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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Novel biomarkers of coronary microvascular disease
Olivia Y Hung1, Suegene K Lee2, Parham Eshtehardi1
1Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Insights
Diagnosing coronary microvascular disease without heart muscle issues traditionally requires invasive tests. Blood biomarkers offer a less risky, more accessible alternative for outpatient management, though further validation is needed.
Area of Science:
- Cardiology
- Biomarker Discovery
Background:
- Coronary microvascular disease (CMD) diagnosis typically involves invasive coronary reactivity testing.
- Current diagnostic methods present challenges in terms of cost, risk, and accessibility for outpatient settings.
Purpose of the Study:
- To explore the potential of blood-based biomarkers as an alternative diagnostic tool for CMD.
- To evaluate the feasibility of using biomarkers for outpatient management of CMD.
Main Methods:
- Review of existing literature on coronary reactivity testing and blood-based biomarkers for CMD.
- Analysis of the potential advantages of biomarkers over invasive diagnostic procedures.
Main Results:
- Blood biomarkers show promise for reduced cost, lower physical risk, and increased accessibility compared to invasive testing.
- A variety of biomarkers have potential utility in managing CMD.
Conclusions:
- Blood-based biomarkers could offer a more accessible and less invasive approach to diagnosing and managing coronary microvascular disease in an outpatient setting.
- Extensive validation and establishment of specific biomarkers in this patient population are still required.
Abstract:
Coronary microvascular disease in the absence of myocardial diseases has traditionally been diagnosed through coronary reactivity testing in the cardiac catheterization laboratory. Compared with invasive procedures, blood-based biomarkers may have reduced cost, less risk of physical harm and greater accessibility, making them ideal for an outpatient management strategy. There are a variety of biomarkers available with potential utility in the management of microvascular disease; however, none have yet been extensively validated or established in this clinical patient population.
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