Department of Cardiology, Traditional Chinese and Western Medicine Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Curr Med Sci. 2024 Aug;44(4):669-679. doi: 10.1007/s11596-024-2907-x. Epub 2024 Aug 3.
The increasing incidence of cardiovascular disease (CVD) is a significant global health concern, affecting millions of individuals each year. Accurate diagnosis of acute CVD poses a formidable challenge, as misdiagnosis can significantly decrease patient survival rates. Traditional biomarkers have played a vital role in the diagnosis and prognosis of CVDs, but they can be influenced by various factors, such as age, sex, and renal function. Soluble ST2 (sST2) is a novel biomarker that is closely associated with different CVDs. Its low reference change value makes it suitable for continuous measurement, unaffected by age, kidney function, and other confounding factors, facilitating risk stratification of CVDs. Furthermore, the combination of sST2 with other biomarkers can enhance diagnostic accuracy and prognostic value. This review aims to provide a comprehensive overview of sST2, focusing on its diagnostic and prognostic value as a myocardial marker for different types of CVDs and discussing the current limitations of sST2.
心血管疾病(CVD)发病率的上升是一个重大的全球健康问题,每年影响着数以百万计的人。急性 CVD 的准确诊断是一个巨大的挑战,因为误诊会显著降低患者的生存率。传统的生物标志物在 CVD 的诊断和预后中发挥了重要作用,但它们会受到年龄、性别和肾功能等多种因素的影响。可溶性 ST2(sST2)是一种与不同 CVD 密切相关的新型生物标志物。其低参考变化值使其适合连续测量,不受年龄、肾功能和其他混杂因素的影响,有利于 CVD 的风险分层。此外,sST2 与其他生物标志物的结合可以提高诊断准确性和预后价值。本综述旨在全面介绍 sST2,重点讨论其作为不同类型 CVD 的心肌标志物的诊断和预后价值,并讨论 sST2 的当前局限性。