Biomarkers in congenital heart disease

Richard Dobson1, Hamish A Walker, Niki L Walker

  • 1Scottish Adult Congenital Cardiac Service, West of Scotland Heart & Lung Centre, Golden Jubilee National Hospital, Clydebank, G81 4DY, UK.

Biomarkers in Medicine
|October 14, 2014
PubMed

Insights

Adults with congenital heart disease (CHD) now outnumber children with CHD. While technology aids anatomical assessment, the role of cardiac biomarkers for managing chronic heart failure in adult CHD requires further evaluation.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease (ACHD)

Background:

  • The population of adults with congenital heart disease (CHD) now exceeds that of children with CHD.
  • Long-term management necessitates sequential assessment of anatomy, physiology, and symptoms for intervention decisions.
  • Technological advancements have significantly improved anatomical and functional assessments.

Purpose of the Study:

  • To evaluate the current role and potential utility of cardiac biomarkers in the assessment and management of adult patients with congenital heart disease.
  • To compare the application of cardiac biomarkers in adult CHD with their established use in acquired heart disease.

Main Methods:

  • Review of current literature on adult congenital heart disease management.
  • Analysis of the application and validation of cardiac biomarkers in acquired heart failure.
  • Assessment of ongoing studies and challenges in applying cardiac biomarkers to adult CHD.

Main Results:

  • Technological advancements have enhanced the assessment of anatomy and cardiac function in adult CHD.
  • Cardiac biomarkers have revolutionized chronic heart failure assessment in acquired heart disease.
  • The utility of cardiac biomarkers for chronic heart failure assessment in adult CHD is still under investigation and requires further validation.

Conclusions:

  • Effective management of adult CHD relies on integrated assessment of anatomy, physiology, and symptoms.
  • While cardiac biomarkers are crucial in acquired heart failure, their specific role in adult CHD management is not yet fully established.
  • Further research is needed to determine the precise value and application of cardiac biomarkers in the long-term care of adults with congenital heart disease.

Related Concept Videos

Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
1.2K
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
748
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
789
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
1.2K
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
540
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
678