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Published in: Current Heart Failure Reports 4/2014

01-12-2014 | Biomarkers of Heart Failure (WHW Tang, Section Editor)

Biomarkers in Pulmonary Arterial Hypertension

Authors: Julie L. Rosenthal, Miriam S. Jacob

Published in: Current Heart Failure Reports | Issue 4/2014

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Abstract

Pulmonary hypertension prevalence continues to rise and remains a clinical dilemma with regards to patient recognition and management. Despite advances in our understanding of the pathophysiology and pathogenesis behind pulmonary hypertension (PH), this heterogeneous cohort continues to demonstrate significant morbidity and mortality. Biomarkers serve as a dynamic, noninvasive tool in a physician’s clinical armamentarium. Their role is to impact clinical decision-making and to facilitate patient education with respect to diagnosis, prognosis, and therapeutic intervention. This review will elucidate the relationship between PH and serum biomarkers related to inflammation, myocardial dysfunction or stress, and endothelial dysfunction. Over the last two decades, the utilization and incorporation of biomarkers into the evaluation and management of pulmonary hypertension has exploded. Consequently, current guidelines and consensus documents have adopted their use. The additive roles of both established and innovative biomarkers in individuals with pulmonary arterial hypertension (PAH) will be discussed.
Literature
1.
go back to reference McLaughlin VV et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association: developed in collaboration with the American College of Chest Physicians, American Thoracic Society, Inc., and the Pulmonary Hypertension Association. Circulation. 2009;119(16):2250–94.PubMedCrossRef McLaughlin VV et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association: developed in collaboration with the American College of Chest Physicians, American Thoracic Society, Inc., and the Pulmonary Hypertension Association. Circulation. 2009;119(16):2250–94.PubMedCrossRef
2.
go back to reference Galie N et al. Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J. 2009;34(6):1219–63.PubMedCrossRef Galie N et al. Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J. 2009;34(6):1219–63.PubMedCrossRef
3.
go back to reference Hoeper MM et al. Definitions and diagnosis of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25 Suppl):D42–50.PubMedCrossRef Hoeper MM et al. Definitions and diagnosis of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25 Suppl):D42–50.PubMedCrossRef
4.
go back to reference Simonneau G et al. Clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2004;43(12):5S–12S.PubMedCrossRef Simonneau G et al. Clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2004;43(12):5S–12S.PubMedCrossRef
5.
go back to reference Fishman AP. Clinical classification of pulmonary hypertension. Clin Chest Med. 2001;22(3):385–91. vii.PubMedCrossRef Fishman AP. Clinical classification of pulmonary hypertension. Clin Chest Med. 2001;22(3):385–91. vii.PubMedCrossRef
6.
7.
go back to reference Torbicki A, Kurzyna M. Pulmonary arterial hypertension: evaluation of the newly diagnosed patient. Semin Respir Crit Care Med. 2005;26(4):372–8.PubMedCrossRef Torbicki A, Kurzyna M. Pulmonary arterial hypertension: evaluation of the newly diagnosed patient. Semin Respir Crit Care Med. 2005;26(4):372–8.PubMedCrossRef
8.••
go back to reference McGoon MD et al. Pulmonary arterial hypertension: epidemiology and registries. J Am Coll Cardiol. 2013;62(25):D51–9. This is a historical overview of pulmonary hypertension.PubMedCrossRef McGoon MD et al. Pulmonary arterial hypertension: epidemiology and registries. J Am Coll Cardiol. 2013;62(25):D51–9. This is a historical overview of pulmonary hypertension.PubMedCrossRef
9.
go back to reference McGoon MD et al. Design of the REVEAL registry for US patients with pulmonary arterial hypertension. Mayo Clin Proc. 2008;83(8):923–31.PubMedCrossRef McGoon MD et al. Design of the REVEAL registry for US patients with pulmonary arterial hypertension. Mayo Clin Proc. 2008;83(8):923–31.PubMedCrossRef
10.
go back to reference D’Alonzo GE et al. Survival in patients with primary pulmonary hypertension. Results from a national prospective registry. Ann Intern Med. 1991;115(5):343–9.PubMedCrossRef D’Alonzo GE et al. Survival in patients with primary pulmonary hypertension. Results from a national prospective registry. Ann Intern Med. 1991;115(5):343–9.PubMedCrossRef
11.
