! EIF is more frequently found in babies whose mothers have Asian ancestry. Though typically harmless, the defect also carries a slightly higher risk for chromosomal conditions such asDown syndrome. Your doctor will probably refer you to a maternal-fetal medicine doctor for advanced imaging of the findings, just to be safe. May cause obstruction to mitral/ tricuspid/ aortic or pulmonary valve. 2005-2023Everyday Health, Inc., a Ziff Davis company. I had an amnio done same day and 48 hours later the FISH results were back and negative for all trisomies and triploidy. Amniocentesis is a test to check a baby's chromosomes. I would like to know if anyone has got EIT before and Im really worried as a first time mom, dr said its nothing to worry about, that its common and goes away. It needs to be differentiated from normal papillary muscle which is not as bright as bone and a moderator band which is situated at the ventricular apex. Look up EIF on this apptons of people with the same and the absolute majority have had zero issues and healthy babies. in high-risk pregnancies,there is an increased incidence of aneuploidic anomalies (e.g. eCollection 2019 Nov. Song Y, Xu J, Li H, Gao J, Wu L, He G, Liu W, Hu Y, Peng Y, Yang F, Jiang X, Wang J. December 2013. 2004;23 (7): 895-8. Midwife called with Anatomy results and they found a shadow where baby's heart is. Some doctors think that the bright spot is due to an area of the heart muscle where more calcium than average has collected. In association with some other anomaly, doctor may ask for genetic evaluation. An echogenic intracardiac focus is a hyperechogenic spot (aka bright spot) that is seen on a babys ultrasound in utero; the most common location of this bright spot is the left ventricle of the heart. Find advice, support and good company (and some stuff just for fun). A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Achiron R, Lipitz S, Gabbay U, Yagel S. Prenatal ultrasonographic diagnosis of fetal heart echogenic foci: no correlation with Down syndrome. 14. Your Pregnancy Matters, A few days later I get a call from my OB saying that baby is growing appropriate and everything looked great BUT there was a white spot found in his heart called Echogenic Intracardiac Focus. Well, in 1995, a study was done by the Department of Obstetrics and Gynecology, Massachusetts General Hospital on 1334 pregnant women found that babies with a documented echogenic intracardiac focus had a significant risk of Down syndrome. Archived post. Often the EIF is gone by the third trimester. Wrede E, Knippel AJ, Verde PE, Hammer R, Kozlowski P. Ultrasound Int Open. 1388 Replies. [1] In the case of an isolated EIF, and no other ultrasound findings, some studies show that the risk for a chromosome abnormality is approximately two times a woman's background risk. 2000;216 (2): 450-6. I remember how much it stressed me out! Rev Port Cardiol. Significance of fetal intracardiac echogenic foci in relation to trisomy 21: a prospective sonographic study of high-risk pregnant women. My husband and I just went to our anatomy scan. How important is a cardiac echogenic focus in a routine fetal Hi everyone, I have had a few ultrasounds and our son had a very slight risk for downs but there were no major markers to indicate it just an abnormal AFP test. Latest: 10 days ago | saradork 2 The provider said it could be a soft marker for Down syndrome, or could turn out to be nothing to worry about at all. Echogenic focus in fetal heart to worry or not to worry Not infrequently, serious cardiac defects are confused as echogenic focus in fetal heart. Dec 1, 2021 at 3:42 PM. pregnancy, Next Article On ultrasound, areas with more calcium (such as in bones) cause the sound waves to respond with a brighter appearance on the screen. University of Colorado OB-GYN 20122022 | Terms of use | Privacy Policy| Website by Vanguard Communications, Womens Sexual Health Consultation Service, American College of Obstetricians and Gynecologists. They may be more common in the Asian population 5 . Your post will be hidden and deleted by moderators. 2000 Aug;216(2):450-6. doi: 10.1148/radiology.216.2.r00au32450. All Rights Reserved, We use cookies to enhance your experience while using our website. It was only flagged for me because the baby showed 3 different spots. An EIF in the fetal heart may indicate an increased chance of the baby having a chromosome problem. It is an "extremely wimpy" indicator of downsas in most babies who have an echogenic focus do not have downs, and most kids with downs do . Echogenic focus is common animals found in which doesn't interfere with normal cardiac activity . PDF Echogenic Intracardiac Focus (EIF) - Kaiser Permanente Federal government websites often end in .gov or .mil. When an echogenic intracardiac focus is identified in an otherwise normal second trimester fetus, a normal cell-free DNA test can be very reassuring and obviate the need for invasive testing. Incidence in normal fetuses = 4.8% ; Incidence in Down syndrome = 18% . Echogenic intracardiac focus (EIF) constitutes a finding in the ultrasound study that indicates an area which is echogenically bright in the fetal heart and is as bright as the bone that moves synchronically to the atrioventricular valves. New Patient Appointment Cold symptoms (cough, sore throat, runny nose, shortness of breath). This bright spot, which is usually seen in the ventricle of the heart, is referred to as an echogenic intracardiac focus. