In fact, up to 20% or 1 in 5 babies are found to have an echogenic focus in the second or third trimester of the pregnancy. EIF occurs in as many as 5 percent of all pregnancies. The ultrasound tech said that everything looked good. To determine whether an echogenic intracardiac focus identified in the second-trimester fetus is related to an increased risk of Down syndrome. But echogenic intracardiac focus (EIF) is almost never something to worry about. Management options for echogenic intracardiac focus and choroid plexus It disappears by the time of birth or after birth. I didnt ask her much questions because I was in shock but I am reading on it now and I think its the NIPT, I will ask more questions when I speak to the Genetics specialist. Conclusion: Expecting parents encounter an abundance of medical terms during pregnancy. Routine-care appointments such as women's wellness exams will be delayed or rescheduled for a future date. My NIPT blood work and overall baby girls body, face, spine and all is normal appearance. These terms can sound scary. doi: 10.1097/MD.0000000000019014. Check for errors and try again. I did the NIPT testing and it flagged me high risk for triploidy so I had to see a fetal specialist. 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. Though typically harmless, the defect also carries a slightly higher risk for chromosomal conditions such asDown syndrome. Well continue with a little lecture on radiology, but dont let the word lecture spook you out., it will all make sense by the end, I promise. PDF Echogenic Intracardiac Focus: A bright white dot in the fetal heart 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. Glad everything turned out well-hopefully I can say the same soon! Unauthorized use of these marks is strictly prohibited. 203, 2nd floor, 71 Raintree, 2nd lane, Hindu colony, Near Swaminarayan temple Dadar East . Medicine (Baltimore). 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. 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. These findings have been linked with an increased risk of Down syndrome and trisomy 18. 400014. 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. Echogenic Focus (EIF): Definition, Causes, Treatment - Verywell Family Pathology It is important to remember that with an isolated EIF, chances are strongly in favor of a normal pregnancy outcome, but the patient is entitled to further counseling and testing options. We might do extra ultrasounds in the third trimester just to check on the babys growth, but nothing else needs to be done there are no long-term complications. There is no special testing recommended for pregnancies found to have an isolated EIF. 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. I had mine done this week and was told the same.. had an appointment with a genetic counselor because my head was going 100 different directions. Just wanted to send you love and positivity! 203, 2nd floor, 71 Raintree, 2nd lane, Hindu colony, Near Swaminarayan temple Thank you for your collaboration in keeping our community healthy, and remember we are here for you! Flu symptoms (fever, chills, body aches, etc.). Isolated 'soft signs' of fetal choroid plexus cysts or echogenic intracardiac focus - consequences of their continued reporting. An EIF is one clue which can contribute to the chances of a chromosome problem existing. Echogenic foci, left ventricle: That's what was written in the ultrasound report. 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. Echogenic Intracardiac Focus: A bright white dot in the fetal heart An echogenic intracardiac focus (EIF) is a bright white spot in the fetal heart that looks like a tiny golf ball. EIF|Echogenic intracardiac focus - Perinatology.com In isolation it does not signify any heart defect. He also said that the echogenic focus will go away either before or after birth. 89 (6): 945-8. Most commonly found in the left ventricle of the developing heart,. EIF occurs in as many as 5 percent of all pregnancies. Please specify a reason for deleting this reply from the community. Nevertheless, you should consult your primary care physician or Ob/Gyn doctor when you have any doubts or multiple risk factors of Trisomy 21 so you and your doctor can discuss the next best course of action. EIF is considered a normal pregnancy variation, but prenatal screening tests may be desirable to test for any abnormalities. The risk only becomes really significant when there are other risk factors involved in the pregnant woman. We strive to provide you with a high quality community experience. No special treatment or tests are needed at delivery. He said it happens in 1-5% of pregnancies. Group Black's collective includes Essence, The Shade Room and Naturally Curly. This bright spot is due to a bit of