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Left Ventricular Hypertrophy and Ventricular Tachyarrhythmia: The Role of Biomarkers
Ljuba Bacharova1, Marta Kollarova2, Branislav Bezak2,3,4
1International Laser Center CVTI, 841 04 Bratislava, Slovakia.
Insights
Left ventricular hypertrophy (LVH) involves left ventricle enlargement, potentially causing heart failure and arrhythmias. This review covers key biomarkers for assessing LVH and guiding targeted therapies.
Area of Science:
- Cardiology
- Biomarker Discovery
- Molecular Medicine
Background:
- Left ventricular hypertrophy (LVH) is a significant cardiac remodeling process.
- LVH can lead to severe complications, including heart failure and ventricular arrhythmias.
- Current diagnostic approaches primarily rely on imaging for anatomical assessment.
Purpose of the Study:
- To review the main biomarkers used in evaluating left ventricular hypertrophy.
- To highlight the role of molecular and genetic markers in understanding hypertrophic remodeling.
- To explore the potential of biomarkers for targeted LVH therapies.
Main Methods:
- Review of existing literature on LVH biomarkers.
- Analysis of diagnostic imaging techniques (echocardiography, cardiac MRI).
- Exploration of novel molecular and genetic markers.
Main Results:
- Imaging methods are crucial for diagnosing anatomical LVH.
- Functional assessment requires additional methods beyond imaging.
- Molecular and genetic biomarkers offer insights into underlying pathological processes.
Conclusions:
- Biomarkers are essential for a comprehensive evaluation of LVH.
- Novel biomarkers hold promise for developing targeted therapeutic strategies.
- Integrating biomarker data with imaging can improve patient management for LVH.
Abstract:
Left ventricular hypertrophy (LVH) refers to a complex rebuilding of the left ventricle that can gradually lead to serious complications-heart failure and life-threatening ventricular arrhythmias. LVH is defined as an increase in the size of the left ventricle (i.e., anatomically), therefore the basic diagnosis detecting the increase in the LV size is the domain of imaging methods such as echocardiography and cardiac magnetic resonance. However, to evaluate the functional status indicating the gradual deterioration of the left ventricular myocardium, additional methods are available approaching the complex process of hypertrophic remodeling. The novel molecular and genetic biomarkers provide insights on the underlying processes, representing a potential basis for targeted therapy. This review summarizes the spectrum of the main biomarkers employed in the LVH valuation.
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