Kamardinov D K, Songurov R N, Ioshina V I, Buziashvili Yu I
Bakulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation.
Kardiologiia. 2019 Nov 6;60(2):111-121. doi: 10.18087/cardio.2020.2.n816.
This review focuses on possibilities of using soluble ST2 as a HF marker for diagnostics, stratification of risk of adverse events, and for evaluation of prognosis and treatment effectiveness in patients with CHF. Circulating biomarkers are an essential element of algorithms for diagnostics, stratification of risk, and evaluation of prognosis in patients with HF. The recognized "gold standard", natriuretic peptides, has several well-known limitations, and multiple new candidate biomarkers have appeared in recent years. Soluble ST2, a marker of "mechanical myocardial stress", is considered as one of the most promising new biomarkers. This review discusses possibilities of using it in clinical practice in CHF patients.
本综述重点关注使用可溶性ST2作为心力衰竭(HF)诊断标志物、不良事件风险分层以及评估慢性心力衰竭(CHF)患者预后和治疗效果的可能性。循环生物标志物是HF患者诊断、风险分层和预后评估算法的重要组成部分。公认的“金标准”利钠肽有几个众所周知的局限性,近年来出现了多种新的候选生物标志物。可溶性ST2作为“机械性心肌应激”的标志物,被认为是最有前景的新生物标志物之一。本综述讨论了在CHF患者临床实践中使用它的可能性。