Key result
Combining multiple cardiorenal biomarkers improves the diagnosis and prognostication of patients with acute heart failure and acute cardiorenal syndrome compared to conventional laboratory tests.
The review highlights the utility of combining multiple cardiorenal biomarkers for early diagnosis and prognostication in acute heart failure patients with worsening renal function.
May support multi-biomarker panels for acute HF diagnosis; leaves open prospective validation before clinical adoption.
Managing patients with heart failure (HF) is a challenging task within itself, but the presence of associated worsening renal function can greatly increase mortality and morbidity. Early diagnosis and treatment is the key to prevent re-hospitalizations and reduce healthcare costs. Biomarkers have long been established as highly sensitive and specific tools in diagnosing and prognosticating patients with HF. Reflecting distinct pathophysiological events and ongoing cellular insult, biomarkers have been proven superior to conventional laboratory tests. Availability of better assays and rapid analysis has allowed the use of biomarkers as point-of-care tests in the emergency department and at the patient's bed-side. Acute HF patients often go on to develop worsening renal function, termed as acute cardiorenal syndrome. The growing breadth of studies has shown the implications of combining multiple biomarkers to better chart outcomes and produce desirable results in such patients.
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Rajiv et al. (2012) conducted a review in Acute heart failure and acute cardiorenal syndrome. Cardiorenal biomarkers vs. Conventional laboratory tests was evaluated. Combining multiple cardiorenal biomarkers improves the diagnosis and prognostication of patients with acute heart failure and acute cardiorenal syndrome compared to conventional laboratory tests.
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