IMR Press / RCM / Volume 24 / Issue 11 / DOI: 10.31083/j.rcm2411310
Open Access Review
Heart Failure: Is There an Ideal Biomarker?
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1 Internal Medicine and Stroke Care Ward, University Hospital Policlinico P. Giaccone, 90127 Palermo, Italy
*Correspondence: bruno.tuttolomondo@unipa.it (Antonino Tuttolomondo)
Rev. Cardiovasc. Med. 2023, 24(11), 310; https://doi.org/10.31083/j.rcm2411310
Submitted: 14 April 2023 | Revised: 6 June 2023 | Accepted: 30 June 2023 | Published: 9 November 2023
(This article belongs to the Special Issue Congestive Heart Failure)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

An always-rising prevalence of heart failure (HF), formerly classified as an emerging epidemic in 1997 and still representing a serious problem of public health, imposes on us to examine more in-depth the pathophysiological mechanisms it is based on. Over the last few years, several biomarkers have been chosen and used in the management of patients affected by HF. The research about biomarkers has broadened our knowledge by identifying some underlying pathophysiological mechanisms occurring in patients with both acute and chronic HF. This review aims to provide an overview of the role of biomarkers previously identified as responsible for the pathophysiological mechanisms subtending the disease and other emerging ones to conduct the treatment and identify possible prognostic implications that may allow the optimization of the therapy and/or influence a closer follow-up. Taking the high prevalence of HF-associated comorbidities into account, an integrated approach using various biomarkers has shown promising results in predicting mortality, a preferable risk stratification, and the decrease of rehospitalizations, reducing health care costs as well.

Keywords
heart failure
pathophysiology
biomarkers
natriuretic peptides
hs-cTnT
Figures
Fig. 1.
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