A Review of Novel Cardiac Biomarkers in Acute or Chronic Cardiovascular Diseases: The Role of Soluble ST2 (sST2), Lipoprotein-Associated Phospholipase A2 (Lp-PLA2), Myeloperoxidase (MPO), and Procalcitonin (PCT)

作者:Li, Junpei; Cao, Tianyu; Wei, Yaping; Zhang, Nan; Zhou, Ziyi; Wang, Zhuo; Li, Jingyi; Zhang, Yue; Wang, Sijia; Wang, Ping; Cheng, Nannan; Ye, Lijing; Li, Minghui; Yu, Yu; Ding, Congcong; Tan, Ziheng; Zhan, Biming; He, Qiangqiang; Bao, Huihui; Wu, Yanqing; Liu, Lishun; Li, Jianping; Xu, Xiping; Cheng, Xiaoshu; Huang, Xiao*
来源:DISEASE MARKERS, 2021, 2021: 6258865.
DOI:10.1155/2021/6258865

摘要

While the received traditional predictors are still the mainstay in the diagnosis and prognosis of CVD events, increasing studies have focused on exploring the ancillary effect of biomarkers for the aspiring of precision. Under which circumstances, soluble ST2 (sST2), lipoprotein-associated phospholipase A2 (Lp-PLA2), myeloperoxidase (MPO), and procalcitonin (PCT) have recently emerged as promising markers in the field of both acute and chronic cardiovascular diseases. Existent clinical studies have demonstrated the significant associations between these markers with various CVD outcomes, which further verified the potentiality of markers in helping risk stratification and diagnostic and therapeutic work-up of patients. The current review article is aimed at illuminating the applicability of these four novels and often neglected cardiac biomarkers in common clinical scenarios, including acute myocardial infarction, acute heart failure, and chronic heart failure, especially in the emergency department. By thorough classification, combination, and discussion of biomarkers with clinical and instrumental evaluation, we hope the current study can provide insights into biomarkers and draw more attention to their importance.

  • 单位
    中山大学; 中国农业大学; 北京大学; 南方医科大学; 南昌大学