My son had an EIF at 18 weeks and he did not have Down syndrome. Epub 2022 Feb 21. Although some studies have reported that the number or location of echogenic foci affects the risk of fetal aneuploidy (higher risk with biventricular or right ventricular involvement), the general consensus is that these factors have not been proven to matter. Publication types Clinical Trial MeSH terms I guess Im just looking for anyone who has gone through something similar? This is thought to represent mineralization, or small deposits of calcium, in the muscle of the heart. An echogenic intracardiac focus (EIF) is a relatively common finding, even in otherwise normal fetuses. 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. If the pregnant woman has no other risk factors and the ultrasound shows no other signs of abnormal findings that suggest a genetic malformation, then no. 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 . I also read it could be a marker for Down syndrome. "Some ultrasound findings, like an echogenic intracardiac focus (EIF) are frequently detected on ultrasound," Dr. Chao says. We do as much as we can to make sure you worry as little as possible, but if you do run across a term that concerns you, please ask. Echogenic intracardiac focus (EIF) Has anyone ever heard of Echogenic intracardiac focus (EIF)? EIF is considered a normal pregnancy variation, but prenatal screening tests may be desirable to test for any abnormalities. It is not a defect or a disease. 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. Obstet Gynecol Sci. Just freaking out a little and want to know. 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. December 2013. Again, if its an isolated finding, we dont worry about it. Winter TC, Anderson AM, Cheng EY et-al. Midwife called with Anatomy results and they found a shadow where baby's heart is. So we had our anatomy scan today and everything was normal but an Echogenic intracardiac focus showed on the babies heart which I guess can be a sign of Down syndrome. Hello all,I am currently awaiting blood results for CMV. 1998 Feb;17(2):127-31. doi: 10.7863/jum.1998.17.2.127. Wrede E, Knippel AJ, Verde PE, Hammer R, Kozlowski P. Ultrasound Int Open. For instance, an X-ray machine uses a beam of radioactive x-rays and shoots them at the patient to see what image is created. Medicine (Baltimore). Echogenic Intracardiac During a second trimester ultrasound, the fetal heart is routinely examined. 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. HHS Vulnerability Disclosure, Help December 2013. During a 10-month period, all women with singleton gestations who underwent second-trimester genetic amniocentesis for non-imaging indications were evaluated prospectively by prenatal sonography. Before So at my 20 week scan on Monday they found an EIF. Anderson N, Jyoti R. Relationship of isolated fetal intracardiac echogenic focus to trisomy 21 at the mid-trimester sonogram in women younger than 35 years. Your doctor will probably refer you to a maternal-fetal medicine doctor for advanced imaging of the findings, just to be safe. 21 (4): 354-8. chronic prostatitis and chronic pelvic pain syndrome (CPPS). I remember how much it stressed me out! Note that once you confirm, this action cannot be undone. It is associated with a higher risk of Down syndrome but in most cases, its just a benign finding. Id immediately answer: What to Expect When Youre Expecting by Heidi Murkoff. or Call214-645-8300. Thank you for your collaboration in keeping our community healthy, and remember we are here for you! You see, in medicine, we use a sense of direction that is based on the patient. Unable to process the form. Sometimes; however, when a mineral such as calcium aggregates together. Its a classic bestseller book with over 18 million copies sold. An echogenic intracardiac focus (EIF) does not affect health of the baby or how the baby's heart works. Echogenic intracardiac focus (EIF) April 11, 2023 | by jrglovexox Midwife called with Anatomy results and they found a shadow where baby's heart is. However, it can be found anywhere inside the heart, and on rare occasions, the bright spot isnt an isolated finding. Especially considering the comments above about their baby having EIF and being totally healthy! Tools Echogenic intracardiac focus ( EIF) is a small bright spot seen in the baby's heart on an ultrasound exam. But otherwise, virtually all of these cysts go away on their own with no long-term risk and no need for follow-up testing during or after pregnancy. Reference article, Radiopaedia.org (Accessed on 01 May 2023) https://doi.org/10.53347/rID-10787. 2001 Jun;20(6):655-74. doi: 10.7863/jum.2001.20.6.655. or 214-645-8300 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. EIF is more frequently found in babies whose mothers have Asian ancestry. 