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Updated: Feb 4, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Patients with congenital heart defect and their families support genetic heart research
Paul C Helm1, Ulrike M M Bauer1,2, Hashim Abdul-Khaliq2,3
1National Register for Congenital Heart Defects, DZHK (German Center for Cardiovascular Research), Berlin, Germany.
Insights
Most patients and relatives with congenital heart disease (CHD) are willing to donate biological samples for genetic research. This high willingness highlights the need for further cardiac research to understand CHD
Area of Science:
- Cardiovascular Genetics
- Congenital Heart Disease Research
- Patient-Reported Outcomes
Background:
- Congenital heart disease (CHD) affects approximately 1% of newborns, with poorly understood etiology.
- The German National Register for Congenital Heart Defects (NRCHD) holds data for over 51,000 CHD patients.
- Understanding the genetic basis of CHD is crucial for advancing cardiac research and patient care.
Purpose of the Study:
- To assess the willingness of patients and relatives with CHD to donate biological samples for genetic research.
- To explore motivations behind supporting genetic research in the context of congenital heart defects.
- To gauge the interest in family member participation in genetic studies.
Main Methods:
- Recruitment of participants from the NRCHD database.
- Online survey administered to 7,989 invited patients and relatives.
- Utilized a ten-staged Likert scale to measure willingness to provide saliva/blood samples and motivate family participation.
Main Results:
- A response rate of 25.5% (2,035 participants) was achieved.
- Two-thirds of respondents expressed willingness to donate saliva samples; blood sample donation willingness was slightly lower.
- Female relatives showed significantly higher willingness for both saliva and blood sample donation compared to males.
Conclusions:
- High willingness to provide biological samples indicates strong support for genetic research in CHD.
- Findings underscore the potential for large-scale genetic studies to unravel CHD pathomechanisms.
- Future research should aim for individualized risk assessment based on genetic findings in CHD patients.
Background:
Congenital heart disease (CHD) affects up to 1% of live births the etiology remains relatively poorly understood. Thus, cardiac research is needed to understand the underlying pathomechanisms of the disease. About 51 000 CHD patients are registered in the German National Register for Congenital Heart Defects (NRCHD). Patients and relatives were interviewed online about their willingness to support genetic heart research in order to donate a biological sample.
Methods:
Study participants were recruited via the database of the NRCHD. Seven thousand nine hundred eighty-nine patients were invited to participate in the study. Participants have been asked to rate three questions on a ten-staged Likert scale about their willingness to provide a saliva/blood sample and their motivation to ask family members to support genetic heart research.
Results:
Overall, 2035 participants (patients/relatives) responded the online survey (25.5%). Two-thirds of the participants are willing to donate a saliva sample. Whereas the motivation to provide a blood sample is slightly lower (patients: 63.8%, relatives: 60.6%). Female relatives are more fain to provide a saliva sample as well as a blood sample compared to men (saliva sample: P < .001, blood sample: P < .01). The motivation to ask an additional family member for a biological sample was significantly higher in relatives (59.2%) compared to patients (48.4%).
Conclusions:
The motivation to provide biological samples is high reflecting the need for genetic research to unravel the pathomechanism of CHD. A future aim should be to offer an individual risk assessment for each patient based on the underlying genetics.
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