Evidence mapPaperPMID 41504464Full record

ArticleEuropean heart journal2026

Congenital heart defects: familial recurrence patterns in Sweden.

Kalliopi Kazamia, Sara Ekberg, Caroline E Dietrich, Håkan Eliasson, Marie Wahren-Herlenius, Gunnar Bergman

Abstract read
In one paragraph

Article in European heart journal, 2026. 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

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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. Review
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kalliopi KazamiaDepartment of Pediatric Cardiology, Stockholm-Uppsala, Karolinska University Hospital, Eugeniavägen 23, C8:34, Solna, Stockholm, Sweden.ORCID 0000-0002-4329-3451
Sara EkbergRed Door Analytics AB, Stockholm  Sweden.
Caroline E DietrichDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8231-8183
Håkan EliassonDepartment of Pediatric Cardiology, Stockholm-Uppsala, Karolinska University Hospital, Eugeniavägen 23, C8:34, Solna, Stockholm, Sweden.ORCID 0000-0003-1565-8385
Marie Wahren-HerleniusDivision of Rheumatology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0915-7245
Gunnar BergmanDepartment of Pediatric Cardiology, Stockholm-Uppsala, Karolinska University Hospital, Eugeniavägen 23, C8:34, Solna, Stockholm, Sweden.

Funding

Gillbergska FoundationHeart Lung Foundation, Stockholm CountyKing Gustaf the V:th 80-year foundationKnut and Alice Wallenberg FoundationNorwegian Research CouncilOdd Fellow Order in SwedenPediatric Research Foundation at Astrid Lindgren Children's HospitalSamariten FoundationSwedish Heart and Lung FoundationSwedish Research CouncilSwedish Rheumatism Association
6 · The paper itself

Abstract

BACKGROUND AND

aimsCongenital heart defects (CHD) aggregate in families, but recurrence patterns across kinships and generations remain incompletely understood. In light of improved survival and diagnostic precision, updated population-based estimates are needed. This study aimed to investigate familial recurrence patterns of CHD among relatives using nationwide Swedish register data.

methodsA retrospective, population-based case-control study was conducted, including 51 778 individuals with CHD born between 1987 and 2017 and 522 543 matched controls. Relatives (parents, full siblings, half-siblings, and offspring) were identified through linkage to national health and population registers. Logistic regression with robust standard errors clustered on maternal ID was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Dose-response relationships, kinship-specific associations, and interactions with maternal comorbidities (diabetes, hypertension, and obesity) were explored.

resultsAmong individuals with at least one affected relative, the OR for CHD was 2.71 (95% CI 2.60-2.83), increasing with each additional affected relative (OR per relative 2.55; 95% CI 2.46-2.64). Recurrence was strongest for mothers (OR 3.12), full siblings (OR 3.22), and offspring (OR 3.18) and lower for fathers and half-siblings. A dose-response was observed by number of affected siblings and offspring. The association between maternal CHD and CHD in index individuals was not explained by maternal comorbidities.

conclusionsCongenital heart defect in a relative (parent, full or half-siblings, or offspring) is associated with CHD in the index individual, with recurrence patterns varying by kinship and number of affected relatives. These findings may inform genetic counselling and reproductive planning.

Indexed as

Heart Defects, CongenitalAdultCase-Control StudiesFemaleHumansMaleMiddle AgedRecurrenceRegistriesRetrospective StudiesSiblingsSwedenCongenital heart diseaseFamilial recurrenceMaternal comorbiditiesPopulation-based register

Identifiers

PMID41504464
PMCPMC13429267

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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.