2020 Jan;99(5):e19014. . Surprisingly, this finding is quite common. Please specify a reason for deleting this reply from the community. 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. Poorly Controlled seizure unusual presentation of long QT sydrome. An echogenic focus on its own poses no health risk to the fetus, and when the baby is born, there are no risks to their health or cardiac functioning as a result of an EIF. I feel like another scan will just add more stress and I don't see the benefit of it. The most common location is the left ventricle which now you know where its located. Can be observed 1 in 5 pregnancy, during second and third trimester. Routine-care appointments such as women's wellness exams will be delayed or rescheduled for a future date. my baby has an EIF and I decided to do an amnio because if my baby had Down syndrome I wanted to know. There are two kinds of prenatal tests available, screening tests and diagnostic procedures. Look up EIF on this apptons of people with the same and the absolute majority have had zero issues and healthy babies. Among theentire population studied(901 subjects), theincidence oftnisomy21was2% (17/901). Epidemiology They are thought to be present in ~4-5% of karyotypically normal fetuses. An echogenic intracardiac focus (or EIF) is a small bright spot seen on a developing baby's heart during an ultrasound. 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. SMFM considers an EIF a "soft marker" which is a . Chromosomal microarray analysis for the detection of chromosome abnormalities in fetuses with echogenic intracardiac focus in women without high-risk factors. Accessibility May cause obstruction to mitral/ tricuspid/ aortic or pulmonary valve. Prentice G, Welsh A, Howat A, Ross D, Henry A. Australas J Ultrasound Med. Significance of an echogenic intracardiac focus in fetuses at high and low risk for aneuploidy. Skip to Site Navigation Abstract. 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. I didnt get the genetic testing last time either so I was a little worried. My patients emotional health is just as important as their physical health, and I dont want them to worry unnecessarily. The provider said it could be a soft marker for Down syndrome, or could turn out to be nothing to worry about at all. EIF occurs in as many as 5 percent of all pregnancies. The site is secure. An EIF is one clue which can contribute to the chances of a chromosome problem existing. I ended up getting a level 2 ultrasound (for something else- my second baby was born with a birth defect and it could happen again), but they checked on the marker on the heart and the specialist said her daughter had one as well and it was nothing. Incidence in normal fetuses = 4.8% ; Incidence in Down syndrome = 18% . Echogenic intracardiac focus. The provider said it could be a soft marker for Down syndrome, or could turn out to be nothing to worry about at all. It is possible that calcium deposits in the muscle wall of the ventricles may cause these spots. Conclusion: Fetuses with an echogenic intracardiac focus have a significantly increased risk of Down syndrome. May have flow reversal in arterial duct and oval foramen. I had this with my now two year old and he turned out fine no Down syndrome. They are considered to represent mineralization within the papillary muscles. If you are using our Services via a browser you can restrict, block or remove cookies through your web browser settings. The person doing the ultrasound, called the ultrasound technician or sonographer . Your physician might order an amniocentesis, which is a procedure to take some amniotic fluid (the fluid that the baby floats in) and do karyotyping (chromosome analysis). An echogenic intracardiac focus is a small bright spot seen within the region of the heart seen during an ultrasound examination. Gynecol. That means that 99/100 babies with this finding will not have Down syndrome. Scheduled me for a 30 week scan and said its possible that the EIF could be gone by then anyways. A single umbilical artery is associated with a higher risk that the baby might have a problem with other organ systems such as the heart and kidneys. An EIF is not a birth defect, and does not cause any long term health problems for the baby. Dec 1, 2021 at 3:42 PM. The 18-23 week scan. I have to go back in 3. FOIA Hi coming from the February group! 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. Should I be worried about EIF on ultrasound? The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. She said she will sent the pictures to be reviewed and a write up will be completed for my doctor to review with me. 1st Pregnancy. Hi, I'm new to posting, but I wanted to see if anyone has had or is having the same experience. The DR. told me that just having one doesnt really mean much need for concern but if there were many they would do a sooner follow up. Radiology. New comments cannot be posted and votes cannot be cast. Generally the risks are low if there are no other risk factors. Not infrequently, serious cardiac defects are confused as echogenic focus in fetal heart. Echogenic intracardiac focus (EIF) is a relatively common sonographic observation that may be present on an antenatal ultrasound scan. