Biomarkers for predicting postmenopausal coronary heart disease

被引:8
作者
Spoletini, Ilaria [1 ]
Vitale, Cristiana [1 ]
Rosano, Giuseppe M. C. [1 ,2 ]
机构
[1] IRCCS San Raffaele Pisana, Ctr Clin & Basic Res, I-00163 Rome, Italy
[2] San Raffaele Sulmona, Clin Res Ctr, Sulmona, Italy
关键词
atherosclerosis; biomarkers; coronary heart disease; dyslipidemia; hormone therapy; inflammation; menopause; oxidative stress; C-REACTIVE-PROTEIN; HORMONE REPLACEMENT THERAPY; SERUM URIC-ACID; ESTROGEN PLUS PROGESTIN; CARDIOVASCULAR RISK PREDICTION; METABOLIC SYNDROME; WOMENS HEALTH; INFLAMMATORY BIOMARKERS; ATHEROSCLEROSIS RISK; MULTIPLE BIOMARKERS;
D O I
10.2217/BMM.11.51
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Coronary heart disease (CHD) is the main cause of death in post-menopausal women (PMW). Beyond the 'traditional' cardiovascular risk factors of CHD, newer biomarkers, reflecting inflammation, endothelial function and oxidative stress, have received growing consideration. We systematically reviewed the literature on the biomarkers for predicting CHD in PMW. C-reactive protein, IL-6 and Lipoprotein (a) have been consistently found to be associated with CHD risk in PMW. However, no evidence supports the existence of a causal and independent link between such biomarkers and CHD in PMW. Also, the new biomarkers only marginally improve cardiovascular risk prediction. Upcoming studies are needed to provide further evidence on the validity of the new biomarkers in PMW and to understand their relationships with hormone therapy, opening new avenues for prevention.
引用
收藏
页码:485 / 495
页数:11
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