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Published on: January 28, 2020
Emerging Biomarkers for Predicting Clinical Outcomes in Patients with Heart Disease
Krisztina Pál1,2, Ion-Bogdan Mănescu1,2, Silvia Lupu3,4
1Clinical Laboratory, County Emergency Clinical Hospital of Targu Mures, 540136 Targu Mures, Romania.
Insights
This review explores emerging blood biomarkers for cardiovascular disease risk. Identifying these novel markers aids in predicting myocardial infarction and heart failure, improving patient outcomes.
Area of Science:
- Cardiology
- Biomarker Discovery
- Atherosclerosis Research
Background:
- Cardiovascular disease, primarily atherosclerosis, leads to myocardial ischemia and infarction.
- Severe arterial narrowing (stenoses) disrupts metabolic balance, causing heart muscle damage.
- Unstable plaques and thrombosis can precipitate myocardial infarction and heart failure.
Purpose of the Study:
- To review emerging blood biomarkers for cardiovascular event risk assessment.
- To complement previous work on conventional biomarkers in clinical practice.
- To identify novel indicators for patients at high risk of acute coronary syndromes and heart failure.
Main Methods:
- Literature review of emerging blood biomarkers.
- Analysis of current research on non-mainstream cardiovascular markers.
- Synthesis of findings from existing studies on biomarker utility.
Main Results:
- Emerging biomarkers show potential for early detection of cardiovascular risk.
- These novel markers may offer improved predictive power over conventional ones.
- Further validation is needed for widespread clinical adoption.
Conclusions:
- Emerging blood biomarkers represent a promising frontier in cardiovascular disease management.
- Identifying high-risk individuals through novel biomarkers can guide preventative strategies.
- Continued research is crucial for integrating these advanced markers into clinical practice.
Abstract:
Cardiovascular disease is most frequently caused by the development and progression of atherosclerosis. When coronary arteries are afflicted, and the stenoses caused by atherosclerotic plaques are severe enough, the metabolic supply-and-offer balance is disturbed, leading to myocardial ischemia. If atherosclerotic plaques become unstable and local thrombosis develops, a myocardial infarction occurs. Sometimes, myocardial ischemia and infarction may result in significant and irreversible heart failure. To prevent severe complications, such as acute coronary syndromes and ischemia-related heart failure, extensive efforts have been made for developing biomarkers that would help identify patients at increased risk for cardiovascular events. In this two-part study, we attempted to provide a review of existing knowledge of blood biomarkers that may be used in this setting. The first part of this work was dedicated to conventional biomarkers, which are already used in clinical practice. In the second part, here presented, we discuss emerging biomarkers which have not yet become mainstream.
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