Cardiovascular Profile Score (CVPS) of Huhta for Fetal Congestive Heart Failure

Description

The cardiovascular profile score (CVPS) can be used to evaluate a neonate for evidence of congestive heart failure. The author is from the University of South Florida.

Parameters:

(1) hydrops fetalis

(2) venous Doppler in umbilical veins

(3) cardiothoracic (CT) ratio (cardiac area to chest area ratio) as indicator of cardiomegaly

(4) myocardial function

(5) arterial Doppler in umbilical artery diastolic flow

Parameter	Finding	Points
hydrops fetalis	none	2
	ascites, pleural effusion and/or pericardial effusion	1
	skin edema	0
venous Doppler	normal	2
	ductus venosus atrial systolic reversal	1
	umbilical venous pulsations	0
cardiothoracic ratio	0.20 to 0.349	2
	0.35 to 0.50	1
	< 0.2 or > 0.50	0
myocardial function	normal mitral and tricuspid valve, biphasic diastolic filling, left and right ventricular systolic shortening > 0.28	2
	left or right ventricular systolic shortening < 0.28 OR holosystolic tricuspid regurgitation	1
	holosystolic mitral regurgitation OR monophasic diastolic filling OR TR dP/dt < 400	0
arterial Doppler	normal	2
	absent end-diastolic flow	1
	reverse end-diastolic flow	0

where:

• TR dP/dt is the change in the pressure over time of the tricuspid regurgitation jet.

total score =

= SUM(points for all 5 parameters)

Interpretation:

• maximum score: 10 (normal)

• minimum score: 0

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Description

Specialty

ICD-10