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Published on: January 28, 2020
Platelets as Biomarkers of Coronary Artery Disease
Leonardo Pasalic1, Samuel S Y Wang2, Vivien M Y Chen1
1Prince of Wales Clinical School, Adult Cancer Program, University of New South Wales, Sydney, Australia.
Insights
Platelet-derived biomarkers show promise for assessing cardiovascular disease risk. This review explores their potential and limitations in improving patient prognostication and guiding preventative care strategies.
Area of Science:
- Cardiovascular medicine
- Hematology
- Biomarker research
Background:
- Cardiovascular disease prevention is a major public health concern.
- Accurate patient risk stratification is essential for effective preventative strategies.
- Platelets are implicated in thrombosis, atherogenesis, and angiogenesis, making them attractive targets for biomarker development.
Purpose of the Study:
- To review the potential of platelet-based assays as biomarkers for coronary artery disease.
- To assess the limitations of current platelet-derived biomarkers.
- To evaluate their role in risk stratification for cardiovascular disease prevention.
Main Methods:
- Literature review of studies on platelet-derived biomarkers.
- Analysis of various platelet-based assays.
- Assessment of biomarker performance in coronary artery disease prognostication.
Main Results:
- Platelet-derived biomarkers offer a promising avenue for cardiovascular disease risk assessment.
- Several assays show potential for improving patient prognostication.
- Limitations exist regarding standardization, validation, and clinical implementation.
Conclusions:
- Platelet-based assays hold significant potential for enhancing cardiovascular disease risk stratification.
- Further research and validation are needed to overcome current limitations.
- These biomarkers could play a crucial role in guiding preventative interventions for coronary artery disease.
Abstract:
Primary and secondary prevention of cardiovascular disease remain a public health priority. Effective risk stratification of patients is a central requisite for effective preventative care and several scoring systems incorporating biomarkers have been used for prognostication in patients to guide intervention decisions. Thrombosis of atherosclerotic coronary arteries is the main mechanism behind the acute coronary syndromes and since platelets play a pivotal role in the pathogenesis of thrombosis, atherogenesis, and angiogenesis, platelet-derived biomarkers are an attractive concept. This review assesses the potential and the limitations of a range of platelet-based assays as biomarkers for coronary artery disease.
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