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The Role of Oxidative Stress and Inflammatory Parameters in Heart Failure
Karolina Wróbel-Nowicka1, Celina Wojciechowska2, Wojciech Jacheć2
1Medical Laboratory of Teresa Fryda, Katowice, Laboratory Branch in Specialist Hospital in Zabrze, 10, M.C-Skłodowska St., 41-800 Zabrze, Poland.
Insights
Heart failure (HF) diagnosis relies on biomarkers like NT-proBNP. This review explores oxidative stress and inflammation markers as promising new tools for HF prognosis and treatment.
Area of Science:
- Cardiology
- Biomarkers
- Pathophysiology
Background:
- Heart failure (HF) presents significant medical and social challenges.
- Current gold-standard biomarkers like NT-proBNP and BNP have limitations in predicting HF risks.
- HF pathophysiology involves diverse mechanisms including oxidative stress and inflammation.
Purpose of the Study:
- To review current knowledge on oxidative stress and inflammation parameters as biomarkers for heart failure.
- To highlight the role of oxidative-stress-mediated inflammation in HF development.
- To identify novel diagnostic and prognostic tools for HF patients.
Main Methods:
- Systematic literature review.
- Analysis of oxidative stress and inflammation parameters in HF.
- Evaluation of diagnostic and prognostic potential of these markers.
Main Results:
- Oxidative stress and inflammation are crucial in HF progression.
- These biomarkers offer new insights into HF mechanisms.
- Oxidative stress and inflammatory markers show promise for HF diagnosis and prognosis.
Conclusions:
- Oxidative stress and inflammation are key players in heart failure.
- Novel biomarkers related to oxidative stress and inflammation are needed.
- These markers represent a promising avenue for improving HF management.
Abstract:
Heart failure (HF) remains a major medical and social problem. The NT-pro-brain natriuretic peptide (NT-proBNP) and its active form, brain-type natriuretic peptide (BNP), in a simple blood test are the gold-standard biomarkers for HF diagnosis. However, even good biomarkers such as natriuretic peptides fail to predict all the risks associated with HF due to the diversity of the mechanisms involved. The pathophysiology of HF is determined by numerous factors, including oxidative stress, inflammation, neuroendocrine activation, pathological angiogenesis, changes in apoptotic pathways, fibrosis and vascular remodeling. High readmission and mortality rates prompt a search for new markers for the diagnosis, prognosis and treatment of HF. Oxidative-stress-mediated inflammation plays a crucial role in the development of subsequent changes in the failing heart and provides a new insight into this complex mechanism. Oxidative stress and inflammatory biomarkers appear to be a promising diagnostic and prognostic tool in patients with HF. This systematic review provides an overview of the current knowledge about oxidative stress and inflammation parameters as markers of HF.
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