Congestion in heart failure: a circulating biomarker-based perspective. A review from the Biomarkers Working Group of the Heart Failure Association, European Society of Cardiology.

Fecha de publicación: Fecha Ahead of Print:

Autores de INCLIVA

Participantes ajenos a INCLIVA

  • Rossignol, P
  • Voors, AA
  • Mullens, W
  • Metra, M
  • Chioncel, O
  • Januzzi, JL
  • Mueller, C
  • Richards, AM
  • De Boer, RA
  • Thum, T
  • Arfsten, H
  • Gonzalez, A
  • Abdelhamid, M
  • Adamopoulos, S
  • Anker, SD
  • Gal, TB
  • Biegus, J
  • Cohen-Solal, A
  • Bohm, M
  • Emdin, M
  • Jankowska, EA
  • Gustafsson, F
  • Hill, L
  • Jaarsma, T
  • Jhund, PS
  • Lopatin, Y
  • Lund, LH
  • Milicic, D
  • Moura, B
  • Piepoli, MF
  • Ponikowski, P
  • Rakisheva, A
  • Ristic, A
  • Savarese, G
  • Tocchetti, CG
  • Van Linthout, S
  • Volterrani, M
  • Seferovic, P
  • Rosano, G
  • Coats, AJS
  • Bayes-Genis, A

Grupos y Plataformas de I+D+i

Abstract

Congestion is a cardinal sign of heart failure (HF). In the past, it was seen as a homogeneous epiphenomenon that identified patients with advanced HF. However, current evidence shows that congestion in HF varies in quantity and distribution. This updated view advocates for a congestive-driven classification of HF according to onset (acute vs. chronic), regional distribution (systemic vs. pulmonary), compartment of distribution (intravascular vs. extravascular), and clinical vs. subclinical. Thus, this review will focus on the utility of circulating biomarkers for assessing and managing the different fluid overload phenotypes. This discussion focused on the clinical utility of the natriuretic peptides, carbohydrate antigen 125 (also called mucin 16), bio-adrenomedullin and mid-regional pro-adrenomedullin, ST2 (also known as interleukin-1 receptor-like 1), cluster of differentiation 146, troponin, C-terminal pro-endothelin-1, and parameters of haemoconcentration. The utility of circulation biomarkers on top of clinical evaluation, haemodynamics, and imaging needs to be better determined by dedicated studies. Some multiparametric frameworks in which these tools contribute to management are proposed.

© 2022 European Society of Cardiology.

Datos de la publicación

ISSN/ISSNe:
1388-9842, 1879-0844

EUROPEAN JOURNAL OF HEART FAILURE  WILEY

Tipo:
Article
Páginas:
1751-1766
PubMed:
36039656

Citas Recibidas en Web of Science: 97

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Acute heart failure; Biomarkers; Congestion

Campos de Estudio

Financiación

Proyectos y Estudios Clínicos

INCORPORACIÓN DE NUEVAS ÁREAS TEMÁTICAS Y NUEVOS GRUPOS AL CONSORCIO CIBER

Investigador Principal: JUAN SANCHIS FORES

CB16/11/00420 . INSTITUTO SALUD CARLOS III

Cita

Compartir