go back to reference Benza RL et al. An evaluation of long-term survival from time of diagnosis in pulmonary arterial hypertension from the REVEAL Registry. Chest. 2012;142(2):448–56.PubMedCrossRef Benza RL et al. An evaluation of long-term survival from time of diagnosis in pulmonary arterial hypertension from the REVEAL Registry. Chest. 2012;142(2):448–56.PubMedCrossRef
12.
go back to reference Strange G et al. Time from symptoms to definitive diagnosis of idiopathic pulmonary arterial hypertension: the delay study. Pulm Circ. 2013;3(1):89–94.PubMedCentralPubMedCrossRef Strange G et al. Time from symptoms to definitive diagnosis of idiopathic pulmonary arterial hypertension: the delay study. Pulm Circ. 2013;3(1):89–94.PubMedCentralPubMedCrossRef
14.
go back to reference Morrow DA, de Lemos JA. Benchmarks for the assessment of novel cardiovascular biomarkers. Circulation. 2007;115(8):949–52.PubMedCrossRef Morrow DA, de Lemos JA. Benchmarks for the assessment of novel cardiovascular biomarkers. Circulation. 2007;115(8):949–52.PubMedCrossRef
15.
go back to reference Hochholzer W, Morrow DA, Giugliano RP. Novel biomarkers in cardiovascular disease: update 2010. Am Heart J. 2010;160(4):583–94.PubMedCrossRef Hochholzer W, Morrow DA, Giugliano RP. Novel biomarkers in cardiovascular disease: update 2010. Am Heart J. 2010;160(4):583–94.PubMedCrossRef
16.
go back to reference Humbert M, Sitbon O, Simonneau G. Treatment of pulmonary arterial hypertension. N Engl J Med. 2004;351(14):1425–36.PubMedCrossRef Humbert M, Sitbon O, Simonneau G. Treatment of pulmonary arterial hypertension. N Engl J Med. 2004;351(14):1425–36.PubMedCrossRef
17.
go back to reference Benza RL et al. Management of pulmonary arterial hypertension with a focus on combination therapies. J Heart Lung Transplant. 2007;26(5):437–46.PubMedCrossRef Benza RL et al. Management of pulmonary arterial hypertension with a focus on combination therapies. J Heart Lung Transplant. 2007;26(5):437–46.PubMedCrossRef
18.
go back to reference Currie PJ et al. Continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol. 1985;6(4):750–6.PubMedCrossRef Currie PJ et al. Continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol. 1985;6(4):750–6.PubMedCrossRef
19.
go back to reference Forfia PR et al. Tricuspid annular displacement predicts survival in pulmonary hypertension. Am J Respir Crit Care Med. 2006;174(9):1034–41.PubMedCrossRef Forfia PR et al. Tricuspid annular displacement predicts survival in pulmonary hypertension. Am J Respir Crit Care Med. 2006;174(9):1034–41.PubMedCrossRef
20.
go back to reference Vonk MC et al. Right ventricle Tei-index: a tool to increase the accuracy of non-invasive detection of pulmonary arterial hypertension in connective tissue diseases. Eur J Echocardiogr. 2007;8(5):317–21.PubMedCrossRef Vonk MC et al. Right ventricle Tei-index: a tool to increase the accuracy of non-invasive detection of pulmonary arterial hypertension in connective tissue diseases. Eur J Echocardiogr. 2007;8(5):317–21.PubMedCrossRef
21.
go back to reference Borgeson DD et al. Frequency of Doppler measurable pulmonary artery pressures. J Am Soc Echocardiogr. 1996;9(6):832–7.PubMedCrossRef Borgeson DD et al. Frequency of Doppler measurable pulmonary artery pressures. J Am Soc Echocardiogr. 1996;9(6):832–7.PubMedCrossRef
22.
go back to reference Fisher MR et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J Respir Crit Care Med. 2009;179(7):615–21.PubMedCentralPubMedCrossRef Fisher MR et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J Respir Crit Care Med. 2009;179(7):615–21.PubMedCentralPubMedCrossRef
23.••
go back to reference McLaughlin VV et al. Treatment goals of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25):D73–81. This article describes the goals of treatment in PH.PubMedCrossRef McLaughlin VV et al. Treatment goals of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25):D73–81. This article describes the goals of treatment in PH.PubMedCrossRef
24.
go back to reference Vonk-Noordegraaf A et al. Right heart adaptation to pulmonary arterial hypertension: physiology and pathobiology. J Am Coll Cardiol. 2013;62(25 Suppl):D22–33.PubMedCrossRef Vonk-Noordegraaf A et al. Right heart adaptation to pulmonary arterial hypertension: physiology and pathobiology. J Am Coll Cardiol. 2013;62(25 Suppl):D22–33.PubMedCrossRef
25.
