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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Use of predictive markers to improve cardiovascular protection
Giuliano Tocci1, Francesco Paneni, Beatrice Ponziani
1Division of Cardiology, II Faculty of Medicine, University of Rome "La Sapienza", Sant'Andrea Hospital, Rome, Italy.
Insights
Monitoring intermediate cardiovascular disease markers offers a valuable strategy for assessing hypertension treatment effectiveness and patient prognosis. This approach aids in risk stratification and evaluating target organ damage over time.
Area of Science:
- Cardiology
- Hypertension Management
- Preventive Medicine
Background:
- Hypertension is a major contributor to global cardiovascular morbidity and mortality.
- Traditional assessment of antihypertensive therapies relies on major 'hard' cardiovascular events.
- The long natural history of hypertension necessitates alternative monitoring strategies.
Purpose of the Study:
- To highlight the utility of monitoring intermediate end points in hypertension management.
- To propose a strategy for improved individual risk stratification.
- To evaluate the effectiveness of antihypertensive treatments in modifying target organ damage.
Main Methods:
- Focus on measurable 'intermediate' end points or 'disease markers'.
- Utilize these markers for patient prognosis assessment.
- Employ this strategy for evaluating antihypertensive treatment efficacy over time.
Main Results:
- Intermediate end points provide more accurate individual risk stratification.
- Monitoring disease markers allows for better evaluation of treatment efficacy.
- This approach facilitates assessment of target organ damage progression.
Conclusions:
- Monitoring intermediate end points is a valuable and affordable clinical strategy for hypertension.
- It enables effective evaluation of patient prognosis and treatment effectiveness.
- This method aids in preventing or modifying the course of target organ damage.
Abstract:
Together with other modifiable cardiovascular risk factors, hypertension heavily contributes to the global burden of cardiovascular morbidity and mortality, as well as to the increase in individual absolute cardiovascular risk. Comparison of the effectiveness of different therapies in reducing the incidence of major cardiovascular events has classically required the evaluation of major 'hard' end points. In view of the long natural history of hypertension, however, it appears very useful to monitor modifications in measurable 'intermediate' end points or 'disease markers'. This approach may provide more accurate individual risk stratification and a better evaluation of the efficacy of a given treatment in preventing or modifying the course of target organ damage. This may represent a valuable and affordable strategy in clinical practice allowing the evaluation of both patient prognosis and the effectiveness of antihypertensive treatment over time.
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