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. These terms can sound scary. [2] Results take about two weeks. Use of this site is subject to our terms of use and privacy policy. In isolation, it is not a risk factor for chromosomal anomaly. Isolated Echogenic Cardiac Focus: Assessing Association with Trisomy 21 by Combining Results from a Prenatal Center with a Bayesian Meta-Analysis. Please specify a reason for deleting this reply from the community. Also I dont know if it will be reassurance for you or not but the extremely reputable specialist we saw talked to us about what exactly causes the Echogenic intracardiac foci and said that its super common to have 1 show up, its just where dense tissue comes together and since the heart is a muscle its not rare. Echogenic intracardiac focus | Radiology Reference Article This is thought to represent mineralization, or small deposits of calcium, in the muscle of the heart. my husband and I were so excited to find out the gender of our first baby yesterday at our 20w anatomy scan. Clipboard, Search History, and several other advanced features are temporarily unavailable. Lets understand what is echogenic focus in heart and which cardiac defects one should be careful about. Hello all,I am currently awaiting blood results for CMV. I didnt have any genetic testing done so Im not sure if Im at risk or not for Down Syndrome but from my research its very unlikely the baby has Down Syndrome unless paired with other markers. Hello everyone I had my anatomy scan today, and all looked well except they said baby seemed to have a echogenic intracardiac focus in the left ventricle. Most fetuses with these findings will, however, not have chromosomal abnormalities, especially when these findings are isolated. 1998 Apr;170(4):1083-4. doi: 10.2214/ajr.170.4.9530064. Echogenic intracardiac focus in 2nd-trimester fetuses with trisomy 21: usefulness as a US marker. Group Black's collective includes Essence, The Shade Room and Naturally Curly. EIFs themselves have no impact on health or heart function. Create an account or log in to participate. 2004;23 (3): 459-61. Our doctor sent us to get a fetal echocardiogram where the doctor pretty much said that its just a calcium build up and using this as a marker for Down syndrome was years and years ago and there is barely any correlation unless the baby has other significant markers. The second and third findings are markers, which means theyre loosely associated with (but not causes of) chromosomal conditions such as trisomy 21, or Down syndrome. Clinical significance of soft markers in second trimester ultrasonography for pregnant Korean women: a multicenter study and literature review. MeSH A finding of a focus of increased echogenicity upon prenatal ultrasound examination of the fetus. Radiology. It will not permanently affect your baby's heart. Chromosomal microarray analysis for the detection of chromosome abnormalities in fetuses with echogenic intracardiac focus in women without high-risk factors. Out of all the cardiac chambers, the left ventricle is the most frequent in terms of location. One of our twins had it. 2022 Mar;65(2):145-155. doi: 10.5468/ogs.21216. You can selectively provide your consent below to allow such third party embeds. In our study, echogenic foci were predominantly found in the left ventricle (85%) similar to the 61-88% reported by others 2, 4, 10.. Smith-Bindman et al. Obstet Gynecol Sci. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Why EIF is seen in some babies and not others is unknown. SMFM considers an EIF a "soft marker" which is a . EIF a sonographic finding consisting of a bright echogenic area in the heart of fetus with a brightness similar to a bone 1 that moves synchronically towards atrioventricular valves. I dont have any advice but I had my anatomy scan today and they want to check him for coarctation of the aorta. This site needs JavaScript to work properly. echogenic intracardiac focus The Bump echogenic intracardiac focus - August 2022 Babies - What to Expect The same logic applies here; the heart is a muscle. Carrying a genetic dislocation for Down syndrome. 2017 Feb;56(1):16-22. doi: 10.1016/j.tjog.2016.11.002. If thats the only marker I would think it unlikely that your baby has DS. Bromley and co-workers 1995(6). Most of the time, EIF is seen during a routine prenatal ultrasound performed around weeks 8-20 of the pregnancy. Fetuses with an echogenic intracardiac focus have a significantly increased risk of Down syndrome. Among the 1334 patients in the study group, 66 fetuses (4.9%) had an echogenic intracardiac focus. OB and genetic counselor let me know that it is something they have to mention but that this appears in 1 in 5 pregnancy anatomy scans with babies being okay. I guess this is a soft marker for downs syndrome but since there is only this marker, everything else on the scan was perfect, and I'm low risk, its unlikely that this means my baby has downs. I have the appointment Monday and will let you know what the specialist says. Echogenic intracardiac focus: a sonographic sign for fetal Down I explain what it means and why they shouldnt worry. An