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

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