The combined measurement of high-sensitivity cardiac troponins and natriuretic peptides: a useful tool for clinicians?


Journal

Journal of cardiovascular medicine (Hagerstown, Md.)
ISSN: 1558-2035
Titre abrégé: J Cardiovasc Med (Hagerstown)
Pays: United States
ID NLM: 101259752

Informations de publication

Date de publication:
Dec 2020
Historique:
entrez: 6 11 2020
pubmed: 7 11 2020
medline: 20 5 2021
Statut: ppublish

Résumé

: An enormous amount of experimental and clinical evidence has clearly shown that the measurement of cardio-specific biomarkers is able to significantly and independently improve the diagnostic accuracy and risk stratification in cardiovascular diseases. Furthermore, many recent studies have reported that the measurement of cardio-specific biomarkers has a positive impact also on the management and outcome of patients with cardiovascular diseases. Considering the significant and independent information associated with cardio-specific biomarkers, several studies have recently reported that the combined dosage of natriuretic peptides and cardiac troponins may be convenient not only for the diagnosis, prognosis, and treatment of heart disease, but also for general screening of the population for individuals with high cardiovascular risk. Due to the higher cost of cardio-specific biomarkers compared with other laboratory tests, the clinical adequacy of the combined measurement of natriuretic peptides and cardiac troponins must be carefully evaluated. Consequently, an increase in the clinical use of a laboratory test should be based not only on the favorable pathophysiological characteristics of a biomarker, but also on the high performance of the methods used for biomarker dosing. The purpose of this review is to discuss the clinical relevance and the possible cost efficiency of the combined dosage of natriuretic peptides and cardiac troponins in some clinical conditions, in particular those most frequently observed in patients with critical illnesses admitted to the emergency room.

Identifiants

pubmed: 33156589
doi: 10.2459/JCM.0000000000001022
pii: 01244665-202012000-00004
doi:

Substances chimiques

Biomarkers 0
Natriuretic Peptides 0
Troponin 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

953-963

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Auteurs

Marco A Perrone (MA)

Division of Cardiology, University of Rome Tor Vergata.

Martina Zaninotto (M)

Department of Medicine, University of Padova.
Department of Laboratory Medicine, University Hospital of Padova, Padova.

Silvia Masotti (S)

Laboratory of Cardiovascular Endocrinology and Cell Biology, CNR-Regione Toscana, Foundation, G. Monasterio and Scuola Superiore Sant'Anna, Pisa, Italy.

Veronica Musetti (V)

Laboratory of Cardiovascular Endocrinology and Cell Biology, CNR-Regione Toscana, Foundation, G. Monasterio and Scuola Superiore Sant'Anna, Pisa, Italy.

Andrea Padoan (A)

Department of Medicine, University of Padova.
Department of Laboratory Medicine, University Hospital of Padova, Padova.

Concetta Prontera (C)

Laboratory of Cardiovascular Endocrinology and Cell Biology, CNR-Regione Toscana, Foundation, G. Monasterio and Scuola Superiore Sant'Anna, Pisa, Italy.

Mario Plebani (M)

Department of Medicine, University of Padova.
Department of Laboratory Medicine, University Hospital of Padova, Padova.

Claudio Passino (C)

Laboratory of Cardiovascular Endocrinology and Cell Biology, CNR-Regione Toscana, Foundation, G. Monasterio and Scuola Superiore Sant'Anna, Pisa, Italy.

Francesco Romeo (F)

Division of Cardiology, University of Rome Tor Vergata.

Sergio Bernardini (S)

Division of Clinical Biochemistry and Clinical Molecular Biology, University of Rome Tor Vergata, Rome.

Aldo Clerico (A)

Laboratory of Cardiovascular Endocrinology and Cell Biology, CNR-Regione Toscana, Foundation, G. Monasterio and Scuola Superiore Sant'Anna, Pisa, Italy.

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