go back to reference Mahadavan G, Nguyen TH, Horowitz JD. Brain natriuretic peptide: a biomarker for all cardiac disease? Curr Opin Cardiol. 2014;29(2):160–6.PubMedCrossRef Mahadavan G, Nguyen TH, Horowitz JD. Brain natriuretic peptide: a biomarker for all cardiac disease? Curr Opin Cardiol. 2014;29(2):160–6.PubMedCrossRef
26.
go back to reference Nagaya N et al. Plasma brain natriuretic peptide as a prognostic indicator in patients with primary pulmonary hypertension. Circulation. 2000;102(8):865–70.PubMedCrossRef Nagaya N et al. Plasma brain natriuretic peptide as a prognostic indicator in patients with primary pulmonary hypertension. Circulation. 2000;102(8):865–70.PubMedCrossRef
27.
go back to reference Hachulla E et al. The three-year incidence of pulmonary arterial hypertension associated with systemic sclerosis in a multicenter nationwide longitudinal study in France. Arthritis Rheum. 2009;60(6):1831–9.PubMedCrossRef Hachulla E et al. The three-year incidence of pulmonary arterial hypertension associated with systemic sclerosis in a multicenter nationwide longitudinal study in France. Arthritis Rheum. 2009;60(6):1831–9.PubMedCrossRef
28.
go back to reference Simonneau G et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25 Suppl):D34–41.PubMedCrossRef Simonneau G et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25 Suppl):D34–41.PubMedCrossRef
29.
go back to reference Tyndall AJ et al. Causes and risk factors for death in systemic sclerosis: a study from the EULAR Scleroderma Trials and Research (EUSTA R) database. Ann Rheum Dis. 2010;69(10):1809–15. Tyndall AJ et al. Causes and risk factors for death in systemic sclerosis: a study from the EULAR Scleroderma Trials and Research (EUSTA R) database. Ann Rheum Dis. 2010;69(10):1809–15.
30.
go back to reference Coghlan JG et al. Evidence-based detection of pulmonary arterial hypertension in systemic sclerosis: the DETECT study. Ann Rheum Dis. 2014;73:1340–9.PubMedCentralPubMedCrossRef Coghlan JG et al. Evidence-based detection of pulmonary arterial hypertension in systemic sclerosis: the DETECT study. Ann Rheum Dis. 2014;73:1340–9.PubMedCentralPubMedCrossRef
31.
go back to reference Mathai SC et al. Disproportionate elevation of N-terminal pro-brain natriuretic peptide in scleroderma-related pulmonary hypertension. Eur Respir J. 2010;35(1):95–104.PubMedCrossRef Mathai SC et al. Disproportionate elevation of N-terminal pro-brain natriuretic peptide in scleroderma-related pulmonary hypertension. Eur Respir J. 2010;35(1):95–104.PubMedCrossRef
32.•
go back to reference Tuder RM et al. Relevant issues in the pathology and pathobiology of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25):D4–D12. This article describes the pathology and biology of pulmonary hypertension.PubMedCrossRef Tuder RM et al. Relevant issues in the pathology and pathobiology of pulmonary hypertension. J Am Coll Cardiol. 2013;62(25):D4–D12. This article describes the pathology and biology of pulmonary hypertension.PubMedCrossRef
33.
go back to reference Bogaard HJ et al. The right ventricle under pressure: cellular and molecular mechanisms of right-heart failure in pulmonary hypertension. Chest. 2009;135(3):794–804.PubMedCrossRef Bogaard HJ et al. The right ventricle under pressure: cellular and molecular mechanisms of right-heart failure in pulmonary hypertension. Chest. 2009;135(3):794–804.PubMedCrossRef
34.
go back to reference Fijalkowska A et al. Serum N-terminal brain natriuretic peptide as a prognostic parameter in patients with pulmonary hypertension. Chest. 2006;129(5):1313–21.PubMedCrossRef Fijalkowska A et al. Serum N-terminal brain natriuretic peptide as a prognostic parameter in patients with pulmonary hypertension. Chest. 2006;129(5):1313–21.PubMedCrossRef
35.
