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Natriuretic Peptides and Assessment of Cardiovascular Disease Risk in Asymptomatic Persons
1Division of Cardiology, University of California, San Diego, MC 0986, 9350 Campus Point Drive, Suite 1D, La Jolla, CA 92037-1300 USA.
Insights
Current cardiovascular disease risk tools are imperfect. Natriuretic peptides show promise for identifying at-risk individuals and detecting subclinical disease, improving cardiovascular event prediction.
Area of Science:
- Cardiology
- Biomarkers
- Preventive Medicine
Background:
- Current cardiovascular disease (CVD) risk assessment tools for asymptomatic individuals are suboptimal.
- Existing methods often miss individuals who will develop CVD despite low- or intermediate-risk classification.
- Early detection and intervention in at-risk populations are crucial for effective CVD prevention.
Purpose of the Study:
- To evaluate the potential of natriuretic peptides in identifying individuals at risk for future cardiovascular events.
- To explore the utility of natriuretic peptides in detecting subclinical CVD.
- To determine optimal strategies for natriuretic peptide testing to maximize performance and cost-effectiveness.
Main Methods:
- Review of current literature on CVD risk assessment tools.
- Analysis of studies investigating natriuretic peptides for risk stratification.
- Exploration of combined risk marker approaches (biomarkers, genetic testing, imaging).
Main Results:
- Natriuretic peptides demonstrate potential for identifying individuals at risk for cardiovascular events.
- Natriuretic peptides may aid in the detection of subclinical CVD.
- Combined use of multiple risk markers, including natriuretic peptides, shows promise for refining risk assessment.
Conclusions:
- Natriuretic peptides offer a promising avenue for improving cardiovascular risk assessment in asymptomatic individuals.
- Targeted natriuretic peptide testing in specific subpopulations can enhance its utility and cost-effectiveness.
- Further cost-effectiveness and outcomes studies are needed to confirm the role of natriuretic peptides in CVD risk stratification.
Abstract:
Current tools for cardiovascular disease (CVD) risk assessment in asymptomatic individuals are imperfect. Preventive measures aimed only at individuals deemed high risk by current algorithms neglect large numbers of low-risk and intermediate-risk individuals who are destined to develop CVD and who would benefit from early and aggressive treatment. Natriuretic peptides have the potential both to identify individuals at risk for future cardiovascular events and to help detect subclinical CVD. Choosing the appropriate subpopulation to target for natriuretic peptide testing will help maximize the performance and the cost effectiveness. The combined use of multiple risk markers, including biomarkers, genetic testing, and imaging or other noninvasive measures of risk, offers promise for further refining risk assessment algorithms. Recent studies have highlighted the utility of natriuretic peptides for preoperative risk stratification; however, cost effectiveness and outcomes studies are needed to affirm this and other uses of natriuretic peptides for cardiovascular risk assessment in asymptomatic individuals.
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