calcium in one of the muscles that attaches to the heart valve. Well also check the mothers risk for chromosomal abnormalities through blood tests or other screenings. I dont have any advice but I had my anatomy scan today and they want to check him for coarctation of the aorta. Echogenic intracardiac focus Implications - News-Medical.net 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. PDF Echogenic Intracardiac Focus Find a Location, Appointment On ultrasound, areas with more calcium (such as in bones) cause the sound waves to respond with a brighter appearance on the screen. Karyotypic information was obtained on each fetus. Bright focal reflections within the heart were judged to be either "true" or "false" echogenic intracardiac foci. What is an echogenic intracardiac focus (EICF)? The most common location is the left ventricle which now you know where its located. Clinical significance of soft markers in second trimester ultrasonography for pregnant Korean women: a multicenter study and literature review. Amniocentesis is a diagnostic procedure available until about 22 weeks of pregnancy for prenatal diagnosis of chromosome abnormalities. I had an amnio done same day and 48 hours later the FISH results were back and negative for all trisomies and triploidy. 9. Manning JE, Ragavendra N, Sayre J, Laifer-Narin SL, Melany ML, Grant EG, Crandall BF. It shows up as a bright spot on the heart in imaging, and it's thought to be a microcalcification on the heart muscle. 1st Pregnancy. and transmitted securely. The first thing patients should know is just because your doctor picks something up on an ultrasound doesn't mean your baby is sick. 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. It is not a structural abnormality and considered a normal variant representing calcified deposits in the muscle of the fetal heart that appear as bright spots on prenatal ultrasound. I know these are hard times, but we got this! EIFs are found in about 3-5% of normal pregnancies and do not cause any health problems. Bethesda, MD 20894, Web Policies 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 . They may be more common in the Asian population 5 . May cause obstruction to mitral/ tricuspid/ aortic or pulmonary valve. 1 These bright spots seen in the heart are called echogenic intracardiac foci (multiple) or an echogenic intracardiac focus (singular), which is often shortened to EIF, a cardiac echogenic focus, or echogenic focus. If you shoot X-ray beams at the mothers uterus, the fetus will be vulnerable and the consequences are rather dire; ranging from simple harmless DNA mutations to complete malformations of the newborn. The foci may be present in one or both ventricles. For this reason, when a pregnant woman comes to the doctors office to check on her fetus, we dont use X-rays machines or a CT scan which also involves using X-ray beams. An echogenic intracardiac focus (or EIF) is a small bright spot seen on a developing baby's heart during an ultrasound. I am working with the doctor to know more but until I meet with them or nurses, I need some motherly advice. Just got back from my specialist ultrasound and everything is 100% normal. Echogenic intracardiac focus is an ultrasound finding that is most commonly seen during the second and third trimester of pregnancy. I remember how much it stressed me out! The anatomy scan went well until they found an isolated EIF on left ventricle. Results: 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. 1998 Apr;170(4):1083-4. doi: 10.2214/ajr.170.4.9530064. Like many topics about pregnancy, the echogenic intracardiac focus is surrounded by myths that scare the pregnant couple and that lack any scientific evidence or logic. 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. 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. 2021 Mar 26;12:626044. doi: 10.3389/fgene.2021.626044. 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). Mumbai. "An EIF is a bright spot in one of the chambers of the . It is so common in babies with Asian ethnicity that it cant even be used as a marker. But on average, these babies weigh 6.5 pounds and arrive after 38 weeks of pregnancy not very small or very early. HHS Vulnerability Disclosure, Help EIFs are found in about 3-5% of normal pregnancies and cause no health problems. So our first question when we detect a bright spot is about the parents ethnic backgrounds. They are typically seen as a small bright echoic focus within the fetal heart on a four chamber view (often as bright as bone). The specialist said that any one of those 4 things would be nothing to worry about but since I had all 4 they wanted to do further testing since 2 are signs of Downs syndrome and 2 are signs of triploidy. You already had the harmony test and got good results, so at this point you should just try to relaxand enjoy your healthy pregnancy! Skip to Site Navigation 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. They did an anatomy scan and found Echogenic intracardiac foci in multiple places, one of the kidneys had a dilated renal pelvis and the baby was missing the middle bone on both pinky fingers. The team at University of Colorado OB-GYN. Since they do not cause problems for the baby, additional ultrasounds to follow-up on the EIF are not needed. 