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Jennifer Lam-Rachlin

Jennifer Lam-Rachlin

Director of Fetal Echocardiography at Carnegie Imaging for Women; maternal-fetal medicine specialist and Assistant Clinical Professor at Icahn School of Medicine at Mount Sinai.

Jun 8, 2026

24:53
How would you explain that to somebody?
24:54
That's a good question.
24:56
You know, it really depends on what is included in your anatomy, right? So by the books in the anatomy scan previously for the evaluation of the heart, what's required really is solely just a four chamber heart view, which is literally a shot up to say, there's four chambers of the heart and they look normal.
25:17
Recently, the guidelines have included to try to look for what's called the outflow tracts, right? The two big vessels that are coming from either side of the heart, the right and the left.
25:28
But with an echo, we're looking at, you know, if you count it, it's about like nine different structural views, plus we're looking at blood flow, right? And we're looking to see if there's normal flow or is there some turbulence in flow, is there some restriction in flow, is there blood flowing in the wrong direction, are certain structures that are missing that are generally not included in that anatomy scan.
25:52
So it's a lot more information that we get.
25:56
And obviously the pickup rate of congenital heart disease changes based on what views you're looking at, right? So historically, with just an anatomy poor chamber view, the best you're going to pick up is maybe 30 to 40% of heart disease, heart defects.

5 MINS LATER

31:31
different that is done on an echocardiogram based on who does it, right? Because a pediatric cardiologist versus, you know, you're a maternal fetal medicine specialist, as am I, versus maybe a radiologist?

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