Biomarkers of cardiovascular disease risk in women

JoAnn E Manson1, Shari S Bassuk1

  • 1Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, 900 Commonwealth Avenue East, 3rd FL, Boston, Massachusetts 02215.

Insights

Cardiovascular disease (CVD) remains a leading cause of death. Novel biomarkers and unique female risk factors are being explored to improve CVD risk prediction beyond traditional factors.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Biomarker Research

Background:

  • Cardiovascular disease (CVD) is the primary cause of mortality in the U.S. for both women and men.
  • Traditional risk factors and models offer good but imperfect prediction of future CVD events.
  • There is a growing need for novel biomarkers to enhance CVD risk assessment.

Purpose of the Study:

  • To review traditional cardiovascular risk factors, prediction tools, and novel biomarkers for CVD risk in women.
  • To highlight the need for further research on novel biomarkers in women's primary prevention.
  • To examine the role of sex differences and unique exposures in cardiovascular outcomes for women.

Main Methods:

  • Literature review of established and emerging cardiovascular risk factors.
  • Analysis of risk prediction models and their limitations.
  • Evaluation of novel biomarkers such as alternative lipids, natriuretic peptides, troponin, coronary artery calcium, and genetic markers.
  • Consideration of sex-specific physiological differences and exposures.

Main Results:

  • Traditional risk factors are insufficient for perfect CVD prediction.
  • Novel biomarkers show promise but require further investigation, especially in women's primary prevention.
  • Sex differences in metabolic syndrome and unique female exposures may influence CVD risk.

Conclusions:

  • Novel biomarkers and a deeper understanding of sex-specific factors are crucial for improving CVD risk prediction in women.
  • Further research is needed to validate the utility of novel biomarkers and address sex-specific nuances in CVD.
  • Integrating novel markers and considering unique female exposures can refine cardiovascular risk assessment.

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