go back to reference Benza RL et al. Predicting survival in pulmonary arterial hypertension: insights from the Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management (REVEAL). Circulation. 2010;122(2):164–72.PubMedCrossRef Benza RL et al. Predicting survival in pulmonary arterial hypertension: insights from the Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management (REVEAL). Circulation. 2010;122(2):164–72.PubMedCrossRef
36.
go back to reference Benza RL et al. The REVEAL Registry risk score calculator in patients newly diagnosed with pulmonary arterial hypertension. Chest. 2012;141(2):354–62.PubMedCrossRef Benza RL et al. The REVEAL Registry risk score calculator in patients newly diagnosed with pulmonary arterial hypertension. Chest. 2012;141(2):354–62.PubMedCrossRef
37.
go back to reference Benza RL et al. Development of prognostic tools in pulmonary arterial hypertension: lessons from modern day registries. Thromb Haemost. 2012;108(6):1049–60.PubMedCrossRef Benza RL et al. Development of prognostic tools in pulmonary arterial hypertension: lessons from modern day registries. Thromb Haemost. 2012;108(6):1049–60.PubMedCrossRef
38.
go back to reference Munagala VK, Burnett Jr JC, Redfield MM. The natriuretic peptides in cardiovascular medicine. Curr Probl Cardiol. 2004;29(12):707–69.PubMedCrossRef Munagala VK, Burnett Jr JC, Redfield MM. The natriuretic peptides in cardiovascular medicine. Curr Probl Cardiol. 2004;29(12):707–69.PubMedCrossRef
39.
go back to reference Cracowski JL, Leuchte HH. The potential of biomarkers in pulmonary arterial hypertension. Am J Cardiol. 2012;110(6 Suppl):32S–8S.PubMedCrossRef Cracowski JL, Leuchte HH. The potential of biomarkers in pulmonary arterial hypertension. Am J Cardiol. 2012;110(6 Suppl):32S–8S.PubMedCrossRef
40.
go back to reference Torbicki A et al. Detectable serum cardiac troponin T as a marker of poor prognosis among patients with chronic precapillary pulmonary hypertension. Circulation. 2003;108(7):844–8.PubMedCrossRef Torbicki A et al. Detectable serum cardiac troponin T as a marker of poor prognosis among patients with chronic precapillary pulmonary hypertension. Circulation. 2003;108(7):844–8.PubMedCrossRef
41.
go back to reference Filusch A et al. High-sensitive troponin T: a novel biomarker for prognosis and disease severity in patients with pulmonary arterial hypertension. Clin Sci (Lond). 2010;119(5):207–13.CrossRef Filusch A et al. High-sensitive troponin T: a novel biomarker for prognosis and disease severity in patients with pulmonary arterial hypertension. Clin Sci (Lond). 2010;119(5):207–13.CrossRef
42.
go back to reference Heresi GA et al. Sensitive cardiac troponin I predicts poor outcomes in pulmonary arterial hypertension. Eur Respir J. 2012;39(4):939–44.PubMedCrossRef Heresi GA et al. Sensitive cardiac troponin I predicts poor outcomes in pulmonary arterial hypertension. Eur Respir J. 2012;39(4):939–44.PubMedCrossRef
43.
go back to reference Vélez-Martínez M et al. Association of cardiac troponin I with disease severity and outcomes in patients with pulmonary hypertension. Am J Cardiol. 2013;111(12):1812–7.PubMedCrossRef Vélez-Martínez M et al. Association of cardiac troponin I with disease severity and outcomes in patients with pulmonary hypertension. Am J Cardiol. 2013;111(12):1812–7.PubMedCrossRef
44.
go back to reference Mahajan VS, Jarolim P. How to interpret elevated cardiac troponin levels. Circulation. 2011;124(21):2350–4.PubMedCrossRef Mahajan VS, Jarolim P. How to interpret elevated cardiac troponin levels. Circulation. 2011;124(21):2350–4.PubMedCrossRef
45.
go back to reference Hoeper MM, Hohlfeld JM, Fabel H. Hyperuricaemia in patients with right or left heart failure. Eur Respir J. 1999;13(3):682–5.PubMedCrossRef Hoeper MM, Hohlfeld JM, Fabel H. Hyperuricaemia in patients with right or left heart failure. Eur Respir J. 1999;13(3):682–5.PubMedCrossRef
46.
go back to reference Leyva F et al. Serum uric acid as an index of impaired oxidative metabolism in chronic heart failure. Eur Heart J. 1997;18(5):858–65.PubMedCrossRef Leyva F et al. Serum uric acid as an index of impaired oxidative metabolism in chronic heart failure. Eur Heart J. 1997;18(5):858–65.PubMedCrossRef
47.
