Editorial
Access to perinatal cardiology in the United Kingdom
| The first 150 words of the full text of this article appear below. |
Social inequality augmented by decreased access to appropriate health care has been shown to influence both the predisposition to coronary artery disease and its outcome in the adult population.1 2
Does the access of pregnant women to obstetric screening programmes influence the outcome of an individual with congenital heart disease? The United Kingdom audit of important cardiac diagnoses made antenatally suggests that postcode inequality may exist.3 The more affluent areas of the United Kingdom achieved higher rates of antenatal detection, mirroring the regional differences in prevalence of adult cardiovascular disease. Does this suggest inequality of access to perinatal cardiology, or are there other explanations?
Looking at the figures closely, two facts emerge. First, those areas
with the lowest antenatal yield of congenital heart disease are similar
to those with the highest incidence of adult coronary artery disease.
Second, those areas with the highest detection rate of congenital heart
disease before birth
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