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Novel biomarkers for heart failure
Navaid Iqbal1, Khwaja Sami Alim, Hermineh Aramin
1Veterans Affairs San Diego Healthcare System, San Diego, CA, USA.
Insights
New biomarkers offer improved heart failure (HF) diagnosis and risk assessment. This review explores cutting-edge biomarkers beyond established ones like NT-proBNP for better HF management.
Area of Science:
- Cardiology
- Biomarker Research
- Internal Medicine
Background:
- Heart failure (HF) presents a significant health system burden due to rising prevalence and costs.
- Effective HF management requires earlier diagnosis, precise risk stratification, and cost-effective treatments to reduce hospitalizations.
- Current diagnostic and management strategies for HF are evolving, particularly in acute settings.
Purpose of the Study:
- To review novel biomarkers for heart failure (HF) diagnosis and management.
- To highlight biomarkers beyond established markers like NT-proBNP.
- To provide insight into cutting-edge biomarkers for improved HF patient care.
Main Methods:
- Literature review of recent research on HF biomarkers.
- Analysis of established biomarkers (e.g., NT-proBNP) and their limitations.
- Identification and discussion of emerging biomarkers (e.g., troponins, GDF-15, ST-2, Galectin-3).
Main Results:
- Established biomarkers like NT-proBNP are clinically useful but have limitations.
- Numerous novel biomarkers show promise for HF diagnosis and risk stratification.
- A multi-marker approach is essential for adequate HF patient risk assessment.
Conclusions:
- Novel biomarkers are crucial for advancing the diagnosis and management of heart failure.
- Emerging biomarkers offer enhanced capabilities for risk stratification and treatment guidance in HF.
- Continued research into novel biomarkers is vital for improving patient outcomes and reducing healthcare costs associated with HF.
Abstract:
Heart failure (HF) has proven to be a major burden on the health system. The continuing prevalence of the condition and its rising associated costs and care, has amplified the need for earlier diagnosis, better risk stratification and cost-effective treatment to cut rates of hospitalization. Biomarkers seem poised to undertake such tasks, with biomarker management of patients with HF quickly evolving over the past several years. Biomarker guided diagnosis and treatment has become vital, especially during the acute setting in which the majority of patients with HF, were initially present. An adequate assessment of risk requires a multi-marker approach to a given HF patient. Established markers including brain natriuretic peptide and NT-proBNP are a significant clinical aid to physicians, though their utility is limited. In the past few years, momentous effort has been put into the discovery of new biomarkers. These endeavors have led to the emergence of several capable and promising biomarkers for HF management including troponins, mid-regional pro-adrenomedullin, GDF-15, C-reactive protein, Galectin-3, IL-6, ST-2, neutrophil gelatinase-associated lipocalin, copeptin and procalcitonin. This review will offer an insight into the novel biomarkers considered as the cutting-edge in the diagnosis and management of HF.
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