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November 5, 2025JACC AdvancesOpen Access

Placental Angiogenic Imbalance and Its Association With Adverse Outcomes in Congenital Heart Disease Pregnancies

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Why the study?

Pregnancy in women with CHD carries increased risks of obstetric and neonatal complications, and placental dysfunction has been hypothesized to contribute but underlying mechanisms remain unclear.

Do pregnant women with congenital heart disease exhibit placental angiogenic imbalance, and is it associated with adverse pregnancy outcomes?

Population

95 pregnant women (32 with CHD and 63 healthy controls)

Comparison

Pregnant women with CHD vs healthy controls

Design

Prospective study

Authors

NRNour RahnamaACArthur ColsonAPAgnès Pasquet

Discussion

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Member takes

Overview

Angiogenic imbalance may flag higher risk in pregnant CHD patients; hypothesis-generating and requires prospective validation before clinical use.

Structured PICO

Do pregnant women with congenital heart disease exhibit placental angiogenic imbalance, and is it associated with adverse pregnancy outcomes?

P
Population
95 pregnant women, including 32 with congenital heart disease (CHD) and 63 healthy controls. A subset of 66 patients had available first-trimester serum.
C
Comparator
63 healthy pregnant controls
O
Outcome
Serum levels of soluble fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) during the third trimester, and their association with obstetric and neonatal complicationssurrogate

Pregnant women with congenital heart disease exhibit a placental angiogenic imbalance in late pregnancy, which is associated with a significantly higher risk of adverse obstetric and neonatal outcomes.

Cite This Study

Rahnama et al. (2025) studied this question.

synapsesocial.com/papers/6a7d612b3575152c8237e14ahttps://doi.org/10.1016/j.jacadv.2025.102301
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Angiogenic markers and maternal echocardiographic indices in women with hypertensive disorders of pregnancy2023 · 11 citations
  2. 2Vascular malperfusion and abruption are prevalent in placentas from pregnancies with congenital heart disease and not associated with cardiovascular risk2023 · 7 citations
  3. 3Pregnant women with heart disease: Placental characteristics and their association with fetal adverse events2016 · 14 citations
  4. 4Pregnancy in women with congenital heart disease: New insights into neonatal risk prediction2024 · 3 citations
  5. 5Angiogenesis-Related Biomarkers (sFlt-1/PLGF) in the Prediction and Diagnosis of Placental Dysfunction: An Approach for Clinical Integration2015 · 112 citations