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Evaluating Biomarkers as Tools for Early Detection and Prognosis of Heart Failure: A Comprehensive Review
Moza A Alzaabi1, Amin Abdelsalam2, Majid Alhammadi3
1Cardiothoracic Surgery, Heart, Vascular & Thoracic Institute, Cleveland Clinic Abu Dhabi Abu Dhabi, United Arab Emirates.
Insights
Biomarkers are crucial for diagnosing and managing heart failure (HF). This review examines current and emerging biomarkers like B-type natriuretic peptide for improved HF patient outcomes.
Area of Science:
- Cardiology
- Biomarker Research
Background:
- Heart failure (HF) affects millions globally, leading to high mortality and healthcare costs.
- Effective early diagnosis, prognostication, and therapy monitoring are critical for managing HF.
- Biomarkers play a vital role in addressing these challenges in HF management.
Purpose of the Study:
- To provide a comprehensive overview of current heart failure biomarkers.
- To examine the utility of various biomarkers in HF diagnosis, severity assessment, and treatment response.
- To highlight emerging biomarkers with potential for future HF management.
Main Methods:
- Review of existing research on heart failure biomarkers.
- Analysis of the diagnostic and prognostic capabilities of different biomarker categories.
- Identification of novel biomarkers and their potential applications in HF.
Main Results:
- Cardiac-specific biomarkers, including B-type natriuretic peptide and N-terminal pro-B-type natriuretic peptide, show significant promise for HF diagnosis and risk stratification.
- Markers related to oxidative stress, extracellular matrix, renal function, inflammation, and cardiac peptides aid in evaluating HF severity and prognosis.
- Emerging biomarkers such as microRNAs and insulin-like growth factor demonstrate potential for improving HF diagnosis and prognosis.
Conclusions:
- Current biomarkers offer valuable tools for HF diagnosis, risk stratification, and monitoring treatment efficacy.
- Further research into emerging biomarkers like microRNAs and insulin-like growth factor could enhance HF management strategies.
- A multi-biomarker approach may be essential for comprehensive heart failure patient care.
Abstract:
There is a high prevalence of heart failure (HF) worldwide, which has significant consequences for healthcare costs, patient death and quality of life. Therefore, there has been much focus on finding and using biomarkers for early diagnosis, prognostication and therapy of HF. This overview of the research presents a thorough examination of the current state of HF biomarkers and their many uses. Their function in diagnosing HF, gauging its severity and monitoring its response to therapy are all discussed. Particularly promising in HF diagnosis and risk stratification are the cardiac-specific biomarkers, B-type natriuretic peptide and N-terminal pro-B-type natriuretic peptide. Markers of oxidative stress, extracellular matrix, renal function, inflammation and cardiac peptides have shown promise in evaluating HF severity and prognosis. MicroRNAs and insulin-like growth factor are two emerging biomarkers that have shown potential in helping with HF diagnosis and prognosis.
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