Evidence map›Paper›PMID 36716257›Full record

ArticleCirculation2023

Cardiovascular Complications of Down Syndrome: Scoping Review and Expert Consensus.

Konstantinos Dimopoulos, Andrew Constantine, Paul Clift, Robin Condliffe, Shahin Moledina, Katrijn Jansen, Ryo Inuzuka, Gruschen R Veldtman, Clifford L Cua, Edgar Lik Wui Tay and 17 more

Open access · hybridAbstract readScoping ReviewConsensus Statement
In one paragraph

Article in Circulation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
23.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.

  1. Pooled it
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  19. Down syndrome birth rate post Dobbs decision: has it changed?Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 20 institutions in 14 countries.

Konstantinos Dimopoulos *Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton Hospital, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom (K.D., A.C.).ORCID 0000-0003-1300-0504
Andrew Constantine *Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton Hospital, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom (K.D., A.C.).ORCID 0000-0001-7899-463X
Paul CliftDepartment of Cardiology, Queen Elizabeth Hospital Birmingham, United Kingdom (P.C.).
Robin CondliffePulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield, United Kingdom (R.C.).
Shahin MoledinaNational Paediatric Pulmonary Hypertension Service UK, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom (S.M.).
Katrijn JansenAdult Congenital and Paediatric Heart Unit, Freeman Hospital Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom (K.J.).
Ryo InuzukaDepartment of Pediatrics, The University of Tokyo Hospital, Japan (R.I.).
Gruschen R VeldtmanScottish Adult Congenital Cardiac Service, Golden Jubilee Hospital, Glasgow, Scotland, United Kingdom (G.R.V.).
Clifford L CuaThe Heart Center, Nationwide Children's Hospital, Columbus, OH (C.L.C.).ORCID 0000-0002-9172-3874
Edgar Lik Wui TayDepartment of Cardiology, National University Hospital Singapore (E.T.L.W.).
Alexander R OpotowskyThe Heart Institute, Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati College of Medicine, OH (A.R.O.).ORCID 0000-0002-6107-2281
George GiannakoulasDepartment of Cardiology, AHEPA University Hospital School of Medicine, Aristotle University of Thessaloniki, Greece (G.G.).ORCID 0000-0001-7491-6319
Rafael Alonso-GonzalezDivision of Cardiology, Toronto General Hospital, University Health Network, Peter Munk Cardiovascular Center, University of Toronto, Canada (R.A.-G.).ORCID 0000-0003-1717-9951
Rachael CordinaDepartment of Cardiology, Royal Prince Alfred Hospital and Sydney Medical School, University of Sydney, New South Wales, Australia (R.C.).ORCID 0000-0001-7882-389X
George CaponeDown Syndrome Clinical and Research Center, Kennedy Krieger Institute, Baltimore, MD (G. Capone).
Judith NamuyongaDepartment of Paediatric Cardiology, Uganda Heart Institute, Kampala (J.N.).
Charmaine H ScottUniversity Hospital of the West Indies, Kingston, Jamaica (C.H.S.).
Michele D'AltoDepartment of Cardiology, University "L. Vanvitelli"-Monaldi Hospital, Naples, Italy (M.D.).ORCID 0000-0001-5729-1038
Francisco J GameroDepartment of Cardiovascular Surgery, Benjamin Bloom Children's Hospital, El Salvador (F.J.G.).
Brian ChicoineAdvocate Medical Group Adult Down Syndrome Center, Park Ridge, IL (B.C.).ORCID 0000-0002-1520-3893
Hong GuDepartment of Pediatric Cardiology, Beijing Anzhen Hospital, Capital Medical University, China (H.G.).
Alisa LimsuwanDivision of Pediatric Cardiology, Department of Pediatrics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand (A.L.).
Tosin MajekodunmiDepartment of Cardiology, Euracare Multi-specialist Hospital, Nigeria (T.M.).
Werner BudtsDivision of Congenital and Structural Cardiology, University Hospitals Leuven, and Department of Cardiovascular Science, Catholic University Leuven, Belgium (W.B.).ORCID 0000-0001-5850-5413
Gerry CoghlanDepartment of Cardiology, Royal Free Hospital, London, United Kingdom (G. Coghlan).
Craig S BrobergKnight Cardiovascular Institute, Oregon Health and Science University, Portland (C.S.B.).ORCID 0000-0002-9797-9803
for Down Syndrome International (DSi)
Cardiovascular Institute of the South · USHarefield Hospital · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBQueen Elizabeth Hospital Birmingham · GBRoyal Brompton Hospital · GBRoyal Hallamshire Hospital · GBAdvocate Health Care · USAHEPA University Hospital · GRAnthony Nolan · GBBeijing Anzhen Hospital · CNCatholic University of America · USCincinnati Children's Hospital Medical Center · USGolden Jubilee National Hospital · GBHospital Nacional de Niños Bloom · SVKennedy Krieger Institute · USNational University Hospital · SGNationwide Children's Hospital · USOregon Health & Science University · USOspedale Monaldi · ITRamathibodi Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular disease is a leading cause of morbidity and mortality in individuals with Down syndrome. Congenital heart disease is the most common cardiovascular condition in this group, present in up to 50% of people with Down syndrome and contributing to poor outcomes. Additional factors contributing to cardiovascular outcomes include pulmonary hypertension; coexistent pulmonary, endocrine, and metabolic diseases; and risk factors for atherosclerotic disease. Moreover, disparities in the cardiovascular care of people with Down syndrome compared with the general population, which vary across different geographies and health care systems, further contribute to cardiovascular mortality; this issue is often overlooked by the wider medical community. This review focuses on the diagnosis, prevalence, and management of cardiovascular disease encountered in people with Down syndrome and summarizes available evidence in 10 key areas relating to Down syndrome and cardiac disease, from prenatal diagnosis to disparities in care in areas of differing resource availability. All specialists and nonspecialist clinicians providing care for people with Down syndrome should be aware of best clinical practice in all aspects of care of this distinct population.

Indexed as

Cardiovascular DiseasesCardiovascular SystemDown SyndromeHeart Defects, CongenitalConsensusFemaleHumansPregnancycardiovascular diseasesDown syndromeheart defects, congenitalhypertension, pulmonary

Identifiers

PMID36716257
PMCPMC9977420
OpenAlexW4318586326

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.