About This CME Teaching Activity
This CME activity provides detailed information on the evaluation of the normal fetal heart both from an anatomic and functional approach. In keeping with progress in this field, detailed information on the use of three-dimensional ultrasound in fetal echocardiography and cardiac imaging in the early gestation is presented. The CME activity also provides comprehensive evaluation of various cardiac malformations, involving abnormalities of the cardiac chambers and the outflow tracts.
Target Audience
This CME activity will greatly benefit physicians and sonographers in the fields of obstetric imaging, fetal echocardiography and pediatric cardiology. Residents in obstetrics and gynecology, as well as fellows in maternal fetal medicine and pediatric cardiology, will also benefit greatly. It should also prove valuable to those physicians and sonographers wanting to gain a more in-depth knowledge of fetal echocardiography.
Educational Objectives
At the completion of this CME teaching activity, you should be able to:
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Discuss indications for fetal echocardiography, review existing guidelines and the approach to patient counseling.
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Optimize ultrasound equipment for the use of 2D and Doppler in fetal echocardiography.
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Review the normal fetal cardiac anatomy.
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Describe the abnormalities of the venous system of the fetal heart.
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Discuss in detail anomalies of the cardiac chambers to include septal defects and anomalies of the right and left ventricle.
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Review in detail anomalies of the outflow tracts to include transposition of great arteries, tetralogy of Fallot complex and aortic arch abnormalities.
No special educational preparation is required for this CME activity.
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On-Demand Cancellation Policy
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Faculty
Alfred Abuhamad, M.D.
Professor and Chairman
Department of Obstetrics and Gynecology
Vice Dean for Clinical Affairs
Eastern Virginia Medical School
Norfolk, VA
Tracy L. Anton, BS, RDMS, RDCS, FAIUM
Assistant Clinical Professor
Department of Reproductive Medicine
Ultrasound Practitioner
University of California, San Diego
San Diego, CA
Bettina F. Cuneo, M.D.
Professor of Pediatrics and Obstetrics
University of Colorado School of Medicine
Children's Hospital Colorado
Director of Perinatal Cardiology and Fetal Cardiac Telemedicine
Colorado Institute for Maternal and Fetal Health
Aurora, CO
Edgar Jaeggi, M.D., FRCP©
Head, Fetal Cardiac Program
Labatt Family Heart Center
Professor of Paediatrics
University of Toronto
Senior Associate Scientist
SickKids - Hospital for Sick Children
Toronto, ON
Jack Rychik, M.D.
Robert and Dolores Harrington Endowed Chair in Pediatric Cardiology
Director, Fetal Heart Program
Professor of Pediatrics
The Children's Hospital of Philadelphia
Philadelphia, PA
Elena Sinkovskaya, M.D., Ph.D.
Associate Professor of Obstetrics and Gynecology
Director of Ultrasound Research & Education
Division of Maternal-Fetal Medicine
Eastern Virginia Medical School
Norfolk, VA
Julia E. Solomon, MDCM, FACOG, FAIUM
Director, Fetal Diagnostic Center of Arizona
Chandler, Arizona
Clinical Associate Professor
University of Arizona
Session 1
Fetal Echocardiography: How to Obtain the Best Image
Tracy L. Anton, BS, RDMS, RDCS, FAIUM
Normal Fetal Cardiac Anatomy: The Cardiac Chambers
Julia E. Solomon, MDCM, FACCOG, FAIUM
How to Screen for Congenital Heart Disease in the First & Second Trimester
Elena Sinkovskaya, M.D., Ph.D.
New National Guidelines for Fetal Echocardiography
Tracy L. Anton, BS, RDMS, RDCS, FAIUM
Just Images & Movie Clips: Do You Know the Diagnosis?
Elena Sinkovskaya, M.D., Ph.D.
Session 2
Anomalies of the Cardiac Chambers 1: Atrial and Ventricular Septal Defects
Julia E. Solomon, MDCM, FACCOG, FAIUM
Anomalies of the Cardiac Chambers 2: Atrioventricular Septal Defects
Edgar Jaeggi, M.D., FRCP(C)
Anomalies of the Cardiac Chambers 3: Hypoplastic Left Heart Syndrome & Critical Aortic Stenosis
Jack Rychik, M.D.
