In the obstetrics clinic, we find that many mothers-to-be have ultrasound that indicates a dotted strong echo in the heart. Is there any indication of fetal abnormalities? In the background of better and better ultrasound equipment, a bright spot is now often seen in the fetal ventricle under ultrasound images. At first, people suspected whether it was fetal heart disease, and some even said it was a tumor, inflammation, etc. Studies have found that when there is a dotted strong echo, the baby is about 5-10 times more likely to be found to have a chromosomal abnormality after birth than a baby without a dotted strong echo. Simply put, punctate strong echogenicity is not a sign of fetal heart disease, but a potential manifestation of fetal chromosomal abnormalities, also known as ultrasound soft indicators (not an organic abnormality, but only a manifestation of chromosomal abnormalities, other soft indicators include NT widening, renal pelvis separation, lateral ventricle widening, strong intestinal echogenicity, short long bones in the limbs, short nasal bones, etc.). What should I do if I have soft indicators? Shouldn’t it be rechecked? For example, if you go to a room and find footprints in it, it means that someone else has been in the room besides you. Then you go to the bathroom, turn around and come back and find that there are no more footprints in the room. No. The same goes for the presence of calcified spots in the heart. Since he is not having a heart attack, the reexamination is not very meaningful because it is a suspected chromosomal problem. Here is a brief description of the examination process: 1. Spotted strong echogenicity is found (also applies to other ultrasound soft indicators). 2, Analyze the risk of your chromosomes with your doctor (including age, serological screening, NT, early risk exposure, drug use, etc.). 3, Two options, either trust your baby completely and do not do the test. Either do further testing, mainly chromosomal testing (previously only amniotic fluid and cord blood could be drawn, but now you can consider using non-invasive DNA testing which is about 98-100% accurate). In conclusion: 1. Ventricular dotted strong echo is not heart disease. 2, Ventricular punctate strong echoes are found in a high rate, nearly 50% of people have them. 3. Ventricular dotted echo is a soft ultrasound indicator, and current research has demonstrated that it may be a manifestation of fetal chromosomal abnormalities. 4, hoping to get psychological comfort by rechecking the ultrasound to see whether the dotted strong echo disappears or not is impractical. 5. Low risk of Down’s syndrome screening does not mean that the fetus is free of chromosomal abnormalities. 6, the current realistic and feasible treatment is to carry out amniocentesis or fetal cord blood to check the fetal chromosomes, and push a step can also perform non-invasive DNA testing. If the non-invasive is normal, there is no need to worry about the dotted strong echogenicity.