Biomarkers for Heart Failure Prediction and Prevention
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Updated: Jul 7, 2025

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
Prasanti Alekhya Kotta1, Vijay Nambi2,3, Biykem Bozkurt4
1Department of Internal Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Insights
Biomarker screening can help predict and prevent heart failure (HF) before symptoms appear. This review examines studies on using biomarkers for early detection, risk stratification, and guiding prevention strategies in at-risk populations.
Area of Science:
- Cardiology
- Biochemistry
- Preventive Medicine
Background:
- Heart failure (HF) is a global pandemic with increasing prevalence and healthcare costs.
- HF prevention is a key focus for major cardiology organizations.
- Recent guidelines recommend biomarker-based screening for HF risk prediction.
Purpose of the Study:
- To review the role of biomarkers in predicting and preventing heart failure.
- To evaluate biomarker utility in early detection of cardiac dysfunction before clinical manifestation.
- To assess biomarkers for prognostication, risk prediction beyond existing models, and guiding prevention strategies.
Main Methods:
- Systematic review of studies on biomarkers in HF prediction and prevention.
- Analysis of studies using biomarkers for early cardiac abnormality detection.
- Inclusion of studies on biomarker changes over time and multi-biomarker approaches.
Main Results:
- Biomarkers can detect cardiac dysfunction and predict HF risk before clinical symptoms.
- Biomarkers provide prognostic information beyond traditional risk models.
- Changes in biomarker levels over time are valuable for risk assessment.
Conclusions:
- Biomarker-based screening is crucial for early heart failure detection and prevention.
- Multi-biomarker and multimodality strategies enhance HF risk prediction accuracy.
- Biomarkers aid in guiding management and evaluating prevention strategy efficacy.
Abstract:
Heart failure (HF) is a global pandemic affecting over 64 million people worldwide. Its prevalence is on an upward trajectory, with associated increasing healthcare expenditure. Organizations including the American College of Cardiology (ACC) and the American Heart Association (AHA) have identified HF prevention as an important focus. Recently, the ACC/AHA/Heart Failure Society of America (HFSA) Guidelines on heart failure were updated with a new Class IIa, Level of Evidence B recommendation for biomarker-based screening in patients at risk of developing heart failure. In this review, we evaluate the studies that have assessed the various roles and contributions of biomarkers in the prediction and prevention of heart failure. We examined studies that have utilized biomarkers to detect cardiac dysfunction or abnormality for HF risk prediction and screening before patients develop clinical signs and symptoms of HF. We also included studies with biomarkers on prognostication and risk prediction over and above existing HF risk prediction models and studies that address the utility of changes in biomarkers over time for HF risk. We discuss studies of biomarkers to guide management and assess the efficacy of prevention strategies and multi-biomarker and multimodality approaches to improve risk prediction.
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