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Case Control Study
Copyright: ©Author(s) 2026.
World J Clin Pediatr. Jun 9, 2026; 15(2): 117283
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.117283
Table 1 Comparison between various echocardiographic parameters among the study groups, mean ± SD
Variables
Cases (n = 100)
Controls (n = 50)
P value
Patients with heart failure (n = 50)
Patients without heart failure (n = 50)
P value
Ejection fraction (EF) (%) 45.71 ± 13.9759.82 ± 8.98< 0.001a34.52 ± 7.9856.9 ± 8.66< 0.001a
Fractional shortening (FS) (%)31.20 ± 8.0536.58 ± 5.660.03a23.08 ± 2.6238.86 ± 7.47< 0.001a
LVEDD (mm)29.12 ± 10.8927.02 ± 9.30.40029.74 ± 11.9528.51 ± 9.790.964
LVESD (mm)22.46 ± 9.7919.38 ± 7.420.11823.92 ± 8.4521.01 ± 10.860.037a
Pulmonary artery pressure (mmHg), median (IQ range)19 (18-22)17 (14-20)0.001a22 (15-25)19 (18-20)0.726
IVS (mm) 7.46 ± 1.87 6.65 ± 1.780.021a7.41 ± 1.347.01 ± 1.140.937
Table 2 Comparison of the serum growth differentiation-15 levels among the study groups, mean ± SD
Serum GDF-15 (pg/mL)
Cases (n = 100)
Controls (n = 50)
P value
948.35 ± 386.29
249.48 ± 99.9
< 0.001a
Serum GDF-15 (pg/mL)Congenital heart diseases (n = 69)Rheumatic heart diseases (n = 14)Cardiomyopathy (n = 17)P valueP1P2P3
852.07 ± 376.391081.43 ± 435.281229.53 ± 166.6< 0.001a0.029a< 0.001a0.796
Serum GDF-15 (pg/mL)TOF (n = 16)PDA + VSD + ASD (n = 53)P value
1138.38 ± 249.32765.64 ± 366.74< 0.001a
Serum GDF-15 (pg/mL)Patients with heart failure (n = 50)Patients without heart failure (n = 50)P value
1170 ± 292.55726.7 ± 340.04< 0.001a
Table 3 Genotypes and allele frequencies of growth differentiation factor-15 rs4808793 (-3148C>G) single-nucleotide polymorphism among the study groups
Study groups
Variables
GDF-15 rs4808793 (-3148C>G) genotypes
GDF-15 rs4808793 (-3148C>G) alleles
CC
CG
GG
CC + CG
GG
CC
CG + GG
C
G
n
%
n
%
n
%
n
%
n
%
n
%
n
%
n
%
n
%
Cases (n = 100)363653531111898911113636646412562.57537.5
Controls (n = 50)5103468112239781122510459044445656
P value (χ2)0.002 (12.287)0.073 (3.223)< 0.001 (11.345)0.002 (9.275)
OR (95%CI)-2.282 (0.913-5.707)5.063 (1.844-13.902)2.121 (1.302-3.455)
Table 4 Genotypes and allele frequencies of growth differentiation factor-15 rs4808793 (-3148C>G) single-nucleotide polymorphism among congenital heart diseases and controls
Study groups
Variables
GDF-15 rs4808793 (-3148C>G) genotypes
GDF-15 rs4808793 (-3148C>G) alleles
CC
CG
GG
CC + CG
GG
CC
CG + GG
C
G
n
%
n
%
n
%
n
%
n
%
n
%
n
%
n
%
n
%
Congenital heart diseases (n = 69)3144.93347.857.26492.457.63144.93855.19568.84331.2
Control (n = 50)5103468112239781122510459044445656
P value (χ2)< 0.001 (16.252)0.020 (5.423)< 0.001 (16.762)< 0.001 (14.728)
OR (95%CI)-3.610 (1.167-11.172)7.342 (2.599-20.743)2.812 (1.648-4.799)
Table 5 Genotypes and allele frequencies of growth differentiation factor-15 (rs4808793) single-nucleotide polymorphism among patients with and without heart failure
Study groups
Variables
GDF-15 rs4808793 (-3148C>G) genotypes
GDF-15 rs4808793 (-3148C>G) alleles
CC
CG
GG
CC+CG
GG
CC
CG+GG
C
G
n
%
n
%
n
%
n
%
n
%
n
%
n
%
n
%
n
%
Pediatric cardiac patients with heart failure (n = 50)1632275471443867141632346859594141
Pediatric cardiac patients without heart failure (n = 50)20402652484692482040306066663434
P value (χ2)0.527 (1.281)0.338 (0.919)0.405 (0.694)0.307 (1.045)
OR (95%CI)0.534 (0.146-1.954)0.706 (0.311-1.603)0.741 (0.417-1.317)


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