Therefore, these genes (SMOC2, NRK, PDE5A, CTSK, MXRA5, CRISPLD1, COL14A1, SFRP4, OGN, PI16, HTRA1 and C1QTNF2) might be the biomarkers of HF, which could regulate organization of ECM to affect HF progression. This evidence concerns the gene COL14A1 and hydrops fetalis.