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Inflammatory Markers in Cardiovascular Disease; Lessons Learned and Future Perspectives
Dimitrios Patoulias1, Konstantinos Stavropoulos1, Konstantinos Imprialos1
1Second Propedeutic Department of Internal Medicine, Aristotle University, Thessaloniki, Greece.
Inflammation is key in cardiovascular disease (CVD). This review explores inflammatory markers, like C-reactive protein, for CVD diagnosis and prevention, highlighting their potential as therapeutic targets.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Biomarker Discovery
Background:
- Cardiovascular disease (CVD) is a leading global cause of death.
- Inflammation is recognized as a critical factor in atherosclerosis and atherothrombosis.
- Understanding inflammatory markers is vital for CVD management.
Purpose of the Study:
- To review and critically evaluate evidence on inflammatory markers for CVD.
- To assess the utility of established and novel inflammatory markers in CVD.
- To explore the therapeutic potential of targeting inflammation in CVD.
Main Methods:
- Comprehensive literature search of MEDLINE up to November 2018.
- Inclusion of meta-analyses, randomized controlled trials, and observational studies.
- Evaluation of studies on general populations and patients with established CVD.
Main Results:
- Established markers like C-reactive protein show efficacy in CVD prevention.
- Novel markers (e.g., Lp-PLA2, cytokines, MPO) are under investigation.
- Some markers show promise as biomarkers and therapeutic targets for CVD.
Conclusions:
- Significant evidence supports inflammatory markers in CVD diagnosis and prognosis.
- Further research needed on multimarker models, cut-off values, and cost-effectiveness.
- Integration into clinical practice requires further validation.
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