Implications of cardiac markers in risk-stratification and management for COVID-19 patients DOI Creative Commons
Pengping Li, Wei Wu, Tingting Zhang

et al.

Critical Care, Journal Year: 2021, Volume and Issue: 25(1)

Published: April 26, 2021

Abstract Background COVID-19 has resulted in high mortality worldwide. Information regarding cardiac markers for precise risk-stratification is limited. We aim to discover sensitive and reliable early-warning biomarkers optimizing management improving the prognosis of patients. Methods A total 2954 consecutive patients who were receiving treatment from Wuhan Huoshenshan Hospital China February 4 April 10 included this retrospective cohort. Serum levels collected after admission. Coronary artery disease diagnosis survival status recorded. Single-cell RNA-sequencing bulk different cohorts non-COVID-19 performed analyze SARS-CoV-2 receptor expression. Results Among analysis, median age was 60 years (50–68 years), 1461 (49.5%) female, 1515 (51.3%) severe/critical. Compared mild/moderate (1439, 48.7%) patients, severe/critical showed significantly higher within first week In those with abnormal serum BNP (42 [24.6%] vs 7 [1.1%]), hs-TNI (38 [48.1%] 6 [1.0%]), α- HBDH (55 [10.4%] 2 [0.2%]), CK-MB (45 [36.3%] 12 [0.9%]), LDH (56 [12.5%] 1 [0.1%]) had a rate compared normal levels. The same trend observed ICU admission rate. Severe/critical pre-existing coronary (165/1,155 [10.9%]) more cases (52 [46.5%] 119 [16.5%]), (24 [26.7%] 9.6 [%], (86 [55.5%] 443 [34.4%]), (27 [17.4%] 97 [7.5%]), (65 [41.9%] 382 [29.7%]), when without disease. There enhanced expression healthy controls. From regression five elevated at risk death (hazards ratio 3.4 [95% CI 2.4–4.8]). Conclusions represented percentage markers, accompanied by together hs-TNI, HBDH, act as prognostic biomarker or

Language: Английский

Myocarditis in malaria—current evidence and future directions: a literature review DOI Creative Commons
Gbolahan Olatunji, Emmanuel Kokori, Ikponmwosa Jude Ogieuhi

et al.

The Egyptian Journal of Internal Medicine, Journal Year: 2025, Volume and Issue: 37(1)

Published: Jan. 7, 2025

Abstract Malaria, though witnessing a decline in prevalence, remains global health threat. Despite its primarily recognized impact on the hematological system, recent studies shed light severe cardiac complications, particularly myocarditis, associated with Plasmodium infections. This review examines literature malaria-induced myocarditis to elucidate mechanisms, clinical manifestations, regional perspectives, treatment outcomes, and diagnostic challenges. A search spanning PubMed, Scopus, Web of Science identified relevant up January 2024, encompassing case reports, cohort studies, trials, experimental studies. The relationship between malaria myocardial involvement is explored, showcasing elevated biomarkers indicative damage. Notably, while falciparum traditionally linked instances vivax contributing complications are documented. Regional perspectives reveal diverse cases, emphasizing importance considering endemic regions beyond. Treatment outcomes underscore efficacy timely antimalarial therapy, advocating for integrated approaches patient care. Diagnostic challenges, often complicated by overlapping symptoms other conditions, highlight need heightened suspicion. Addressing therapeutic challenges involves balancing drugs, supportive care, long-term monitoring. Future research directions outlined, necessity understanding host-parasite interactions, elucidating molecular developing targeted tools. consolidates current knowledge significance continuous vigilance, research, improved mitigate this overlooked complication.

Language: Английский

Citations

0

Exploring Emerging and Innovative Biomarkers for the Assessment and Monitoring of Cardiovascular Disease Risk and Treatment Efficacy in Patients DOI Creative Commons
Omar Elsaka

APIK Journal of Internal Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 20, 2025

Abstract The current research examines the creation of biomarkers for measuring cardiovascular disease (CVD) risk and tracking therapy effectiveness. While like cholesterol levels troponins are useful, developing innovating new gives fresh insights into CVD etiology drug response. limits known discussed, leading to quest signs that might enhance categorization monitoring. Advancements in multiomics technologies, such as genomics, proteomics, metabolomics, transcriptomics, have been utilized uncover possible biomarkers, offering a complete perspective molecular pathways implicated CVD. Artificial intelligence machine learning play vital role biomarker development validation, allowing investigation massive omics datasets detecting patterns links may not be obvious using conventional approaches. clinical translation needs comprehensive validation evaluation their efficacy improving patient outcomes. Incorporating these indicators practice boost prediction, modify treatment regimens, improve overall care.

