了解各种生物标志物在高血压诊断和治疗中的重要作用

S. Shah, A. Bansal, Anubha Sharma, Lakshay Kaushik, R. Das
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引用次数: 0

摘要

由于高血压,几乎90%的病因不明的高血压病例被称为原发性高血压,仍然是各种致命健康状况的最重要危险因素之一,使用可靠的生物标志物来预测、诊断和监测高血压的治疗进展,其早期诊断被证明对于预防和治疗各种健康危害至关重要。内皮功能障碍和血脂生化标志物活性的升高,特别是低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL)测量,以及炎症标志物,包括c反应蛋白(CRP)、细胞因子和粘附分子,都与高血压的发展有关。生长与分化因子-15、红细胞分布宽度、尿酸、肌酐、炎症标志物包括白细胞介素-6、血管生成素和microrna是肺动脉高压(PAH)患者的预后指标。门脉高压(PH)最广泛使用的血液标志物是纤维化-4指数和改良的肝纤维化试验。同样,肝静脉压梯度(HVPG)、肝/SSMs和血浆环鸟苷单磷酸(cGMP)是评估ph的临床重要工具。与Copeptin一起,血清尿酸、钾和钠水平可能对儿科高血压的识别和监测至关重要。同样,妊娠期高血压的严重程度与高尿酸血症、CRP升高和白细胞介素-1血清水平相关。在这里,本研究回顾了生物标志物的文献,这些生物标志物是一种多功能的诊断工具,可以影响医疗保健专业人员的判断,并有助于患者在诊断、预后、早期检测和治疗干预方面的教育。
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Diagnosis and management of hypertension understanding imperative role of various biomarkers
As hypertension, almost 90% of cases of hypertension with an unknown origin called essential hypertension, continue to be one of the most important risk factors for various fatal health conditions, its early diagnosis using trustworthy biomarkers to predict, diagnose, and monitor the therapeutic progress of hypertension is proving to be of utmost importance for the preventive as well as curative purpose of various health hazards. A rise in the activity of biochemical markers of endothelial dysfunction and blood lipids, notablyLow-density lipoprotein (LDL) andverylow-density lipoprotein(VLDL)measurements, and inflammation markers including C-reactive protein(CRP), cytokines, and adhesion molecules are linked to the development of hypertension. Growth and differentiation factor-15, red cell distribution width, uric acid, creatinine, inflammatory markers including interleukin-6, angiopoietins, and microRNAs are prognostic indicators in individuals with pulmonary arterial hypertension (PAH).The most extensively used blood markers for portal hypertension (PH) are the fibrosis-4 index and the improved liver fibrosis test. Likewise, Hepatic venous pressure gradient (HVPG), liver/SSMs and Plasma cyclic guanosine monophosphate (cGMP) being clinically significant tools to assess for PH. Along with Copeptin, serum levels of uric acid, potassium, and sodium may be crucial for the identification and monitoring of hypertension in pediatrics.Similarly, the severity of gestational hypertension correlates with hyperuricemia, elevated CRP, and interleukin-1 serum levels. Here, in this study, literature on biomarkers has been reviewed which are versatile diagnostic tools posing that influence healthcare professionals’ judgment and assist in patient education regarding diagnosis, prognosis, early detection, and treatment intervention.
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