Evidence map›Paper›PMID 40935884›Full record

ReviewPediatric research2025

Neurodevelopment in congenital heart disease: a review of antenatal mechanisms and therapeutic potentials.

Amraha Sajid, Raul Chavez-Valdez, April N Sharp, Divyen K Shah

Abstract readReview
In one paragraph

Review in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

4 authors.

Amraha SajidBarts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Raul Chavez-ValdezDepartment of Paediatrics, Division of Neonatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
April N SharpNeonatal Intensive Care Nursery Program, Johns Hopkins Hospital, Baltimore, MD, USA.
Divyen K ShahBarts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK. d.shah@qmul.ac.uk.ORCID 0000-0002-2883-3931

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improvements in treatment and survival of neonates with complex congenital heart disease have led to growing recognition of the associated neurodevelopmental impairments. In this review, we explore the possible antenatal mechanisms of altered brain development in these patients with particular focus on acquired and genetic risk factors. Hypoxia, placental pathology and maternal stress are acquired factors with therapeutic potential. Among the genetic and epigenetic mechanisms, we discuss the influences of angiogenic genes, chromatin modifiers, Wnt and Notch signalling pathways, chromosomal syndromes and apolipoprotein E alleles. Understanding these antenatal risk factors will allow for further development of currently experimental fetal therapies, such as maternal hyperoxygenation. IMPACT: Congenital heart disease has a substantial impact on neurodevelopmental outcome. This scoping review identifies and brings together overlapping genetic, environmental and hemodynamic antenatal mechanisms that impact on altered brain development. A better understanding of these mechanisms may lead to development of therapeutic potentials to improve neurodevelopment outcomes in this group.

Indexed as

BrainHeart Defects, CongenitalNeurodevelopmental DisordersEpigenesis, GeneticFemaleHumansInfant, NewbornPregnancyRisk Factors

Identifiers

PMID40935884
PMCPMC12875871

What Socratic 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 Socratic graph.