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. Please specify a reason for deleting this reply from the community. 7. Group Black's collective includes Essence, The Shade Room and Naturally Curly. Would you like email updates of new search results? Why EIF is seen in some babies and not others is unknown. [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. Conclusion: Other studies report up to a 1% risk for Down syndrome when an EIF is seen on a second trimester fetal ultrasound exam. Ultrasound Obstet Gynecol. EIFs are found in about 3-5% of normal pregnancies and do not cause any health problems. If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. We also have an echogenic focus, along with a couple other soft markers for downs. 400014. To be honest, its a bit tricky! Your Pregnancy Matters, Mental Health; She said that it's nothing to worry about but it could be a marker for Down Syndrome. Your Pregnancy Matters, Appointment The early reports of sonographically detected intracardiac echogenic foci mainly concerned isolated echogenic spots in the fetal left ventricle 1-3.Subsequently, echogenic foci were detected in the right ventricle, both ventricles and even in the left atrium 4, 5.Since the original description in 1988 the significance of these echogenic foci has been controversial, with some authors . 8600 Rockville Pike New Patient Appointment, Appointment Echogenic intracardiac focus is an ultrasound finding that is most commonly seen during the second and third trimester of pregnancy. It is not healthy for you or the baby. EIFs are found in about 3-5% of normal pregnancies and cause no health problems. Manning JE, Ragavendra N, Sayre J et-al. I did go ahead and get the NIPT testing done, and everything came back low risk today . The frequency of the detection of fetal echogenic intracardiac foci with respect to maternal race. 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. Hello all,I am currently awaiting blood results for CMV. As you may know, the heart is composed of 4 small chambers; the upper two chambers are given the name: atria (plural of atrium), and the lower two are called ventricles. Bookshelf Create an account or log in to participate. Archived post. which is a little cute if you think about it! Amniocentesis is very accurate; however, there is a risk of miscarriage which occur in 0.51% of women who have amniocentesis. No Down Syndrome. doi: 10.1055/a-1118-3974. 2017 Feb;56(1):16-22. doi: 10.1016/j.tjog.2016.11.002. The rate of false echogenic intracardiac focus cases was 34 per 200 (17%). The team at University of Colorado OB-GYN. Echogenic intracardiac focus is an ultrasound finding that is most commonly seen during the second and third trimester of pregnancy. Federal government websites often end in .gov or .mil. One of our twins had it. 2005-2023Everyday Health, Inc., a Ziff Davis company. Rev Port Cardiol. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Radiology. Mumbai. The results indicate EIF. How? Search Conditions & Treatments These white spots are most likely seen during your mid-pregnancy ultrasound, which takes place between 18 weeks and 22 weeks. An EIF does not generally impact the overall health of the baby or the development of his or her heart. Echogenic focus is common animals found in which doesn't interfere with normal cardiac activity . For complete information about the cookies we use, data we collect and how we process them, please check our, Les Jeunes Sont Irresponsables Texte Argumentatif. Keep me posted! 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 . Oct 1, 2017 at 8:01 PM. An intracardiac echogenic focus (ICEF) . 2. This will evaluate the four normal chambers of the heart: the right atrium and ventricle, and left atrium and ventricle. If the baby has normal chromosomes, there would be no associated problems to be concerned about. People ask, Is it taking up space so normal brain tissue cant develop? Anderson N, Jyoti R. Relationship of isolated fetal intracardiac echogenic focus to trisomy 21 at the mid-trimester sonogram in women younger than 35 years. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. 