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Published on: April 11, 2016
New technologies personalize diagnostics and therapeutics
1Mount Sinai Heart, Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029-6574, USA. robert.rosenson@mssm.edu
Insights
Atherosclerotic cardiovascular disease is a major health issue. Advanced
Area of Science:
- Cardiovascular Medicine
- Genomics
- Proteomics
- Metabolomics
Background:
- Atherosclerotic cardiovascular disease (ASCVD) is a primary cause of death and disability.
- Current strategies include lifestyle changes and medications, but many patients still experience events.
- Gaps exist in identifying high-risk individuals and managing those with suboptimal biomarker levels.
Purpose of the Study:
- To explore the potential of multi-omics approaches.
- To enhance understanding of atherosclerosis.
- To enable personalized diagnostics and therapeutics for cardiovascular disease.
Main Methods:
- Review of current therapeutic lifestyle changes and pharmacotherapy.
- Analysis of the role of genomics, proteomics, and metabolomics.
- Focus on personalized approaches to cardiovascular disease management.
Main Results:
- Guideline-directed strategies are not always sufficient.
- Many individuals remain at risk despite optimal biomarker levels.
- Multi-omics data offer new insights into atherosclerosis.
Conclusions:
- Genomics, proteomics, and metabolomics can improve atherosclerosis understanding.
- These 'omics' fields facilitate personalized diagnostic and therapeutic strategies.
- Advancing personalized medicine is key to reducing cardiovascular morbidity and mortality.
Abstract:
Atherosclerotic cardiovascular disease remains the leading cause of morbidity and mortality in industrialized societies [10]. Efforts to reduce cardiovascular events in "high-risk" individuals or recurrent events in patients with established atherosclerotic cardiovascular disease emphasize broad-based implementation of guideline-directed therapeutic lifestyle changes and pharmacotherapy. Despite successful implementation of these evidence-based strategies, many individuals are not properly identified before their first event or they continue to experience cardiovascular events despite "optimal" levels of biomarkers. The application of genomics, proteomics, and metabolomics provides opportunities to improve our understanding of the complex process of atherosclerosis and enables personalized diagnostic and therapeutic approaches.
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