48.
go back to reference Nagaya N et al. Serum uric acid levels correlate with the severity and the mortality of primary pulmonary hypertension. Am J Respir Crit Care Med. 1999;160(2):487–92.PubMedCrossRef Nagaya N et al. Serum uric acid levels correlate with the severity and the mortality of primary pulmonary hypertension. Am J Respir Crit Care Med. 1999;160(2):487–92.PubMedCrossRef
49.
go back to reference Njaman W et al. Serum uric acid as a prognostic predictor in pulmonary arterial hypertension with connective tissue disease. Int Heart J. 2007;48(4):523–32.PubMedCrossRef Njaman W et al. Serum uric acid as a prognostic predictor in pulmonary arterial hypertension with connective tissue disease. Int Heart J. 2007;48(4):523–32.PubMedCrossRef
50.
go back to reference Dawson J, Walters M. Uric acid and xanthine oxidase: future therapeutic targets in the prevention of cardiovascular disease? Br J Clin Pharmacol. 2006;62(6):633–44.PubMedCentralPubMedCrossRef Dawson J, Walters M. Uric acid and xanthine oxidase: future therapeutic targets in the prevention of cardiovascular disease? Br J Clin Pharmacol. 2006;62(6):633–44.PubMedCentralPubMedCrossRef
51.
53.
go back to reference Kakkar R, Lee RT. The IL-33/ST2 pathway: therapeutic target and novel biomarker. Nat Rev Drug Discov. 2008;7(10):827–40. This is a review of IL-33/ST2 pathway which elucidates the biology of ST2 biomarker and potential role in PH.PubMedCrossRef Kakkar R, Lee RT. The IL-33/ST2 pathway: therapeutic target and novel biomarker. Nat Rev Drug Discov. 2008;7(10):827–40. This is a review of IL-33/ST2 pathway which elucidates the biology of ST2 biomarker and potential role in PH.PubMedCrossRef
54.
go back to reference Felker GM et al. Soluble ST2 in ambulatory patients with heart failure: association with functional capacity and long-term outcomes. Circulation: Heart Failure. 2013;6(6):1172–9.PubMedCentral Felker GM et al. Soluble ST2 in ambulatory patients with heart failure: association with functional capacity and long-term outcomes. Circulation: Heart Failure. 2013;6(6):1172–9.PubMedCentral
55.
go back to reference Zheng YG et al. Plasma soluble ST2 levels correlate with disease severity and predict clinical worsening in patients with pulmonary arterial hypertension. Clin Cardiol. 2014;37(6):365–70.PubMedCrossRef Zheng YG et al. Plasma soluble ST2 levels correlate with disease severity and predict clinical worsening in patients with pulmonary arterial hypertension. Clin Cardiol. 2014;37(6):365–70.PubMedCrossRef
56.
go back to reference Rhodes CJ et al. Red cell distribution width outperforms other potential circulating biomarkers in predicting survival in idiopathic pulmonary arterial hypertension. Heart. 2011;97(13):1054–60.PubMedCrossRef Rhodes CJ et al. Red cell distribution width outperforms other potential circulating biomarkers in predicting survival in idiopathic pulmonary arterial hypertension. Heart. 2011;97(13):1054–60.PubMedCrossRef
57.
go back to reference Warwick G, Thomas PS, Yates DH. Biomarkers in pulmonary hypertension. Eur Respir J. 2008;32(2):503–12.PubMedCrossRef Warwick G, Thomas PS, Yates DH. Biomarkers in pulmonary hypertension. Eur Respir J. 2008;32(2):503–12.PubMedCrossRef
58.
go back to reference Rosenberg M et al. Osteopontin, a new prognostic biomarker in patients with chronic heart failure. Circ Heart Fail. 2008;1(1):43–9.PubMedCrossRef Rosenberg M et al. Osteopontin, a new prognostic biomarker in patients with chronic heart failure. Circ Heart Fail. 2008;1(1):43–9.PubMedCrossRef
59.
go back to reference Singh K et al. Myocardial osteopontin expression coincides with the development of heart failure. Hypertension. 1999;33(2):663–70.PubMedCrossRef Singh K et al. Myocardial osteopontin expression coincides with the development of heart failure. Hypertension. 1999;33(2):663–70.PubMedCrossRef
60.
