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Table of contents fetal embryology formation of the fetal heart physiology of fetal circulation indications indications of the fetal echo etiology of cardiac malformation basics of doppler frequency shift doppler shift color doppler knobology step by step approach to fetal heart basic fetal cardiac examination extended basic cardiac examination echogenic intracardiac focus (eif) cardiac examination normal situs fetal thoracic anatomy step by step approach to situs fetal cardiac axis four chamber heart step by step four chamber view of the heart apical view basal view lateral view normal orientation of the fetal heart five chamber view of fetal heart anatomical landmarks and features of four chamber view ventricular septum atria atrial septum atrioventricular valves doppler echocardiography fetal cardiovascular physiology doppler waveform quantification atrioventricular valves fetal arrhythmias conduction system assessment of fetal rhythm arrhythmia