VA Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92103, USA.
J Geriatr Cardiol. 2012 Sep;9(3):292-304. doi: 10.3724/SP.J.1263.2012.02291.
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.
管理心力衰竭(HF)患者本身就是一项具有挑战性的任务,但伴随的肾功能恶化会大大增加死亡率和发病率。早期诊断和治疗是预防再住院和降低医疗成本的关键。生物标志物长期以来一直被确立为诊断和预测心力衰竭患者的高度敏感和特异性工具。反映不同的病理生理事件和持续的细胞损伤,生物标志物已被证明优于传统的实验室测试。更好的检测方法和快速分析的可用性使得生物标志物能够作为急诊室和患者床边的即时护理测试。急性 HF 患者常发展为肾功能恶化,称为急性心肾综合征。越来越多的研究表明,联合使用多种生物标志物来更好地预测结果并为此类患者带来理想结果的意义。