go back to reference Denhardt DT et al. Osteopontin as a means to cope with environmental insults: regulation of inflammation, tissue remodeling, and cell survival. J Clin Invest. 2001;107(9):1055–61.PubMedCentralPubMedCrossRef Denhardt DT et al. Osteopontin as a means to cope with environmental insults: regulation of inflammation, tissue remodeling, and cell survival. J Clin Invest. 2001;107(9):1055–61.PubMedCentralPubMedCrossRef
61.
go back to reference Rosenberg M et al. Osteopontin (OPN) improves risk stratification in pulmonary hypertension (PH). Int J Cardiol. 2012;155(3):504–5.PubMedCrossRef Rosenberg M et al. Osteopontin (OPN) improves risk stratification in pulmonary hypertension (PH). Int J Cardiol. 2012;155(3):504–5.PubMedCrossRef
62.
go back to reference Rosenberg M et al. Osteopontin predicts adverse right ventricular remodelling and dysfunction in pulmonary hypertension. Eur J Clin Invest. 2012;42(9):933–42.PubMedCrossRef Rosenberg M et al. Osteopontin predicts adverse right ventricular remodelling and dysfunction in pulmonary hypertension. Eur J Clin Invest. 2012;42(9):933–42.PubMedCrossRef
63.
go back to reference Dharnidharka VR, Kwon C, Stevens G. Serum cystatin C is superior to serum creatinine as a marker of kidney function: a meta-analysis. Am J Kidney Dis. 2002;40(2):221–6.PubMedCrossRef Dharnidharka VR, Kwon C, Stevens G. Serum cystatin C is superior to serum creatinine as a marker of kidney function: a meta-analysis. Am J Kidney Dis. 2002;40(2):221–6.PubMedCrossRef
64.
go back to reference Shlipak MG et al. Cystatin-C and mortality in elderly persons with heart failure. J Am Coll Cardiol. 2005;45(2):268–71.PubMedCrossRef Shlipak MG et al. Cystatin-C and mortality in elderly persons with heart failure. J Am Coll Cardiol. 2005;45(2):268–71.PubMedCrossRef
65.
go back to reference Fenster BE et al. Cystatin C: a potential biomarker for pulmonary arterial hypertension. Respirology. 2014;19:583–9.PubMedCrossRef Fenster BE et al. Cystatin C: a potential biomarker for pulmonary arterial hypertension. Respirology. 2014;19:583–9.PubMedCrossRef
66.
go back to reference Deftereos S et al. Anti-inflammatory treatment with colchicine in stable chronic heart failure: a prospective, randomized study. JACC Heart Fail. 2014;2(2):131–7.PubMedCrossRef Deftereos S et al. Anti-inflammatory treatment with colchicine in stable chronic heart failure: a prospective, randomized study. JACC Heart Fail. 2014;2(2):131–7.PubMedCrossRef
67.
go back to reference Ghofrani H-AMD et al. Riociguat for the treatment of pulmonary arterial hypertension. N Engl J Med. 2013;369(4):330–40.PubMedCrossRef Ghofrani H-AMD et al. Riociguat for the treatment of pulmonary arterial hypertension. N Engl J Med. 2013;369(4):330–40.PubMedCrossRef
68.
go back to reference Barst RJ et al. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension. N Engl J Med. 1996;334(5):296–301.PubMedCrossRef Barst RJ et al. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension. N Engl J Med. 1996;334(5):296–301.PubMedCrossRef
69.
go back to reference Galie N et al. Ambrisentan for the treatment of pulmonary arterial hypertension: results of the ambrisentan in pulmonary arterial hypertension, randomized, double-blind, placebo-controlled, multicenter, efficacy (ARIES) study 1 and 2. Circulation. 2008;117(23):3010–9.PubMedCrossRef Galie N et al. Ambrisentan for the treatment of pulmonary arterial hypertension: results of the ambrisentan in pulmonary arterial hypertension, randomized, double-blind, placebo-controlled, multicenter, efficacy (ARIES) study 1 and 2. Circulation. 2008;117(23):3010–9.PubMedCrossRef
Metadata
Title
Biomarkers in Pulmonary Arterial Hypertension
Authors
Julie L. Rosenthal
Miriam S. Jacob
Publication date
01-12-2014
Publisher
Springer US
Published in
Current Heart Failure Reports / Issue 4/2014
Print ISSN: 1546-9530
Electronic ISSN: 1546-9549
DOI
https://doi.org/10.1007/s11897-014-0225-5

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