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A Narrative Review of the Role of Blood Biomarkers in the Risk Prediction of Cardiovascular Diseases
Lavanya Garady1, Ashok Soota2, Yogesh Shouche3
1Public Health Sciences, Scientific Knowledge for Ageing and Neurological Ailments (SKAN) Research Trust, Bengaluru, IND.
Insights
Identifying novel biomarkers for cardiovascular disease (CVD) risk prediction in healthy individuals is crucial for preventive cardiology. This review explores key biomarkers to improve early detection and patient outcomes.
Area of Science:
- Cardiology
- Preventive Medicine
- Biomarker Discovery
Background:
- Cardiovascular disease (CVD) represents a significant global health challenge, driving morbidity and mortality.
- Early detection of CVD is critical for effective intervention and improved patient outcomes.
- The identification of reliable biomarkers is essential for predicting CVD risk in asymptomatic individuals.
Purpose of the Study:
- To review and identify biomarkers for predicting cardiovascular disease (CVD) risk in the general population.
- To highlight the role of these biomarkers in advancing preventive cardiology.
- To assess the potential of novel biomarkers in enhancing CVD risk stratification.
Main Methods:
- Literature review of existing studies on CVD biomarkers.
- Analysis of established and emerging biomarkers associated with CVD risk factors.
- Evaluation of biomarker combinations for improved diagnostic and prognostic accuracy.
Main Results:
- Biomarkers like atherogenic lipoproteins, fibrinogen, homocysteine, and thyroid-stimulating hormone (TSH) are linked to CVD risk factors (dyslipidemia, hypertension, diabetes, obesity).
- Inflammatory markers, such as C-reactive protein (CRP), enhance risk prediction when combined with conventional biomarkers.
- Emerging biomarkers like myeloperoxidase (MPO) and procalcitonin (PCT) show promise for early detection, though their role in CVD requires further investigation.
Conclusions:
- Specific biomarkers can aid in predicting CVD risk, enabling proactive preventive strategies.
- Combining multiple biomarkers may improve diagnostic and prognostic accuracy, but optimal combinations need further research.
- Continued research into novel biomarkers is vital for advancing cardiovascular health and reducing disease burden.
Abstract:
Cardiovascular disease (CVD) is a global health crisis and a leading cause of morbidities and mortalities. Biomarkers whose evaluation would allow the detection of CVD at an early stage of development are actively sought. Biomarkers are objectively measured as indicators of health, disease, or response to an exposure or intervention, including therapeutic interventions. Hence, this review aims to identify biomarkers that can help predict CVD risk in the healthy population. This helps with risk prediction and is crucial for advancing preventive cardiology and improving clinical outcomes in a wide range of patient populations. Biomarkers such as atherogenic lipoproteins, fibrinogen, homocysteine, and thyroid-stimulating hormone (TSH) have been linked to CVD risk factors, including dyslipidemia, hypertension, diabetes, and obesity. When combined with conventional biomarkers, inflammatory markers such as C-reactive protein (CRP) can enhance risk prediction. However, biomarkers such as high-sensitivity troponin T (hsTnT) and N-terminal proBNP (NT-proBNP) are widely used as diagnostic biomarkers for heart failure (HF) and cardiac dysfunction, as they are released only after one to two hours of cardiovascular event occurrence. Myeloperoxidase (MPO) and procalcitonin (PCT) have developed into promising new biomarkers for the early detection of systemic bacterial infections as inflammatory markers, which are better diagnostic tools than screening. Combining biomarkers can improve test accuracy, but the best combinations for diagnosis or prognosis must be identified.
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