Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA, USA.
Expert Rev Cardiovasc Ther. 2023 Jul-Dec;21(10):675-692. doi: 10.1080/14779072.2023.2264779. Epub 2023 Oct 26.
Coronary Artery Disease (CAD) is a prevalent condition characterized by the presence of atherosclerotic plaques in the coronary arteries of the heart. The global burden of CAD has increased significantly over the years, resulting in millions of deaths annually and making it the leading health-care expenditure and cause of mortality in developed countries. The lack of cost-effective strategies for monitoring the prognosis of CAD warrants a pressing need for accurate and efficient markers to assess disease severity and progression for both reducing health-care costs and improving patient outcomes.
To effectively monitor CAD, prognostic biomarkers and imaging techniques play a vital role in risk-stratified patients during acute treatment and over time. However, with over 1,000 potential markers of interest, it is crucial to identify the key markers with substantial utility in monitoring CAD progression and evaluating therapeutic interventions. This review focuses on identifying and highlighting the most relevant markers for monitoring CAD prognosis and disease severity. We searched for relevant literature using PubMed and Google Scholar.
By utilizing the markers discussed, health-care providers can improve patient care, optimize treatment plans, and ultimately reduce health-care costs associated with CAD management.
冠心病(CAD)是一种常见的疾病,其特征是心脏冠状动脉中存在动脉粥样硬化斑块。多年来,CAD 的全球负担显著增加,导致每年数百万人死亡,使其成为发达国家主要的医疗保健支出和死亡原因。缺乏经济有效的 CAD 预后监测策略,迫切需要准确和有效的标志物来评估疾病的严重程度和进展,以降低医疗保健成本并改善患者的预后。
为了有效地监测 CAD,预后生物标志物和成像技术在急性治疗期间和随着时间的推移对风险分层患者具有重要作用。然而,有超过 1000 个潜在的感兴趣标志物,因此识别具有监测 CAD 进展和评估治疗干预的实质性效用的关键标志物至关重要。这篇综述侧重于确定和强调用于监测 CAD 预后和疾病严重程度的最相关标志物。我们使用 PubMed 和 Google Scholar 搜索了相关文献。
通过利用讨论的标志物,医疗保健提供者可以改善患者的护理,优化治疗计划,并最终降低与 CAD 管理相关的医疗保健成本。