Evidence map›Paper›PMID 40941647›Full record

ReviewDiagnostics (Basel, Switzerland)2025

Unmasking the Placenta-Heart Axis: A Comprehensive Review of Placental Abnormalities in Congenital Heart Disease.

Angeliki Gerede, Ilias Orgianelis, Sofoklis Stavros, Anastasios Potiris, Eirini Drakaki, Ioannis Tsimpoukis, Panagiota Papasozomenou, Ekaterini Domali, Nikolaos Nikolettos, Christos Chatzakis and 1 more

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Is There a Unified Etiology of Hypoplastic Left Heart Syndrome? Evaluating Genetic, Structural, and Hemodynamic Models of Disease Initiation.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
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

11 authors.

Angeliki GeredeDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 691 00 Alexandroupolis, Greece.ORCID 0000-0001-9296-3688
Ilias OrgianelisSchool of Medicine, Democritus University of Thrace, 691 00 Alexandroupolis, Greece.
Sofoklis StavrosThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON," Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Anastasios PotirisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON," Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.ORCID 0000-0001-7716-1521
Eirini DrakakiFirst Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.
Ioannis TsimpoukisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON," Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Panagiota PapasozomenouMidwifery Department, Health Sciences School, International Hellenic University, 574 00 Thessaloniki, Greece.ORCID 0000-0003-2153-2818
Ekaterini DomaliFirst Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.ORCID 0000-0001-8899-3040
Nikolaos NikolettosDepartment of Obstetrics and Gynecology, Democritus University of Thrace, 691 00 Alexandroupolis, Greece.
Christos ChatzakisSecond Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.ORCID 0000-0002-5895-6887
Makarios EleftheriadesSecond Department of Obstetrics and Gynecology, University Hospital "Aretaieion", Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.ORCID 0000-0003-4967-2505

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital heart disease (CHD), the most prevalent congenital abnormality, is becoming increasingly acknowledged as a component of a broad fetoplacental pathology. This systematic review summarizes recent imaging-based data linking CHD to quantifiable placental abnormalities. In CHD pregnancies, placenta studies consistently show patterns of altered vascularization, decreased volumetric growth, microstructural heterogeneity, and impaired placental oxygenation. We conducted a thorough literature search from January 2020 to May 2025 to identify studies on placenta function and structure in CHD-affected pregnancies. The included studies primarily utilized MRI and Doppler methods, as well as some modern modalities. Seven studies were included in this review. Placental imaging reveals consistent structural and functional abnormalities in pregnancies affected by congenital heart disease, indicating some possible contribution of the placenta in CHD pathophysiology. Placental imaging may improve outcomes in this susceptible group of pregnancies, improve risk assessment, and direct surveillance when incorporated into prenatal care for congenital heart disease. Future research should concentrate on lesion-specific analysis, longitudinal imaging, and placenta-heart axis-targeting treatment therapies.

Indexed as

BOLD imagingcongenital heart disease (CHD)Doppler ultrasoundfetal MRIplacental dysfunctionplacental imagingumbilical venous flow

Identifiers

PMID40941647
PMCPMC12428438

What OpenQuestion holds

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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.