Evidence map›Paper›PMID 40728160›Full record

Observational studyJournal of the American Heart Association2025

Fetal Conduction Disease and Arrhythmia in Ebstein's Anomaly and Tricuspid Valve Dysplasia Assessed by Fetal Magnetocardiography.

Annette Wacker-Gussmann, Gabriela Tardelli, Bettina F Cuneo, Janette F Strasburger, Ronald T Wakai

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03047161 (Electrophysiology of Fetal Arrhythmia), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03047161 recruitingnot on this map

Electrophysiology of Fetal Arrhythmia

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2017 to 2028Enrolled450ConditionsFetal ArrhythmiaArmsfetal MCG
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Fe-Based Nanocrystalline Magnetic Shielding Cylinder with Subfemtotesla-Level Magnetic Noise.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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

5 authors.

Annette Wacker-GussmannDepartment of Congenital Heart Defects and Pediatric Cardiology, German Heart Center Munich TUM University Hospital, School of Medicine & Health, Technical University of Munich Munich Germany.
Gabriela TardelliDepartment of Medical Physics University of Wisconsin-Madison Madison WI.ORCID 0000-0002-6418-5193
Bettina F CuneoDepartment of Surgery University of Arizona College of Medicine Tucson AZ.ORCID 0000-0001-9085-0882
Janette F StrasburgerDepartment of Pediatrics and Biomedical Engineering Children's Wisconsin and Herma Heart Institute Milwaukee WI.ORCID 0000-0002-6986-2544
Ronald T WakaiDepartment of Medical Physics University of Wisconsin-Madison Madison WI.ORCID 0000-0002-9894-0484

Funding

Optimized Signal Processing of Fetal MCG R01HL063174 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI WAKAI, RONALD T · 1999 to 2020
$8.4M
Fetal Electrophysiologic Abnormalities in High-risk Pregnancies Associated with Fetal DemiseR01HL143485 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI STRASBURGER, JANETTE F · 2018 to 2021
$2.5M
NHLBI NIH HHS R01 HL063174NHLBI NIH HHS R01 HL143485
6 · The paper itself

Abstract

backgroundEbstein's anomaly and tricuspid valve dysplasia are associated with perinatal mortality approaching 50% and are among the most difficult fetal conditions to manage. Prediction of perinatal mortality is difficult and remains an active area of research. The usefulness of electrophysiologic indicators has not been investigated.

methodsEighteen fetuses with a diagnosis of Ebstein's anomaly and tricuspid valve dysplasia were referred for fetal magnetocardiography evaluation. We assessed fetal rhythm, waveform intervals, and heart rate variability and reactivity.

resultsTwo subjects were lost to follow-up and 1 remains in utero. Of the other 15, 6 (40%) did not survive: 5 died within the first month of life, and 1 died at 4 months following surgery. Compared with normal fetuses, the Ebstein's anomaly and tricuspid valve dysplasia group exhibited significantly prolonged P-wave duration (

conclusionsEbstein's anomaly and tricuspid valve dysplasia manifests distinct conduction and rhythm abnormalities detectable by fetal magnetocardiography but not by echocardiography. These electrophysiologic markers were associated with perinatal mortality and may serve as useful prognostic indicators. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03047161.

Indexed as

Arrhythmias, CardiacEbstein AnomalyFetal HeartHeart Conduction SystemHeart Rate, FetalMagnetocardiographyPrenatal DiagnosisTricuspid ValveAdultFemaleGestational AgeHumansInfant, NewbornMalePredictive Value of TestsPregnancyarrhythmiaconduction system diseaseEbstein's anomalyfetal magnetocardiographytricuspid valve dysplasia

Identifiers

PMID40728160
PMCPMC12449953

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Registered trials

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.