{"id":4011,"date":"2025-07-26T11:44:20","date_gmt":"2025-07-26T11:44:20","guid":{"rendered":"https:\/\/praenatal-zuerich.ch\/?page_id=4011"},"modified":"2025-08-19T04:40:30","modified_gmt":"2025-08-19T04:40:30","slug":"fetale-herzuntersuchung","status":"publish","type":"page","link":"https:\/\/praenatal-zuerich.ch\/?page_id=4011","title":{"rendered":"Fetale Herzuntersuchung"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>IVF-Schwangerschaften und fetale Herzfehler<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Die fetale Herz-Basisuntersuchung geh\u00f6rt zum Grundangebot f\u00fcr alle Schwangeren, aber bei erh\u00f6hten Risiken ist das Angebot einer detaillierten Herzuntersuchung (=fetale Echokardiographie) indiziert.&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Eine 2017 ver\u00f6ffentlichte Zusammenfassung wissenschaftlicher Studien (Meta-Analyse) fand ein um 50 % erh\u00f6htes Risiko f\u00fcr angeborene Herzfehler bei Neugeborenen, wenn Frauen durch IVF incl. ICSI schwanger werden, im Vergleich zu einer spontanen Empf\u00e4ngnis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Die 2018 in der Fachzeitschrift&nbsp;<em>Ultrasound in Obstetrics and Gynecology<\/em>&nbsp;ver\u00f6ffentlichte Meta-Analyse wertete acht Studien aus, an denen 25 856 Kinder, die durch IVF-Techniken gezeugt wurden, und 287 995 Kinder, die spontan gezeugt wurden, beteiligt waren, und umfasste insgesamt 2289 F\u00e4lle von angeborenen Herzfehlern. In der IVF\/ICSI-Gruppe wurden 1,30 % und in der Gruppe der spontan gezeugten Kinder 0,68 % angeborene Herzfehler festgestellt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8222;Wir glauben, dass IVF\/ICSI-Schwangerschaften ein erh\u00f6htes Risiko f\u00fcr KHKs als Folge einer fr\u00fchen Plazenta-Dysfunktion aufweisen; diese Hypothese sollte jedoch in zuk\u00fcnftigen Studien nachgewiesen werden.&nbsp;<strong><u>Wir empfehlen eine fetale Echokardiographie bei allen Schwangerschaften nach IVF\/ICSI<\/u><\/strong>&#8222;, sagte der Erstautor Dr. Paolo Cavoretto.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(<em>Ultrasound Obstet Gynecol<\/em>. 2018 Jan;51(1):33-42. doi: 10.1002\/uog.18932)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Diesen Verdacht wurde in einer aktuellen Studie erneut best\u00e4tigt: Prof. Wennerholm und Kollegen aus Schweden analysierte fast acht Millionen Geburten in Skandinavien und fanden relevante angeborene Herzfehler bei 3159 nach IVF geborenen Kindern (1,84 %) und bei 86 824 nach normaler Empf\u00e4ngnis geborenen Kindern. Das Risiko f\u00fcr angeborene Herzfehler war 30% h\u00f6her nach IVF als nach spontaner Empf\u00e4ngnis (absolute Risiken 0,35% versus 0,26%; AOR 1,30; 95 % CI 1,20-1,42). Das Risiko war nach ICSI und IVF sowie bei gefrorenem und frischem Embryotransfer \u00e4hnlich. <strong><u>Mithilfe der Reproduktionstechnologie entstandene Kinder haben relevant h\u00e4ufiger angeborene Herzfehler.<\/u><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(<em>European Heart Journal<\/em>, https:\/\/doi.org\/10.1093\/eurheartj\/ehae572)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/praenatal-zuerich.ch\/wp-content\/uploads\/2023\/07\/UOG-2023-Carvalho-ISUOG-Practice-Guidelines-updated-fetal-cardiac-screening.pdf\"><strong>Hier<\/strong><\/a> finden Sie die aktuelle internationalen Leitlinie zur fetalen Herzuntersuchung. <br><a href=\"https:\/\/on-demand.courses\/enrol\/index.php?id=15\"><strong>Hier<\/strong><\/a> gelangen Sie zu einer on-demand-Vorlesung \u00fcber die fetale Herzuntersuchung (gratis).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nachfolgend ein Lehr-Video zur Herzuntersuchung:<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/653457756?h=7ea4f7b532&amp;dnt=1&amp;app_id=122963\" width=\"500\" height=\"364\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Boris Tutschek, Praenatal-Zuerich.ch, 2014-2025<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>IVF-Schwangerschaften und fetale Herzfehler Die fetale Herz-Basisuntersuchung geh\u00f6rt zum Grundangebot f\u00fcr alle Schwangeren, aber bei erh\u00f6hten Risiken ist das Angebot [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":14,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-4011","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/4011","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4011"}],"version-history":[{"count":10,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/4011\/revisions"}],"predecessor-version":[{"id":4038,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/4011\/revisions\/4038"}],"up":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/14"}],"wp:attachment":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4011"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}