by Dr Mridul Agarwal
Fetal Echocardiography
Expert fetal cardiac care. Honest answer. From scan to birth.
Find out how fetal echocardiography can help you diagnose and manage congenital heart defects, monitor fetal well-being, and early detection facilitates prognostication and personalised management and allows an informed decision to parents
Why Fetal Cardiac Care?
Interdisciplinary Experts
You are not alone in this
When something is found on your baby’s scan, you need more than one doctor. You need a team that talks to each other — fetal heart specialists, surgeons, geneticists, neonatologists, and your obstetrician — all working together for your baby.
Cutting-Edge Diagnostics
Not every hole in the heart is serious
We use the most accurate methods available to carefully and completely examine your baby’s heart. We tell you exactly which findings matter — and which ones you can stop worrying about tonight.
Patient-centric Approach
We care until the baby is in your arms.
From the moment something is found on the scan, through delivery and those first precious days — we are with you at every step, with honest answers at every turn.
Expert Library:
Integrating Advanced Echocardiography Into Everyday Fetal Practice
Fetal Cardiac Function Assessment
Fetal cardiac function does not follow adult rules and missing that distinction is where assessments go wrong. This post covers a systematic 4-pillar approach to fetal cardiac function assessment: systolic function, diastolic filling, the MPI/Tei Index, and venous Doppler, with the CVP Score, an 8-step scan protocol, and the full hierarchy of cardiac compromise from…
High Cardiac Output in the Fetal Heart
When the fetal heart is asked to pump five times its normal output, it is not diseased – it is drowning in volume. This article covers the recognition, echo-based monitoring, and gestational-age-specific management of high cardiac output states in the fetus, including AV malformations, sacrococcygeal teratoma, and placental chorioangioma. With a practical CCO threshold framework,…
The Nuchal Translucency–Cardiac Connection: Why a normal karyotype does not close the case
A normal karyotype after elevated nuchal translucency does not clear the fetal heart. NT is an independent marker of cardiac risk, driven by abnormal lymphatic drainage and disrupted haemodynamic flow — not chromosomes. This post covers the risk data, the referral thresholds, and why acting early changes outcomes.
The Fetal Cardiac Axis: What’s Normal, What’s Not, and Why It Matters
The fetal cardiac axis takes ten seconds to assess and appears on every four-chamber view — yet it is routinely skipped. This post covers how to measure it, what the normal range means, and what an abnormal axis should trigger. With a clinical decision algorithm and diagnostic differential for leftward deviation, rightward deviation, and extracardiac…
Measuring the Fetal PR Interval: Getting the Acquisition Right
The fetal mechanical PR interval looks straightforward on screen. It is not. The same fetus, the same machine, the same operator on the same day can yield meaningfully different values depending on sweep speed, sample volume placement, fetal orientation, and method choice. At a clinical threshold of 150 ms, a 10–15 ms acquisition error does…
The Cardio-Placental Axis in Congenital Heart Disease
A CHD fetus is not simply an abnormal heart waiting for postnatal surgery. The placenta and the heart share a common biological origin — and when one is injured, the other rarely escapes. This post explores the evidence behind the cardio-placental axis, what it means for fetal surveillance, and why the maternal environment deserves as…
Leading the Way: Pioneering Research for Optimal Fetal Cardiac Care
Committed to advancing fetal cardiac care, we actively engage in cutting-edge research to ensure the delivery of the most up-to-date and optimal treatment options
Where to find us
Our department is recognised for pioneering advancements in fetal cardiac care that offer hope and inspiration. We are dedicated to developing innovative solutions that prioritise both the well-being of our tiny patients and the environmental impact of our procedures within the hospital.
Address:
Dr Mridul Agarwal, Pediatric And Fetal Cardiac Care, F 57, Sir Ganga Ram Hospital, Rajender Nagar. New Delhi. India. 110060
Telephone:
+91 9873850421; +91-11-42251757
Email:
drmridul@hotmail.com
For Patients & Delhi Appointments
If you are an expectant parent referred for a fetal echocardiogram, you can schedule a direct consultation with Dr. Mridul Agarwal at Sir Ganga Ram Hospital or Bedi Ultrasound (Delhi).
Visit our dedicated patient portal at fetalecho.in for preparation guides and FAQs.