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Circulating biomarkers in the early detection of hypertensive heart disease: usefulness in the developing world
Dike Ojji1, Elena Libhaber2, Kim Lamont2
1Cardiology Unit, Department of Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria.
Insights
Diagnosing hypertensive heart disease (HHD) is challenging. Circulating biomarkers offer a promising, accessible alternative to traditional imaging methods for assessing HHD.
Area of Science:
- Cardiology
- Biomarkers
- Hypertensive Heart Disease
Background:
- Hypertensive heart disease (HHD) diagnosis relies on methods like ECG, echocardiography, and CMR.
- These methods have limitations including insensitivity (ECG) or high cost and limited availability (echocardiography, CMR).
- Exploring alternative diagnostic tools like circulating biomarkers is crucial for HHD assessment.
Purpose of the Study:
- To review the current literature on circulating biomarkers for diagnosing hypertensive heart disease (HHD).
- To identify the most studied biomarkers in HHD diagnosis.
- To highlight the need for further research into novel biomarkers for HHD.
Main Methods:
- A systematic literature search was conducted on PubMed and Google Scholar databases.
- Original articles published between 2005 and 2015 focusing on circulating biomarkers in human HHD diagnosis were included.
- Fourteen studies met the inclusion criteria for the review.
Main Results:
- N-terminal pro-B-type natriuretic peptide (NT-proBNP) was the most frequently studied biomarker in HHD.
- Soluble ST2 (sST2) was the second most studied circulating biomarker in HHD.
- The review identified a limited amount of data on circulating biomarkers for HHD diagnosis.
Conclusions:
- Circulating biomarkers present an attractive alternative for diagnosing hypertensive heart disease (HHD) due to limitations of current imaging techniques.
- NT-proBNP and sST2 are among the most investigated biomarkers, but data remains scarce.
- Further investigation into circulating biomarkers is essential for advancing the diagnosis and management of HHD.
Abstract:
Although the varying phenotypic spectra of hypertensive heart disease (HHD) can be assessed by electrocardiography (ECG), echocardiography and cardiovascular magnetic resonance (CMR), ECG criteria for left ventricular hypertrophy (LVH) are insensitive, while echocardiography and CMR are expensive, less readily available and often lack requisite expertise. Consequently, the use of circulating biomarkers in the diagnosis and prognostication of HHD beyond the traditional N-terminal pro- b-type natriuretic peptide (NT-proBNP) and B-type natriuretic peptide (BNP) have become an attractive alternative. We carried out a PubMed and Google Scholar databases' search of original articles on circulating biomarkers used in the diagnosis of the different spectrum of HHD over the last 10 years [2005-2015] in humans. Fourteen studies met the inclusion criteria with NT-pro BNP being the most studied circulating biomarker in HHD followed by soluble ST2 (sST2). There is a lack of data on the use of circulating biomarkers in HHD. There is a need to explore further this area of investigative cardiology.
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