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Published on: January 28, 2020
Biomarkers in hypertension and their relationship with myocardial target-organ damage
Yang Xue1, Navaid Iqbal, Jeffrey Chan
1VA San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA, yxue100@yahoo.com.
Insights
Essential hypertension patients lack methods for early cardiovascular disease risk prediction. This review explores cardiac biomarkers to identify high-risk individuals for timely intervention and improved outcomes.
Area of Science:
- Cardiology
- Clinical Medicine
- Biomarker Research
Background:
- Essential hypertension is a prevalent condition linked to long-term end-organ damage, notably premature cardiovascular disease.
- Current clinical practices lack effective methods for identifying hypertension patients at high risk for future cardiovascular comorbidities.
- Early identification of high-risk patients is crucial for implementing aggressive blood pressure management and disease-modifying therapies to prevent cardiovascular disease onset.
Purpose of the Study:
- To review the role of cardiac biomarkers in predicting future cardiovascular disease in patients with essential hypertension.
- To highlight the potential of cardiac biomarkers for early prognostic evaluation in hypertensive individuals.
- To provide an overview of specific cardiac biomarkers relevant for risk stratification in hypertension.
Main Methods:
- Literature review of studies investigating cardiac biomarkers and cardiovascular outcomes in hypertensive patients.
- Analysis of current research on the predictive value of various cardiac biomarkers.
- Synthesis of evidence regarding the utility of cardiac biomarkers for risk assessment in essential hypertension.
Main Results:
- Cardiac biomarkers can become abnormal long before the clinical manifestation of cardiovascular disease in hypertensive patients.
- Specific cardiac biomarkers show promise in identifying individuals with essential hypertension who are at increased risk for future cardiovascular events.
- The prognostic evaluation of hypertensive patients may be significantly enhanced by incorporating cardiac biomarker measurements.
Conclusions:
- Cardiac biomarkers offer a valuable tool for the early prognostic evaluation of patients with essential hypertension.
- Utilizing cardiac biomarkers can facilitate timely and targeted interventions to mitigate cardiovascular risk in hypertensive populations.
- Further research into cardiac biomarkers is warranted to refine risk stratification and personalize treatment strategies for essential hypertension.
Abstract:
Essential hypertension is a very common health condition that is associated with an array of long-term end-organ diseases, including premature cardiovascular disease. Currently, there is no effective method to identify high-risk patients who may develop cardiovascular comorbidities in the future. Clinically, it would be beneficial to identify high-risk patients early in the disease process, so they can receive more aggressive blood pressure control and perhaps other specific disease-modifying therapies, thus delaying or avoiding the onset of cardiovascular disease. Cardiac biomarkers may have a unique role in the prognostic evaluation of patients with hypertension as many cardiac biomarker levels become abnormal long before the onset of overt cardiovascular disease. This review will provide an overview of cardiac biomarkers that may be used to predict future cardiovascular disease in patients with hypertension.
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