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Erschienen in: Current Heart Failure Reports 1/2024

07.12.2023 | Review

Sex Differences in Circulating Biomarkers of Heart Failure

verfasst von: Roopa A. Rao, Anju Bhardwaj, Mrudula Munagala, Sonu Abraham, Sanjana Adig, Arden Shen, Eman Hamad

Erschienen in: Current Heart Failure Reports | Ausgabe 1/2024

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Abstract

Purpose of RevSiew

Evidence is scaling up for sex differences in heart failure; however, clinical relevance of sex-specific differential thresholds for biomarkers is not clearly known. Current ambiguity warrants a further look into the sex-specific studies on cardiac biomarkers and may facilitate understanding of phenotypic presentations, clinical manifestations, and pathophysiologic pathway differences in men and women.

Recent Findings

Recent studies have confirmed the fact that females have differential threshold for biomarkers, with lower troponin and higher NT proBNP levels. Ambiguity continues to exist in the clinical relevance of ST-2, Galectin 3, and other biomarkers.
Novel biomarkers, proteomic biomarkers, and circulating micro RNAs with machine learning are actively being explored. Biomarkers in HFpEF patients with higher female representation are evolving. In recent clinical trials, sex-related difference in biomarkers is not seen despite therapeutic intervention being more effective in females compared to males.

Summary

Sex-related difference exists in the expression of biomarkers in health and in various disease states of heart failure. However, this differentiation has not effectively translated into the clinical practice in terms of diagnostic studies or prognostication. Active exploration to bridge the knowledge gap and novel technologies can shed more light in this area.
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Metadaten
Titel
Sex Differences in Circulating Biomarkers of Heart Failure
verfasst von
Roopa A. Rao
Anju Bhardwaj
Mrudula Munagala
Sonu Abraham
Sanjana Adig
Arden Shen
Eman Hamad
Publikationsdatum
07.12.2023
Verlag
Springer US
Erschienen in
Current Heart Failure Reports / Ausgabe 1/2024
Print ISSN: 1546-9530
Elektronische ISSN: 1546-9549
DOI
https://doi.org/10.1007/s11897-023-00634-w

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