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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Circulating biomarkers in chronic thromboembolic pulmonary hypertension
Meng Zhang1,2,3,4, Yunxia Zhang2,3,4, Wenyi Pang2,3,4,5
11 Peking University China-Japan Friendship School of Clinical Medicine, Beijing, China.
Insights
Chronic thromboembolic pulmonary hypertension (CTEPH) is a serious condition. Identifying circulating biomarkers is crucial for early diagnosis and improved prognosis in patients with CTEPH, especially those not eligible for surgery.
Area of Science:
- Cardiology
- Pulmonary Medicine
- Biomarker Research
Background:
- Chronic thromboembolic pulmonary hypertension (CTEPH) involves pulmonary vessel obstruction by organized thrombi, leading to pulmonary hypertension and right heart failure.
- While CTEPH is potentially curable via surgery, not all patients are operable, and some face a poor prognosis.
Purpose of the Study:
- To review recent advances in circulating biomarkers for CTEPH.
- To discuss the importance of diagnostic and prognostic biomarkers for early intervention and improved patient outcomes.
- To explore future applications of these biomarkers in CTEPH management.
Main Methods:
- Literature review of recent studies on circulating biomarkers in CTEPH.
- Analysis of identified biomarkers related to CTEPH pathomechanisms.
- Synthesis of current knowledge and future perspectives on biomarker utility.
Main Results:
- Several circulating biomarkers associated with CTEPH mechanisms have been identified.
- These biomarkers show potential for both diagnosis and prognosis in CTEPH patients.
- The existing literature on CTEPH biomarkers is limited, highlighting the need for comprehensive reviews.
Conclusions:
- Circulating biomarkers are vital for improving the early diagnosis and prognosis of CTEPH.
- Further research and validation of these biomarkers are essential for clinical application.
- Biomarker discovery offers promising avenues for managing CTEPH patients, particularly non-operable cases.
Abstract:
Chronic thromboembolic pulmonary hypertension (CTEPH) is a serious condition characterized with chronic organized thrombi that obstruct the pulmonary vessels, leading to pulmonary hypertension (PH) and ultimately right heart failure. Although CTEPH is the only form of PH that can be cured with surgical intervention, not all patients with CTEPH will be deemed operable. Some CTEPH patients still have a poor prognosis. Therefore, the determination of diagnostic and prognostic biomarkers of CTEPH is of great importance for the early intervention to improve prognosis of patients with CTEPH. Several markers related to multiple mechanisms of CTEPH have been recently identified as circulating diagnostic and prognostic biomarkers in these patients. However, the existing literature review of biomarkers of CTEPH is relatively sparse. In this article, we review recent advances in circulating biomarkers of CTEPH and describe future applications of these biomarkers in the management of CTEPH.
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