S4.2 Controversies in Prenatal Cardiac Diagnoses in Malaysia
Dr Lim Miin Kang
Symposium 4 – Fetal Medicine
Prenatal screenings for cardiac abnormalities are available. However controversies remain in various aspects. Therefore, this talk aims to highlight the controversies surrounding these issues in particular, those relevant to our local practice.
These issues include:
- Diagnosis
- What is the best approach for maximal diagnosis of critical cardiac disease within our local practice?
- Would the use of pulse oximetry for newborn pre and post-ductal saturations complement or replace prenatal cardiac echocardiogram?
- Post-diagnosis
- Should termination be an option?
- How should long term prognosis of the condition influence our approach in counseling?
- Who is best to carry out counselling after prenatal diagnosis?
- Fetal arrhythmia
- What is the evidenced-based for medical treatment of fetal tachyarrhythmia?
- Should steroid therapy be considered for fetal heart block?