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Published on: January 28, 2020
Biomarkers in heart failure
1Department of Cardiology and Hematology, Fukushima Medical University.
Insights
Biomarkers are crucial for early heart failure detection, risk assessment, and patient management. This review covers traditional and novel cardiac and non-cardiac biomarkers, including microRNAs, for improved clinical practice.
Area of Science:
- Cardiology
- Biochemistry
- Clinical Medicine
Background:
- Biomarkers are essential for diagnosing and managing heart failure.
- Early identification and risk stratification improve patient outcomes.
- Traditional biomarkers have limitations in comprehensively assessing heart failure.
Purpose of the Study:
- To review established and novel biomarkers for heart failure.
- To discuss biomarkers reflecting myocardial stress, damage, and inflammation.
- To highlight advances in biomarkers for heart failure with preserved ejection fraction.
Main Methods:
- Literature review of established and novel biomarkers.
- Focus on cardiac and non-cardiac markers.
- Analysis of biomarkers related to specific pathophysiological processes.
Main Results:
- Established biomarkers like BNP are vital.
- Novel biomarkers offer insights into myocardial stress, damage, ECM, oxidative stress, inflammation, and renal function.
- MicroRNAs and biomarkers for heart failure with preserved ejection fraction are emerging.
Conclusions:
- Appropriate biomarker utilization is key for effective heart failure management.
- Novel biomarkers enhance diagnostic and prognostic capabilities.
- This review provides a comprehensive overview for clinical application.
Abstract:
Appropriate use of biomarkers is clinically important for identifying heart failure in its early stage, optimizing risk stratification, and managing patients. This article describes established and traditional biomarkers as well as novel biomarkers reflective of myocardial stress, myocardial damage, extracellular matrix, oxidative stress, inflammation, renal function, micro RNAs, and heart failure with preserved left ventricular ejection fraction. This review focuses on the recent advances in cardiac and non-cardiac biomarkers of heart failure and their appropriate use in clinical practice.
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