Anomalies of the Cardiac Chambers 4: Abnormal Right Ventricle (Tricuspid Atresia, Ebstein Anomaly, Pulmonary Atresia with Intact Septum)
Bettina F. Cuneo, M.D.
Session 3
Case Presentation I: Venous Anomalies
Tracy L. Anton, BS, RDMS, RDCS, FAIUM
Anomalies of the Cardiac Chambers 5: Single Ventricle-Type Congenital Heart Disease
Bettina F. Cuneo, M.D.
Systemic Fetal Venous Malformations: A Standardized Approach to Diagnosis
Alfred Abuhamad, M.D.
Fetal Ectopy and Tachyarrhythmias: Diagnosis & Management
Edgar Jaeggi, M.D., FRCP(C)
Case Presentation II: Fetal Echo and Maternal Fetal Medicine Management
Julia E. Solomon, MDCM, FACCOG, FAIUM
Session 4
Case Presentation III: Fetal Arrhythmias
Edgar Jaeggi, M.D., FRCP(C)
Panel Discussion - Question and Answer Session: The Cardiac Chambers & Cardiac Rhythm
Faculty
Tips & Tricks of Fetal Echocardiography
Tracy L. Anton, BS, RDMS, RDCS, FAIUM
Normal Fetal Cardiac Anatomy: The Three Vessel Trachea View
Alfred Abuhamad, M.D.
Session 5
Optimal Approach to Counseling for Fetal Congenital Heart Disease
Jack Rychik, M.D.
Genetic Aspects of Congenital Heart Disease
Julia E. Solomon, MDCM, FACCOG, FAIUM
Just Images & Movie Clips: Do You Know the Diagnosis?
Elena Sinkovskaya, M.D., Ph.D.
Session 6
The Use of 3D/4D Ultrasound in Fetal Cardiac Imaging
Elena Sinkovskaya, M.D., Ph.D.
Anomalies of Great Vessels 1: Transposition of Great Vessels
Julia E. Solomon, MDCM, FACCOG, FAIUM
Anomalies of the Great Vessels 2: Tetralogy of Fallot
Alfred Abuhamad, M.D.
Anomalies of the Great Vessels 3: Aortic Arch Abnormalities
Jack Rychik, M.D.
Session 7
Case Presentation IV: Fetal Cardiac Rhythm: Hidden Dangers
Elena Sinkovskaya, M.D., Ph.D.
Anomalies of Pulmonary Venous Return
Jack Rychik, M.D.
Bradyarrhythmias and Long QT Syndrome
Bettina F. Cuneo, M.D.
Treating Cardiac Conditions before Birth
Edgar Jaeggi, M.D., FRCP(C)
Case Presentation V: Complex Cardiac Anomalies
Elena Sinkovskaya, M.D., Ph.D.
Session 8
Case Presentation VI: Parameters of Fetal Cardiac Function
Elena Sinkovskaya, M.D., Ph.D.
Panel Discussion - Question and Answer Session: Normal Anatomy, Arrhythmias and Interventions
Faculty
Update on Management of Pregnancies with Sjogren's Antibodies
Bettina F. Cuneo, M.D.
Situs Abnormalities: Heterotaxy Syndromes and Situs Inversus
Edgar Jaeggi, M.D., FRCP(C)
Prenatal Evaluation of Cardiac Function
Elena Sinkovskaya, M.D., Ph.D.
Session 9
Cardiac Imaging in Early Gestation
Alfred Abuhamad, M.D.
New Doppler Mode for Microvasculature Evaluation
Elena Sinkovskaya, M.D., Ph.D.
Just Images of the Fetal Heart: Can You Make the Diagnosis
Alfred Abuhamad, M.D.
Case Presentation VII: The Three Vessel View
Tracy L. Anton, BS, RDMS, RDCS, FAIUM