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Diagnostic biomarkers of dilated cardiomyopathy
Aysan Moeinafshar1, Niloufar Yazdanpanah2, Nima Rezaei3
1School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran.
Insights
Cardiac biomarkers are crucial for diagnosing and predicting dilated cardiomyopathy (DCM). This review categorizes and discusses these biomarkers, highlighting their diagnostic and prognostic potential for early disease detection.
Area of Science:
- Cardiology
- Biomarker Research
Background:
- Dilated cardiomyopathy (DCM) involves cardiac chamber dilation and impaired contraction.
- Cardiac biomarkers are vital for DCM diagnosis and prognosis.
- Biomarkers are classified into cardiomyocyte, microenvironmental, and macroenvironmental types.
Purpose of the Study:
- To review the characteristics, epidemiology, etiology, and clinical manifestations of DCM.
- To discuss key biomarkers across all three categories.
- To evaluate the diagnostic and prognostic value of these biomarkers.
Main Methods:
- Literature review of DCM and cardiac biomarkers.
- Categorization of biomarkers based on their site of origin.
- Analysis of diagnostic and prognostic utility.
Main Results:
- DCM is associated with infections and autoimmunity.
- Cardiomyocyte, microenvironmental, and macroenvironmental biomarkers show potential.
- Biomarkers aid in DCM diagnosis and prognosis.
Conclusions:
- Efficient diagnostic tools for early DCM detection are valuable.
- The discussed biomarker classes are promising for DCM detection.
- Further research is needed to validate biomarker efficacy.
Background:
Dilated cardiomyopathy (DCM) is a condition involving dilation of cardiac chambers, which results in contraction impairment. Besides invasive and non-invasive diagnostic procedures, cardiac biomarkers are of great importance in both diagnosis and prognosis of the disease. These biomarkers are categorized into three groups based on their site; cardiomyocyte biomarkers, microenvironmental biomarkers and macroenvironmental biomarkers.
Aims:
In this review, an overview of characteristics, epidemiology, etiology and clinical manifestations of DCM is provided. In addition, the most important biomarkers, of all three categories, and their diagnostic and prognostic values are discussed.
Conclusion:
Considering the association of DCM with conditions such as infections and autoimmunity, which are prevalent among the population, introducing efficient diagnostic tools is of high value for the early detection of DCM to prevent its severe complications. The three discussed classes of biomarkers are potential candidates for the detection of DCM. However, further studies are necessary in this regard.
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