Novel Risk Markers and Risk Assessments for Cardiovascular Disease

Research output: Contribution to journalArticle

Colleges, School and Institutes

External organisations

  • Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Faculty of Health, Aalborg University, Aalborg, Denmark

Abstract

The use of risk markers has transformed cardiovascular medicine, exemplified by the routine assessment of troponin, for both diagnosis and assessment of prognosis in patients with chest pain. Clinical risk factors form the basis for risk assessment of cardiovascular disease and the addition of biochemical, cellular, and imaging parameters offers further refinement. Identifying novel risk factors may allow greater risk stratification and a steady, but gradual progression toward precision medicine. Indeed, the generation of data in this area of research is explosive and when combined with new technologies and techniques provides the potential for more refined, targeted approaches to cardiovascular medicine. Although discussing the most recent developments in this field, this review article aims to strike a balance between novelty and validity by focusing on recent large sample-size studies that have been validated in a separate cohort in most cases. Risk markers related to atherosclerosis, thrombosis, inflammation, cardiac injury, and fibrosis are introduced in the context of their pathophysiology. Rapidly developing new areas, such as assessment of micro-RNA, are also explored. Subsequently the prognostic ability of these risk markers in coronary artery disease, heart failure, and atrial fibrillation is discussed in detail.

Details

Original languageEnglish
Pages (from-to)133-149
Number of pages17
JournalCirculation Research
Volume120
Issue number1
Early online date5 Jan 2017
Publication statusPublished - 6 Jan 2017

Keywords

  • Animals, Biomarkers, Cardiovascular Diseases, Humans, Inflammation Mediators, MicroRNAs, Risk Assessment, Risk Factors, Journal Article, Review