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Troponin elevation in heart failure prevalence, mechanisms, and clinical implications.

Abstract：

:Circulating biomarkers have become increasingly important in diagnosing and risk stratifying patients with heart failure (HF). While the natriuretic peptides have received much focus, there is increasing interest in the role of circulating cardiac troponin (cTn) in detecting myocardial injury (often subclinical) in those with HF. Accumulating evidence suggests that patients with chronic and acute HF may have measurable levels of circulating cTn, whose detection and magnitude may have prognostic implications. Furthermore, as new, more sensitive cTn assays are being developed, larger numbers of HF patients are found to have detectable cTn with a persistent relationship between magnitude and outcome. This knowledge improves our ability to understand the mechanism of worsening HF, improve risk stratification, and detect potential injury related to new therapeutics in HF. As investigators begin to understand the relationship of detectable cTn to HF outcomes, as well as temporal changes in its magnitude, and its relationship to other circulating biomarkers, more insight may be gained into the progressive nature of cardiac dysfunction and the transition from chronic compensated to acute decompensated HF. Ultimately, this information might allow physicians to guide therapy, choose appropriate therapeutics, and improve HF outcomes.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Kociol RD,Pang PS,Gheorghiade M,Fonarow GC,O'Connor CM,Felker GM

doi

10.1016/j.jacc.2010.06.016

subject

Has Abstract

pub_date

2010-09-28 00:00:00

pages

1071-8

issue

14

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(10)02641-0

journal_volume

56

pub_type

杂志文章,评审

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