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Echogenic Cardiac Focus
Roya Sohaey, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Intracardiac echogenic focus (IEF)
            • Synonyms

              • Echogenic intracardiac focus (EIF)
              • Intracardiac echogenic focus (ICEF)
              • Echogenic cardiac focus (ECF)
            • Definitions

              • Focal echogenicity of papillary muscle

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. He M et al: Chromosomal microarray analysis for the detection of chromosome abnormalities in fetuses with echogenic intracardiac focus in women without high-risk factors. Medicine (Baltimore). 99(5):e19014, 2020
                                2. Chiu G et al: Intracardiac echogenic focus and its location: association with congenital heart defects. J Matern Fetal Neonatal Med. 32(18):3074-8, 2019
                                3. Winter TC et al: How to integrate cell-free DNA screening with sonographic markers for aneuploidy: an update. AJR Am J Roentgenol. 210(4):906-12, 2018
                                4. Yozgat Y et al: Modified myocardial performance index is not affected in fetuses with an isolated echogenic focus in the left ventricle. J Matern Fetal Neonatal Med. 28(3):333-7, 2015
                                5. Reddy UM et al: Fetal imaging: executive summary of a joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Institute of Ultrasound in Medicine, American College of Obstetricians and Gynecologists, American College of Radiology, Society for Pediatric Radiology, and Society of Radiologists in Ultrasound Fetal Imaging Workshop. J Ultrasound Med. 33(5):745-57, 2014
                                6. Altug N et al: Echogenic focus in the fetal left ventricular cavity: is it a false tendon? Early Hum Dev. 89(7):479-82, 2013
                                7. Chasen ST et al: Echogenic intracardiac foci: disclosure and the rate of amniocentesis in low-risk patients. Am J Obstet Gynecol. 209(4):377.e1-3, 2013
                                8. Rodriguez R et al: The continuing enigma of the fetal echogenic intracardiac focus in prenatal ultrasound. Curr Opin Obstet Gynecol. 25(2):145-51, 2013
                                9. Gupta G et al: Intracardiac echogenic focus and fetal outcome. J Clin Ultrasound. 38(9):466-9, 2010
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Pathology

                                      • Clinical Issues

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Intracardiac echogenic focus (IEF)
                                          • Synonyms

                                            • Echogenic intracardiac focus (EIF)
                                            • Intracardiac echogenic focus (ICEF)
                                            • Echogenic cardiac focus (ECF)
                                          • Definitions

                                            • Focal echogenicity of papillary muscle

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Natural History & Prognosis

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. He M et al: Chromosomal microarray analysis for the detection of chromosome abnormalities in fetuses with echogenic intracardiac focus in women without high-risk factors. Medicine (Baltimore). 99(5):e19014, 2020
                                                              2. Chiu G et al: Intracardiac echogenic focus and its location: association with congenital heart defects. J Matern Fetal Neonatal Med. 32(18):3074-8, 2019
                                                              3. Winter TC et al: How to integrate cell-free DNA screening with sonographic markers for aneuploidy: an update. AJR Am J Roentgenol. 210(4):906-12, 2018
                                                              4. Yozgat Y et al: Modified myocardial performance index is not affected in fetuses with an isolated echogenic focus in the left ventricle. J Matern Fetal Neonatal Med. 28(3):333-7, 2015
                                                              5. Reddy UM et al: Fetal imaging: executive summary of a joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Institute of Ultrasound in Medicine, American College of Obstetricians and Gynecologists, American College of Radiology, Society for Pediatric Radiology, and Society of Radiologists in Ultrasound Fetal Imaging Workshop. J Ultrasound Med. 33(5):745-57, 2014
                                                              6. Altug N et al: Echogenic focus in the fetal left ventricular cavity: is it a false tendon? Early Hum Dev. 89(7):479-82, 2013
                                                              7. Chasen ST et al: Echogenic intracardiac foci: disclosure and the rate of amniocentesis in low-risk patients. Am J Obstet Gynecol. 209(4):377.e1-3, 2013
                                                              8. Rodriguez R et al: The continuing enigma of the fetal echogenic intracardiac focus in prenatal ultrasound. Curr Opin Obstet Gynecol. 25(2):145-51, 2013
                                                              9. Gupta G et al: Intracardiac echogenic focus and fetal outcome. J Clin Ultrasound. 38(9):466-9, 2010