echogenic intracardiac focus is a small bright spot seen within the region of the heart seen during an ultrasound examination. Are intracardiac echogenic foci markers of congenital heart disease in the fetus with chromosomal abnormalities? You already had the harmony test and got good results, so at this point you should just try to relaxand enjoy your healthy pregnancy! My question is why bother? This is thought to represent mineralization, or small deposits of calcium, in the heart muscle. The exam looks at the four chambers of the fetal heart; the right atrium, left atrium, right ventricle, and left ventricle. Keep us posted on how the genetic karyotyping turns out! Front Genet. There are two kinds of prenatal tests available, screening tests and diagnostic procedures. Note that once you confirm, this action cannot be undone. An EIF is one clue which can contribute to the chances of a chromosome problem existing. J Ultrasound Med. Generally the risks are low if there are no other risk factors. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. "Some ultrasound findings, like an echogenic intracardiac focus (EIF) are frequently detected on ultrasound," Dr. Chao says. So, which chamber is the right or left one? Intracardiac echogenic foci are very frequent findings during routine fetal ultrasound examination and sometimes a reason for referral of patients for fetal echocardiography. Although most fetuses with this finding are normal, patients carrying fetuses with an echogenic intracardiac focus should be counseled about the increased risk of trisomy 21. It basically covers every aspect of being pregnant from the psychological effect its going to have on the parents to the medical side of things (Zika virus, prenatal screening, and the safety of medications during pregnancy, as well as a brand-new section on postpartum birth control). Im so glad i found this post ! Okay, so this is a first pregnancy and the doctor has mentioned an Echogenic Intracardiac Focus - EIF a white spot on the developing baby's heart. Answer (1 of 4): "..testimonies related to this and the outcome" are not going to be helpful. We are left with two options: MRIs and Ultrasound. The risk only becomes really significant when there are other risk factors involved in the pregnant woman. Find advice, support and good company (and some stuff just for fun). Patients who do not require an urgent visit will be rescheduled for a telehealth visit (see below). Your guide to pregnancy-related abbreviations, PeriPAN: Getting pregnant and postpartum women mental health care faster. Winter TC, Anderson AM, Cheng EY, Komarniski CA, Souter VL, Uhrich SB, Nyberg DA. Echogenic Intracardiac During a second trimester ultrasound, the fetal heart is routinely examined. thats great to hear everything has come back negative so far! The most commonly studied soft markers of aneuploidy include a thickened nuchal fold, long bones shortening, mild fetal pyelectasis, echogenic bowel, echogenic intracardiac focus, FMF angle > 90 degrees, pathologic velocity of Ductus venosus and choroid plexus cyst. Amniocentesis is very accurate; however, there is a risk of miscarriage which occur in 0.51% of women who have amniocentesis. There you have it, youre done with your first radiology lecture. Careers. Yes, had this with my 2 year old son at every ultrasound. The sensitivity, specificity, and positive predictive value for using the presence of an echogenic intracardiac focus to identify a fetus with Down syndrome was 18.2, 95.3, and 6.1%, respectively. If we keep this up, youll graduate from medical school in a week! A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. 1st Pregnancy. An echogenic intracardiac focus (EIF) is a relatively common finding, even in otherwise normal fetuses. 1998 Feb;17(2):127-31. doi: 10.7863/jum.1998.17.2.127. This is what they told me. Learn how and when to remove this template message, "Significance of an echogenic intracardiac focus in fetuses at high and low risk for aneuploidy", https://en.wikipedia.org/w/index.php?title=Echogenic_intracardiac_focus&oldid=1069740505, Mother's age at the expected date of delivery. EIF has no impact on heart function before or after birth and almost never requires follow-up testing.If a patient has already had an amniocentesis orchorionic villus sampling (CVS), or even a cell-free fetal DNA screen, then all of these findings are even less important. Soft markers detectable at the mid-trimester ultrasound The frequency of the detection of fetal echogenic intracardiac foci with respect to maternal race. Some of these can be quite scary, particularly when the patient sees them in electronic medical records or imaging reports without context from a doctor. Please whitelist our site to get all the best deals and offers from our partners. If the baby has normal chromosomes, there would be no associated problems to be concerned about. Most importantly, advanced maternal age during the pregnancy. Obstetrics and gynecology. Since they do not cause problems for the baby, additional ultrasounds to follow-up on the EIF are not needed. Echogenic intracardiac focus (EIF) April 11, 2023 | by jrglovexox Midwife called with Anatomy results and they found a shadow where baby's heart is. Four-chamber view of the heart showing a single echogenic intracardiac