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. However, it can be seen in any pregnancy, regardless of race. Extrapolating to a lower risk population, the positive predictive value of an echogenic intracardiac focus for detecting Down syndrome in patients at an age-based risk of one in 250, one in 500, and one in 1000 was calculated to be 1.53, 0.77, and 0.39% respectively. We also have an echogenic focus, along with a couple other soft markers for downs. Of course, this isnt an exact number. Most fetuses with these findings will, however, not have chromosomal abnormalities, especially when these findings are isolated. Winter TC, Anderson AM, Cheng EY, Komarniski CA, Souter VL, Uhrich SB, Nyberg DA. So our first question when we detect a bright spot is about the parents ethnic backgrounds. If you ask me whats my favorite book to recommend to pregnant women? Youve probably have taken an X-ray before, right? An isolated intracardiac echogenic focus as a marker for aneuploidy. What do echogenic foci mean on ultrasound? Most commonly found in the left ventricle of the developing heart . EIFs are found in about 35% of normal pregnancies and cause no health problems. It was only flagged for me because the baby showed 3 different spots. Find advice, support and good company (and some stuff just for fun). Some researchers think single umbilical artery (SUA) might be associated with slightly smaller babies or delivering a few days early. 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. New Patient Appointment The exam looks at the four chambers of the fetal heart; the right atrium, left atrium, right ventricle, and left ventricle. Went to my anatomy scan today. Thanks. But enough about that for now. For others, I dont say anything at all. The foci may be present in one or both ventricles. Due tothe coronavirus (COVID-19) pandemic, we are implementingtemporary measures to ensure patient safety. Prenatal screening tests can help find out if there is a higher or lower chance of having a baby with a certain problem. I asked her if the heart was okay. Please enable it to take advantage of the complete set of features! ADVERTISEMENT: Supporters see fewer/no ads. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. 8. An official website of the United States government. She said it was nothing to worry about and it's very common and should not pose any risk. If thats the only marker I would think it unlikely that your baby has DS. Your post will be hidden and deleted by moderators. An echogenic intracardiac focus (or EIF) is a small bright spot seen on a developing baby's heart during an ultrasound. Thieme. . It shows up as a bright spot on the heart in imaging, and it's thought to be a microcalcification on the heart muscle. My NIPT blood work and overall baby girls body, face, spine and all is normal appearance. J Ultrasound Med. EIF occurs in as many as 5 percent of all pregnancies. BUT! You see, finding or missing an echogenic intracardiac focus depends on many factors, these include the babys position inside the uterus, the gestational age of the baby, the quality of the ultrasound machine, and the experience of the radiologist. Please whitelist our site to get all the best deals and offers from our partners. According to the MFM doc I saw, it is used as a marker for Down syndrome but only if a number of other signs are also noticed (small size, missing nasal bone, etc). Our baby had an echogenic focus on the left ventricle as well at our 20 week ultrasound. Expecting parents encounter an abundance of medical terms during pregnancy. ElF is considered a normal variation in fetal development and has not been found to cause any long-term health problems or heart problems for the baby. ultrasound,, They may be more common in the Asian population 5 . Can be observed 1 in 5 pregnancy, during second and third trimester. Im sure many of you have heard of this book or read it already; its simply a MUST-READ for new and even experienced parents. Are intracardiac echogenic foci markers of congenital heart disease in the fetus with chromosomal abnormalities? This site needs JavaScript to work properly. If there is more than one bright spot, they are called echogenic foci. Often the EIF is gone by the third trimester. Isolated Echogenic Cardiac Focus: Assessing Association with Trisomy 21 by Combining Results from a Prenatal Center with a Bayesian Meta-Analysis. Your Pregnancy Matters, 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. The .gov means its official. EIFs are found in about 3-5% of normal pregnancies and cause no health problems.") My doctor didnt seem to be too worried, since it's the only soft marker for DS they were able to see. View restrictions. Objective: My husband and I just went to our anatomy scan. The https:// ensures that you are connecting to the doi: 10.1097/MD.0000000000019014. Areas of the body that have more calcium, such as bones, show up brighter on an ultrasound. But once we have a little more information about your background and risk for congenital problems in the fetus, they rarely are cause for concern. Unauthorized use of these marks is strictly prohibited. However, if other risk factors are present. Most importantly, advanced maternal age during the pregnancy. [1] Types of chromosome problems that are occasionally seen include trisomy 13 (Patau syndrome) or trisomy 21 (Down syndrome). 