Avaliação da ocorrência do sinal de golf ball em ultrassonografia morfológica e sua relação com a idade materna e outras alterações congênitas

Bruno Alan Goulart Trovo; Igor Scudler Schleich; Valeria do Amaral

doi:10.23925/1984-4840.2018v20i2a3

Authors

Bruno Alan Goulart Trovo UniCesumar - Centro Universitário de Maringá – Maringá (PR), Brasil.
Igor Scudler Schleich UniCesumar - Centro Universitário de Maringá – Maringá (PR), Brasil.
Valeria do Amaral UniCesumar - Centro Universitário de Maringá – Maringá (PR), Brasil.

DOI:

https://doi.org/10.23925/1984-4840.2018v20i2a3

Keywords:

ultrasonography, prenatal, fetal heart, congenital heart defects, congenital, congenital abnormalities, maternal age, prevalence

Abstract

Introduction: Echogenic intracardiac focus or golf ball sign is a quite common ultrasound finding that does not cause any repercussion for the health of the fetus, except when abnormal findings coexist on examination or there are maternal factors, in which case further investigation may be required. Objective: This paper has the main purpose to identify the prevalence of golf ball sign isolated or associated with other congenital malformations, as well as to establish its possible relation to the maternal age. Method: This is a quantitative, retrospective and observational study of all reports issued from January to July 2015 to pregnant women in Maringá (Paraná, Brazil) and region who sought medical assistance at the Instituto de Imagem Maringá. The results were submitted to statistical analysis, in which absolute numbers, percentages and proportions were considered with their respective confidence intervals presented in tables and graphs. Results: Among the 680 evaluated fetuses, 81 had the golf ball sign (11.91%), with prevalence of 11.67% in pregnant women under 35 years of age and 12.85% in pregnant women over 35 years of age. The presence of golf ball sign did not influence the greater positivity of other congenital malformations. Conclusion: The prevalence of golf ball sign in the studied population was as predicted by the literature. Maternal age has no influence on the appearance of the sign; golf ball sign does not increase the risk, or it is influenced by the presence of other congenital abnormalities.

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