The Use of Biomarkers for the Early Detection of Vulnerable Atherosclerotic Plaques and Vulnerable Patients. A Review

Author:

Benedek Theodora1,Maurovich-Horváth Pál2,Ferdinandy Péter34,Merkely Béla2

Affiliation:

1. Department of Cardiology, University of Medicine and Pharmacy, Tîrgu Mureş, Romania

2. MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Budapest, Hungary

3. Pharmahungary Group, Szeged, Hungary

4. Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary

Abstract

Abstract Acute coronary syndromes represent the most severe consequences of atherosclerosis, most often triggered by the rupture of a coronary plaque, which, for various reasons, has become unstable. In many cases, these rupture-prone vulnerable plaques are difficult to diagnose, because they do not always cause significant obstruction noticeable by coronary angiography. Therefore, new methods and tools for the identification of vulnerable plaques have been proposed, many of which are currently under study. Various biomarkers have been suggested as predictors of a vulnerable plaque, as well as indicators of an increased inflammatory status associated with higher patient susceptibility for plaque rupture. Integration of such biomarkers into multiple biomarker platforms has been suggested to identify superior diagnostic algorithms for the early detection of the high-risk condition associated with an unstable plaque. The aim of this review is to summarize recent research related to biomarkers used for the early detection of vulnerable plaques and vulnerable patients.

Publisher

Walter de Gruyter GmbH

Subject

Automotive Engineering

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