Language: Английский

Citations

0

Circulating miRNA-486 as a novel diagnostic biomarker for right ventricular remodeling DOI Creative Commons

Huiling Cai,

Cheng Yu,

Xiuchuan Li

et al.

Frontiers in Cardiovascular Medicine, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 29, 2025

Objective Clinical practice currently faces a significant shortfall in specific biomarkers needed for diagnosing right ventricular (RV) remodeling patients with pulmonary hypertension (PH). While small noncoding microRNAs (miRNAs) are crucial regulators of RV remodeling, the biomarker potential serum miRNAs this process is little known. This study systematically screened and identified candidate as diagnostic PH patients. Methods Pulmonary artery banding (PAB) was performed Sprague-Dawley (SD) rats modeling measured by echocardiographic histological analyses 4 weeks after surgery. High-throughput miRNA sequencing samples to profile differentially-expressed (dif-miRNAs) preliminarily screen miRNAs. The power further validated 100 [20 adaptive pressure overload; 20 maladaptive left heart failure (LHF); 19 hypertrophy 21 controls]. Results PAB exhibited severe hypertrophy, fibrosis enlargement cardiomyocytes compared sham group. MiRNA revealed dif-miRNAs (12 upregulated 7 downregulated) between two groups. Among 12 miRNAs, miRNA-486 highest elevation group supposed be modeling. Serum levels were lower control (LVH) patients, significantly higher maladapted than adapted LHF controls, but still In receiver operating characteristic (ROC) analysis, good predictor maladaptation (cut-off value 3.441, AUC 0.8625), which not different from B-type natriuretic peptide (BNP). Elevated (≥3.441) associated reduced TAPSE/PASP ratios increased BNP levels. Conclusions has valuable noninvasive PH.

Language: Английский

Citations

0

MiR-207 inhibits autophagy and promotes apoptosis of cardiomyocytes by directly targeting LAMP2 in type 2 diabetic cardiomyopathy DOI

Ruinan Xing,

Dan Liu, Xiaoli Cheng

et al.

Biochemical and Biophysical Research Communications, Journal Year: 2019, Volume and Issue: 520(1), P. 27 - 34

Published: Sept. 26, 2019

Language: Английский

Citations

26

Implications of cardiac markers in risk-stratification and management for COVID-19 patients DOI Creative Commons
Pengping Li, Wei Wu, Tingting Zhang

et al.

Critical Care, Journal Year: 2021, Volume and Issue: 25(1)

Published: April 26, 2021

Abstract Background COVID-19 has resulted in high mortality worldwide. Information regarding cardiac markers for precise risk-stratification is limited. We aim to discover sensitive and reliable early-warning biomarkers optimizing management improving the prognosis of patients. Methods A total 2954 consecutive patients who were receiving treatment from Wuhan Huoshenshan Hospital China February 4 April 10 included this retrospective cohort. Serum levels collected after admission. Coronary artery disease diagnosis survival status recorded. Single-cell RNA-sequencing bulk different cohorts non-COVID-19 performed analyze SARS-CoV-2 receptor expression. Results Among analysis, median age was 60 years (50–68 years), 1461 (49.5%) female, 1515 (51.3%) severe/critical. Compared mild/moderate (1439, 48.7%) patients, severe/critical showed significantly higher within first week In those with abnormal serum BNP (42 [24.6%] vs 7 [1.1%]), hs-TNI (38 [48.1%] 6 [1.0%]), α- HBDH (55 [10.4%] 2 [0.2%]), CK-MB (45 [36.3%] 12 [0.9%]), LDH (56 [12.5%] 1 [0.1%]) had a rate compared normal levels. The same trend observed ICU admission rate. Severe/critical pre-existing coronary (165/1,155 [10.9%]) more cases (52 [46.5%] 119 [16.5%]), (24 [26.7%] 9.6 [%], (86 [55.5%] 443 [34.4%]), (27 [17.4%] 97 [7.5%]), (65 [41.9%] 382 [29.7%]), when without disease. There enhanced expression healthy controls. From regression five elevated at risk death (hazards ratio 3.4 [95% CI 2.4–4.8]). Conclusions represented percentage markers, accompanied by together hs-TNI, HBDH, act as prognostic biomarker or

Language: Английский

Citations

21