Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence

Left ventricular assist devices (LVADs) have been representing a cornerstone therapy for patients with end-stage heart failure during the last decades. However, their use induces several pathophysiological modifications which are partially responsible for the complications that typically characteriz...

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Main Authors: Carlotta Sciaccaluga, Nicolò Ghionzoli, Giulia Elena Mandoli, Flavio D’Ascenzi, Marta Focardi, Serafina Valente, Matteo Cameli
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/2/334
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author Carlotta Sciaccaluga
Nicolò Ghionzoli
Giulia Elena Mandoli
Flavio D’Ascenzi
Marta Focardi
Serafina Valente
Matteo Cameli
author_facet Carlotta Sciaccaluga
Nicolò Ghionzoli
Giulia Elena Mandoli
Flavio D’Ascenzi
Marta Focardi
Serafina Valente
Matteo Cameli
author_sort Carlotta Sciaccaluga
collection DOAJ
description Left ventricular assist devices (LVADs) have been representing a cornerstone therapy for patients with end-stage heart failure during the last decades. However, their use induces several pathophysiological modifications which are partially responsible for the complications that typically characterize these patients, such as right ventricular failure, thromboembolic events, as well as bleedings. During the last years, biomarkers involved in the pathways of neurohormonal activation, myocardial injury, adverse remodeling, oxidative stress and systemic inflammation have raised attention. The search and analysis of potential biomarkers in LVAD patients could lead to the identification of a subset of patients with an increased risk of developing these adverse events. This could then promote a closer follow-up as well as therapeutic modifications. Furthermore, it might highlight some new therapeutic pharmacological targets that could lead to improved long-term survival. The aim of this review is to provide current evidence on the role of different biomarkers in patients with LVAD, in particular highlighting their possible implications in clinical practice.
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spelling doaj.art-43916f99cdf647d3b280928682ca9a872023-11-23T19:00:16ZengMDPI AGBiomolecules2218-273X2022-02-0112233410.3390/biom12020334Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current EvidenceCarlotta Sciaccaluga0Nicolò Ghionzoli1Giulia Elena Mandoli2Flavio D’Ascenzi3Marta Focardi4Serafina Valente5Matteo Cameli6Department of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Section of Cardiology, University of Siena, 53100 Siena, ItalyLeft ventricular assist devices (LVADs) have been representing a cornerstone therapy for patients with end-stage heart failure during the last decades. However, their use induces several pathophysiological modifications which are partially responsible for the complications that typically characterize these patients, such as right ventricular failure, thromboembolic events, as well as bleedings. During the last years, biomarkers involved in the pathways of neurohormonal activation, myocardial injury, adverse remodeling, oxidative stress and systemic inflammation have raised attention. The search and analysis of potential biomarkers in LVAD patients could lead to the identification of a subset of patients with an increased risk of developing these adverse events. This could then promote a closer follow-up as well as therapeutic modifications. Furthermore, it might highlight some new therapeutic pharmacological targets that could lead to improved long-term survival. The aim of this review is to provide current evidence on the role of different biomarkers in patients with LVAD, in particular highlighting their possible implications in clinical practice.https://www.mdpi.com/2218-273X/12/2/334LVADbiomarkersneurohormonal activationadverse remodelinginflammation
spellingShingle Carlotta Sciaccaluga
Nicolò Ghionzoli
Giulia Elena Mandoli
Flavio D’Ascenzi
Marta Focardi
Serafina Valente
Matteo Cameli
Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence
Biomolecules
LVAD
biomarkers
neurohormonal activation
adverse remodeling
inflammation
title Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence
title_full Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence
title_fullStr Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence
title_full_unstemmed Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence
title_short Biomarkers in Patients with Left Ventricular Assist Device: An Insight on Current Evidence
title_sort biomarkers in patients with left ventricular assist device an insight on current evidence
topic LVAD
biomarkers
neurohormonal activation
adverse remodeling
inflammation
url https://www.mdpi.com/2218-273X/12/2/334
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