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Review
. 2023 Oct 25:9:e13.
doi: 10.15420/cfr.2023.08. eCollection 2023.

Biomarkers to Improve Decision-making in Acute Heart Failure

Affiliations
Review

Biomarkers to Improve Decision-making in Acute Heart Failure

Rafael de la Espriella et al. Card Fail Rev. .

Abstract

Acute heart failure (AHF) is a complex clinical syndrome that requires prompt diagnosis, risk stratification and effective treatment strategies to reduce morbidity and mortality. Biomarkers are playing an increasingly important role in this process, offering valuable insights into the underlying pathophysiology and facilitating personalised patient management. This review summarises the significance of various biomarkers in the context of AHF, with a focus on their clinical applications to stratify risk and potential for guiding therapy choices.

Keywords: Acute heart failure; biomarkers; precision medicine.

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Conflict of interest statement

Disclosure: RdlE reports personal fees from AstraZeneca, Novartis, Boehringer Ingelheim and Novo Nordisk (outside the submitted work). GNM reports personal fees from AstraZeneca and Novo Nordisk (outside the submitted work). PC reports personal fees from AstraZeneca, Novartis, Boehringer Ingelheim and Abbott (outside the submitted work). JN reports personal fees from AstraZeneca, Novartis, Boehringer Ingelheim, Eli Lilly, Rovi, Novo Nordisk and Vifor Pharma (outside the submitted work). ABG reports personal fees and/or advisory board from AstraZeneca, Novartis, Boehringer Ingelheim, Abbott, Roche Diagnostics, and Vifor Pharma.

Figures

Figure 1:
Figure 1:. Diagnostic Work-up in Acute Heart Failure
Figure 2:
Figure 2:. Biomarkers for Identifying the Predominant Congestion Phenotype
Figure 3:
Figure 3:. Interpreting Haemoconcentration and Haemodilution During Decongestion
Figure 4:
Figure 4:. Biomarkers for Improving Recognition and Management of High-risk Patients
Figure 5:
Figure 5:. Multibiomarker Panel for Identifying the Predominant Heart Failure Phenotype

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