2004;23 (3): 459-61. We are left with two options: MRIs and Ultrasound. Usually, when an echogenic genic focus is seen on ultrasound; its not a big deal. Your post will be hidden and deleted by moderators. My question is why bother? sharing sensitive information, make sure youre on a federal Yes, had this with my 2 year old son at every ultrasound. Copyright Rachel Rodgers Design 2021. I was a bit worried during pregnancy but everything turned out good healthwise! To determine whether an echogenic intracardiac focus identified in the second-trimester fetus is related to an increased risk of Down syndrome. The same logic applies here; the heart is a muscle. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. It does not affect the development of the baby or the function of the heart. Carrying a genetic dislocation for Down syndrome. Just wanted to say thank you again to everyone for the advice and positive thoughts-you all really helped ease my mind. The published risks of Down syndrome among fetuses with echogenic cardiac foci have varied from no increased risk up to a four-fold increase in the age-related risk. 4. What I honestly love about it is that it is both informative and humorous, which is exactly what an expecting couple needs. I couldn't find many videos about EIF findings and I thought others might be looking for one to help ease their mind. My husband and I are both doctors and own our separate private offices . A spot thats not supposed to be there. The anatomy scan went well until they found an isolated EIF on left ventricle. Hypoplasia or atresia of mitral and aortic valve, Flow reversal in oval foramen and distal aortic arch, Aortic stenosis ( difficult to diagnose in utero), Flow reversal in distal aortic arch may be present, May develop into hypoplastic left heart syndrome. I'm already terrorized at the chance that this could mean something bad, but I'm for sure not going to do an amnio. A small amount of amniotic fluid, which contains some fetal cells, is removed and tested. Significance of fetal intracardiac echogenic foci in relation to trisomy 21: a prospective sonographic study of high-risk pregnant women. Sometimes, one or more small bright spots are seen in one of the babys heart chambers, most frequently in the ventricles, or pumping chambers. [ 46] The foci must be visible. They simply shrivel up and waste away. I had the same thing told to me at my ultrasound today . Bright spot seen in heart during evaluation of fetus. I was diagnosed with this 2 weeks ago. Skip to Page Content, Refine your search: While I tend toward transparency, I do take it case by case. Bradley KE, Santulli TS, Gregory KD et-al. In association with some other anomaly, doctor may ask for genetic evaluation. So this really is just causing me a lot of stress. Many babies with chromosome problems do not show any signs on ultrasound. An echogenic intracardiac focus (or EIF) is a small bright spot seen on a developing babys heart during an ultrasound. Echogenic intracardiac focus and choroid plexus cysts are common findings at the midtrimester ultrasound. Echogenic focus in fetal heart to worry or not to worry, Suspect Critical Congenital Heart Defects in nursery and NICU. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. 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. Pathology They are typically seen as a small bright echoic focus within the fetal heart on a four chamber view (often as bright as bone). Four of 22 fetuses (18%) with trisomy 21 had an echogenic intracardiac focus, compared with 62 (4.7%) of 1312 fetuses without Down syndrome who also had an echogenic intracardiac focus (P = .004). This educational content is not medical or diagnostic advice. The first thing you notice is that all your bones look white and bright on the X-ray; whereas, your muscles and soft tissues appear dark and invisible. 5. Pathology This is thought to represent mineralization, or small deposits of calcium, in the heart muscle. If it is difficult to tell if the EIF is as bright as bone, the gain in the image can be decreased to see which structure disappears first. Echogenic intracardiac focus March 5, 2021 March 5, 2021 dianaduartenguyen Birth Month Groups 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. I just had my 20 week anatomy scan as well and they saw a calcium deposit (EIF). These findings have been linked with an increased risk of Down syndrome and trisomy 18. My NIPT blood work and overall baby girls body, face, spine and all is normal appearance. Use of this site is subject to our terms of use and privacy policy. 14. Answer (1 of 4): "..testimonies related to this and the outcome" are not going to be helpful. 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.
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