Novel Techniques, Biomarkers and Molecular Targets to Address Cardiometabolic Diseases.
Valerio Di FioreFederica CappelliLavinia Del PuntaNicolò De BiaseSilvia ArmeniaDavide MaremmaniTommaso LomonacoDenise BiaginiAlessio LenziMatteo MazzolaDomenico TricòStefano MasiAlessandro MengozziNicola Riccardo PugliesePublished in: Journal of clinical medicine (2024)
Cardiometabolic diseases (CMDs) are interrelated and multifactorial conditions, including arterial hypertension, type 2 diabetes, heart failure, coronary artery disease, and stroke. Due to the burden of cardiovascular morbidity and mortality associated with CMDs' increasing prevalence, there is a critical need for novel diagnostic and therapeutic strategies in their management. In clinical practice, innovative methods such as epicardial adipose tissue evaluation, ventricular-arterial coupling, and exercise tolerance studies could help to elucidate the multifaceted mechanisms associated with CMDs. Similarly, epigenetic changes involving noncoding RNAs, chromatin modulation, and cellular senescence could represent both novel biomarkers and targets for CMDs. Despite the promising data available, significant challenges remain in translating basic research findings into clinical practice, highlighting the need for further investigation into the complex pathophysiology underlying CMDs.
Keyphrases
- clinical practice
- heart failure
- type diabetes
- adipose tissue
- coronary artery disease
- arterial hypertension
- dna damage
- gene expression
- atrial fibrillation
- left ventricular
- risk factors
- insulin resistance
- dna methylation
- electronic health record
- high intensity
- endothelial cells
- transcription factor
- cardiovascular events
- genome wide
- physical activity
- metabolic syndrome
- big data
- room temperature
- brain injury
- resistance training
- acute heart failure
- transcatheter aortic valve replacement
- coronary artery bypass grafting
- skeletal muscle
- cardiac resynchronization therapy
- subarachnoid hemorrhage
- deep learning
- ejection fraction
- aortic stenosis