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Biomarkers in heart failure: the past, current and future

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Abstract

Despite the enhanced knowledge of the pathophysiology of heart failure (HF), it still remains a serious syndrome with substantial morbidity, mortality, and frequent hospitalizations. These are due to the current improvements in other cardiovascular diseases (like myocardial infarction), the aging population, and growing prevalence of comorbidities. Biomarker-guided management has brought a new dimension in prognostication, diagnosis, and therapy options. Following the recommendation of natriuretic peptides (B-type natriuretic peptide and N-terminal-proBNP), many other biomarkers have been thoroughly studied to reflect different pathophysiological processes (such as fibrosis, inflammation, myocardial injury, and remodeling) in HF and some of them (like cardiac troponins, soluble suppression of tumorigenesis-2, and galectin 3) have subsequently been recommended to aid in the diagnosis and prognostication in HF. Consequently, multi-marker approach has also been approved owing to the varied nature of HF syndrome. In this review, we discussed the guidelines available for HF biomarkers, procedures for evaluating novel markers, and the utilities of both emerging and established biomarkers for risk stratification, diagnosis, and management of HF in the clinics. We later looked at how the rapidly emerging field—OMICs, can help transform HF biomarkers discoveries and establishment.

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Funding

This study is supported by grants from the National Natural Science Foundation of China (NSFC 81774050), Tianjin Outstanding Youth Science Foundation (17JCJQJC46200), the Natural Science Foundation of Tianjin (17JCYBJC29000), and State Key Development Program for Basic Research of China (973 Program, No. 2012CB518404).

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  1. First teaching hospital of Tianjin University of Traditional Chinese Medicine, Number 314 Anshanxi Road, Nankai District, Tianjin, China

    Michael Sarhene, Yili Wang, Jing Wei, Yuting Huang, Min Li, Lan Li, Zhou Zhengcan, Qin Xiaoyan, Xu Yunsheng, Mao Jingyuan & Fan Guanwei

  2. State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China

    Michael Sarhene, Yili Wang, Jing Wei, Yuting Huang, Min Li, Lan Li, Enoch Acheampong, Zhou Zhengcan, Qin Xiaoyan, Xu Yunsheng, Gao Xiumei & Fan Guanwei

  3. Tianjin Laboratory of Translational Research of TCM Prescription and Syndrome, Tianjin, 300193, China

    Michael Sarhene, Yili Wang, Jing Wei, Yuting Huang, Min Li & Lan Li

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  1. Michael Sarhene
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Sarhene, M., Wang, Y., Wei, J. et al. Biomarkers in heart failure: the past, current and future. Heart Fail Rev 24, 867–903 (2019). https://doi.org/10.1007/s10741-019-09807-z

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