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. It was only flagged for me because the baby showed 3 different spots. Echogenic intracardiac focus (EIF) is a relatively common sonographic observation that may be present on an antenatal ultrasound scan. It is so common in babies with Asian ethnicity that it can't even be used as a marker. 6. The frequency of the detection of fetal echogenic intracardiac foci with respect to maternal race. I did take the NIPT test today and praying I get good news by next week, my baby girl is fine and thats all they found in the ultrasound.. Copyright Rachel Rodgers Design 2021. An echogenic intracardiac focus (or EIF) is a small bright spot seen on a developing baby's heart during an ultrasound.The cause of EIF is unknown, but the condition is generally harmless.EIF is considered a normal pregnancy variation, but prenatal screening tests may be desirable to test for any abnormalities. Bright spot seen in heart during evaluation of fetus. An echogenic intracardiac focus has been associated with an increased risk of Down syndrome and trisomy 13 (1), trisomy 18 and monosomy X (2-5). Echogenic intracardiac focus. This bright spot, which is usually seen in the ventricle of the heart, is referred to as an echogenic intracardiac focus. 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. Echogenic intracardiac focus in 2nd-trimester fetuses with trisomy 21: usefulness as a US marker. ADVERTISEMENT: Supporters see fewer/no ads. Objective: 2000 Aug;216(2):450-6. doi: 10.1148/radiology.216.2.r00au32450. 8600 Rockville Pike We are still awaiting the full genetic karyotyping but the specialist didnt anticipate it showing anything serious. echogenic intracardiac focus should i be worried echogenic intracardiac focus The Bump In association with some other anomaly, doctor may ask for genetic evaluation. Echogenic intracardiac focus. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Your Pregnancy Matters, BUT! Echogenic Intracardiac Focus - Should I get the level 2 Ultra - Reddit If there are no problems or chromosome abnormalities, EIFs are considered normal changes, or variants. Dadar East . Echogenic Intracardiac Focus Echogenic focus in fetal heart to worry or not to worry Not infrequently, serious cardiac defects are confused as echogenic focus in fetal heart. But echogenic intracardiac focus (EIF) is almost never something to worry about. She said it was nothing to worry about and it's very common and should not pose any risk. EIF prenatal ultrasound findings Tools Echogenic intracardiac focus ( EIF) is a small bright spot seen in the baby's heart on an ultrasound exam. Isolated Echogenic Cardiac Focus: Assessing Association with Trisomy 21 by Combining Results from a Prenatal Center with a Bayesian Meta-Analysis. After delivery, there is no use for these arteries. My patients emotional health is just as important as their physical health, and I dont want them to worry unnecessarily. Echogenic intracardiac focus was originally described as a normal variant and has been demonstrated to be micro-calcifications within the papillary muscle. While it is impossible to be completely certain that no birth defects are present in the baby, most pregnancies with isolated ElF (no other abnormal ultrasound findings) will result in a healthy baby. An echogenic intracardiac focus (EICF) is a small white spot that may be seen on your baby's heart during one of your routine ultrasounds. Hope everything turns out okay! 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. If the baby has normal chromosomes, there would be no associated problems to be concerned about. Not infrequently, serious cardiac defects are confused as echogenic focus in fetal heart. pregnancy, Next Article The OB said the standard of care is to then proceed to a level 2 ultra sound. Echogenic intracardiac focus | Radiology Reference Article Anyone with Echogenic Intracardiac Focus - April 2022 Babies | Forums 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. Bromley and co-workers 1995(6). Even though when the doctor is facing a patient, the heart of that patient is located on the right side from the doctors perspective. 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).

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