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Published on: January 28, 2020
Biomarkers for predicting postmenopausal coronary heart disease
Ilaria Spoletini1, Cristiana Vitale, Giuseppe M C Rosano
1Centre for Clinical & Basic Research, IRCCS San Raffaele Pisana, via della Pisana 235, Rome, Italy.
Insights
New biomarkers show some association with coronary heart disease (CHD) risk in post-menopausal women (PMW), but do not independently predict CHD and offer only marginal improvements in risk assessment.
Area of Science:
- Cardiology
- Biomarkers
- Women's Health
Background:
- Coronary heart disease (CHD) is a leading cause of mortality in post-menopausal women (PMW).
- Traditional cardiovascular risk factors are well-established, but newer biomarkers reflecting inflammation, endothelial function, and oxidative stress are gaining attention for CHD prediction in this demographic.
Purpose of the Study:
- To systematically review the existing literature on biomarkers for predicting CHD specifically in post-menopausal women.
- To evaluate the association and predictive value of novel biomarkers beyond traditional risk factors.
Main Methods:
- A systematic literature review was conducted.
- Studies investigating biomarkers for CHD prediction in post-menopausal women were analyzed.
Main Results:
- C-reactive protein, IL-6, and Lipoprotein (a) are consistently associated with CHD risk in PMW.
- No conclusive evidence supports a causal and independent link between these novel biomarkers and CHD in PMW.
- The inclusion of these new biomarkers provides only a marginal improvement in cardiovascular risk prediction.
Conclusions:
- While certain biomarkers are associated with CHD risk in PMW, their independent predictive value is limited.
- Further research is required to validate these biomarkers and explore their relationship with hormone therapy for potential prevention strategies.
Abstract:
Coronary heart disease (CHD) is the main cause of death in post-menopausal women (PMW). Beyond the 'traditional' cardiovascular risk factors of CHD, newer biomarkers, reflecting inflammation, endothelial function and oxidative stress, have received growing consideration. We systematically reviewed the literature on the biomarkers for predicting CHD in PMW. C-reactive protein, IL-6 and Lipoprotein (a) have been consistently found to be associated with CHD risk in PMW. However, no evidence supports the existence of a causal and independent link between such biomarkers and CHD in PMW. Also, the new biomarkers only marginally improve cardiovascular risk prediction. Upcoming studies are needed to provide further evidence on the validity of the new biomarkers in PMW and to understand their relationships with hormone therapy, opening new avenues for prevention.
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