Cardiorenal biomarkers in acute heart failure

被引:14
|
作者
Choudhary, Rajiv [1 ]
Gopal, Dipika [2 ]
Kipper, Ben A. [1 ]
Landa, Alejandro De La Parra [1 ]
Aramin, Hermineh [1 ]
Lee, Elizabeth [1 ]
Shah, Saloni [1 ]
Maisel, Alan S. [1 ,2 ]
机构
[1] VA Med Ctr, San Diego, CA 92103 USA
[2] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA
关键词
Heart failure; Cardiorenal biomarkers; Acute kidney injury; GELATINASE-ASSOCIATED LIPOCALIN; ACUTE KIDNEY INJURY; CARDIAC TROPONIN-T; NATRIURETIC PEPTIDE LEVELS; TERMINAL PROVASOPRESSIN COPEPTIN; COMMUNITY-ACQUIRED PNEUMONIA; RENAL-FUNCTION; MYOCARDIAL-INFARCTION; EMERGENCY-DEPARTMENT; CYSTATIN C;
D O I
10.3724/SP.J.1263.2012.02291
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Managing patients with heart failure (HF) is a challenging task within itself, but the presence of associated worsening renal function can greatly increase mortality and morbidity. Early diagnosis and treatment is the key to prevent re-hospitalizations and reduce healthcare costs. Biomarkers have long been established as highly sensitive and specific tools in diagnosing and prognosticating patients with HF. Reflecting distinct pathophysiological events and ongoing cellular insult, biomarkers have been proven superior to conventional laboratory tests. Availability of better assays and rapid analysis has allowed the use of biomarkers as point-of-care tests in the emergency department and at the patient's bed-side. Acute HF patients often go on to develop worsening renal function, termed as acute cardiorenal syndrome. The growing breadth of studies has shown the implications of combining multiple biomarkers to better chart outcomes and produce desirable results in such patients.
引用
收藏
页码:292 / 304
页数:13
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