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Dried Blood Spot Collection of Health Biomarkers to Maximize Participation in Population Studies
Published on: January 28, 2014
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.
Abstract:
Cardiovascular disease (CVD), including coronary heart disease and stroke, is the leading cause of death among U.S. women and men. Established cardiovascular risk factors such as smoking, diabetes, hypertension, and elevated total cholesterol, and risk prediction models based on such factors, perform well but do not perfectly predict future risk of CVD. Thus, there has been much recent interest among cardiovascular researchers in identifying novel biomarkers to aid in risk prediction. Such markers include alternative lipids, B-type natriuretic peptides, high-sensitivity troponin, coronary artery calcium, and genetic markers. This article reviews the role of traditional cardiovascular risk factors, risk prediction tools, and selected novel biomarkers and other exposures in predicting risk of developing CVD in women. The predictive role of novel cardiovascular biomarkers for women in primary prevention settings requires additional study, as does the diagnostic and prognostic utility of cardiac troponins for acute coronary syndromes in clinical settings. Sex differences in the clinical expression and physiology of metabolic syndrome may have implications for cardiovascular outcomes. Consideration of exposures that are unique to, or more prevalent in, women may also help to refine cardiovascular risk estimates in this group.
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