focus on left side. During pregnancy; however, we have to be careful with what machine we use. At the time the article was created Yuranga Weerakkody had no recorded disclosures. View Yuranga Weerakkody's current disclosures, see full revision history and disclosures, monochorionic monoamniotic twin pregnancy, absent umbilical arterial end diastolic flow, reversal of umbilical arterial end diastolic flow, fetal middle cerebral arterial Doppler assessment, spectrum of abnormal placental villous adherence, traumatic abruptio placental scale (for CT), abnormal endometrial thickness (differential), serous type adenocarcinoma of the endometrium, clear cell type adenocarcinoma of the endometrium, mucinous type adenocarcinoma of the endometrium, prostate peripheral zone T2 hypointensity, juvenile granulosa cell tumor of the testis, abnormal testicular Doppler flow (differential), autosomal dominant polycystic kidney disease (ADPKD), autosomal recessive polycystic kidney disease (ARPKD), cystitis following radiation or chemotherapy, the presence of an echogenic intracardiac focus has to be interpreted in the context of maternal risk factors and other sonographic anomalies, when seen in isolation in a normal pregnancy it is considered a benign variant and some authors state karyotyping is unwarranted in the mid-trimester fetus with an incidental finding of fetal heart echogenic focus. Results: Should I be worried? Echogenic intracardiac focus - July 2021 Babies - What to Expect I had my 20 week ultrasound on 3/1/2021 I had a hunch there was something up when the tech told me she needed to take a few more pictures of the heart and some other parts after more than 30 mins into the appointment. But echogenic intracardiac focus (EIF) is almost never something to worry about. Keep me posted on how everything turns out! The good news is that most of these cases disappear by the second half of the third trimester and have no consequences on the babys health and well-being. This educational content is not medical or diagnostic advice. Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. Having had one child with down syndrome before. doi: 10.1097/MD.0000000000019014. Mumbai. For others, I dont say anything at all. doi: 10.1055/a-1118-3974. ADVERTISEMENT: Supporters see fewer/no ads. She said it was nothing to worry about and it's very common and should not pose any risk. Epub 2022 Feb 21. My husband and I are both doctors and own our separate private offices . Although the EIF doesnt cause problems for the baby, some studies have suggested there could be a slightly increased risk for Down syndrome when this ultrasound finding is present. Our baby had an echogenic focus on the left ventricle as well at our 20 week ultrasound. Objective: To assess the incidence of echogenic intracardiac foci in a mixed population of fetuses at high and low risk for congenital heart defects, and to . We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. EIF|Echogenic intracardiac focus - Perinatology.com I was a bit worried during pregnancy but everything turned out good healthwise! It shows up as a bright spot on the heart in imaging, and it's thought to be a microcalcification on the heart muscle. In other simple words, an echogenic intracardiac focus is nothing but the deposit of calcium and other minerals inside the hearts myocardium (another fancy word for the hearts muscle). official website and that any information you provide is encrypted document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Sujyot Heart Clinic have been providing different services for cardiography and Doppler related services. Prentice G, Welsh A, Howat A, Ross D, Henry A. Australas J Ultrasound Med. Just wanted to send you love and positivity! Every machine has its particular properties and a different mechanism of action compared to another. What is a dobutamine stress echocardiogram? Helping you understand scary (but often harmless) pregnancy ultrasound Hi, I'm new to posting, but I wanted to see if anyone has had or is having the same experience. However; other major cardiac defects can be mis-diagnosed as echogenic focus. What does echogenic focus in kidney mean? - Wise-Answer The symptoms on the ultrasound are small head circumference (measuring 8th percentile), echogenic intracardiac focus and two very small benign echogenic foci on the liver. This is because your bones are mostly composed of minerals such as calcium and phosphate. Doctors involve in this clinics having vast experience in this field. Abstract. Assured me my baby is developing just fine and that nothing is wrong with her heart. Find a Location, Appointment Bethesda, MD 20894, Web Policies and transmitted securely. They may be more common in the Asian population 5 . The ultrasound tech said that everything looked good. Microcalcifications of the papillary muscles or chordae tendinae are being represented by this . Echogenic intracardiac focus (EICF) is defined as a focus of echogenicity comparable to bone, in the region of the papillary muscle in either or both ventricles of the fetal heart . If we see this defect on an ultrasound, well thoroughly examine the baby to make sure everything else is developing as expected. EIF | Univ. of Colorado OBGYN | Denver, Boulder, Aurora
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