Thursday 29 June 2017

The Growth/Differentiation Factor-15 in Chronic Heart Failure: New Challenge in Biomarker-Guided Therapy?

Heart failure (HF) associating with a significant socioeconomic burden, high rates of hospital admission and cardiovascular (CV) mortality remains a major healthcare problemworldwide.

Chronic Heart Failure
Although widely used clinical guidelines represented by European Society of Cardiology and American College of Cardiology Foundation/American Heart Association are in particularly depicted biomarker-guided therapy of HF to improve clinical outcomes and prognosis, there is not completely agreement regarding the role of various biomarkers as a surrogate target of HF care. The hypothesis that intensified therapy of outpatients with different phenotypes of HF (i.e. HF with reduced ejection fraction ([HFrEF], HF with preserved ejection fraction ([HFpEF], and probably HF with mid-regional ejection fraction ([HFmrEF]) under continuously monitoring of some surrogate biomarkers (mainly natriuretic peptides [NPs] and probably soluble ST, cardiac troponins, galectin-3, pro-adrenomedullin) could be better than traditional treatment in a way to improve prognosis appears to be promising.



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