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Updated: May 18, 2026

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
The appropriate use of biomarkers in heart failure
Punam Chowdhury1, Rajiv Choudhary, Alan Maisel
1Department of Cardiology, San Diego Veterans Affairs Medical Center, San Diego, CA 92101, USA. cPunam80@yahoo.com
Insights
Biomarkers like natriuretic peptides and troponins are key in heart failure. Emerging renal markers also show promise for monitoring disease progression and guiding therapy.
Area of Science:
- Cardiology
- Nephrology
- Biomarker Discovery
Background:
- Natriuretic peptides and troponins are established biomarkers in heart failure management.
- Recent research highlights the growing importance of renal markers in heart failure.
Purpose of the Study:
- To review the utility of established and emerging biomarkers in heart failure.
- To discuss the role of biomarkers in monitoring disease progression and therapeutic targeting.
Main Methods:
- Literature review of studies on cardiac and renal biomarkers in heart failure.
- Analysis of biomarker release mechanisms related to compensatory pathways and hemodynamic changes.
Main Results:
- Established cardiac biomarkers (natriuretic peptides, troponins) have well-defined roles.
- Renal markers such as cystatin-C, NGAL, and KIM-1 demonstrate increasing utility in heart failure.
Conclusions:
- Biomarker monitoring is crucial for charting heart failure progression.
- Emerging renal biomarkers offer new avenues for therapeutic strategies in heart failure.
Abstract:
Natriuretic peptides and troponins have been extensively studied and used in heart failure, and their value has been extensively discussed. Renal markers, such as cystasin-C, NGAL, and KIM-1, have shown growing utility in heart failure. The activation of compensatory pathways and ongoing hemodynamic changes result in the release of biomarkers that can be monitored to chart disease progression and possibly target for therapy.
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