title: Usefulness of circulating biomarkers for the prediction of left ventricular remodeling after myocardial infarction.
abstract: Left ventricular (LV) remodeling after myocardial infarction (MI) indicates a high risk of heart failure and death, but LV remodeling remains difficult to predict. Biomarkers may help to refine risk stratification for a more personalized medical approach. They may also shed light on the pathophysiologic processes involved. We performed a systematic review of the published evidence about the association of circulating biomarkers with LV remodeling after MI. We selected 59 publications. Overall, these studies examined 112 relations between 52 different biomarkers and LV remodeling. The biomarkers most consistently associated with LV remodeling were involved in extracellular matrix turnover or neurohormonal activation: matrix metalloproteinase-9, collagen peptides, and B-type natriuretic peptide. This review underscores the vitality of the research on LV remodeling but concludes that the ideal biomarker has not yet been identified. To reach this goal, future studies will have to be larger, have standardized imaging end points, and include replication populations to define optimal cutoffs for LV remodeling prediction. Cardiovascular magnetic resonance appears to be the best technique for LV remodeling assessment but its current availability may be a concern for recruitment for multicenter studies. Recent technologic advances will probably yield new candidate biomarkers of LV remodeling. Tests are necessary to determine whether a multimarker approach would significantly improve risk prediction.
authors.affiliation: Centre Hospitalier Régional et Universitaire de Lille, Lille, France; Faculté de Médecine de Lille, Lille, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Fertin
authors.forename: Emilie
authors.initials: E
authors.lastname: Dubois
authors.forename: Aude
authors.initials: A
authors.lastname: Belliard
authors.forename: Philippe
authors.initials: P
authors.lastname: Amouyel
authors.forename: Florence
authors.initials: F
authors.lastname: Pinet
authors.forename: Christophe
authors.initials: C
authors.lastname: Bauters
mesh_terms: D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000032:analysis; D002097:C-Reactive Protein / Q000032:analysis; D006801:Humans; D007958:Leukocyte Count; D020780:Matrix Metalloproteinase 9 / Q000097:blood; D009203:Myocardial Infarction / Q000097:blood* / Q000503:physiopathology*; D020097:Natriuretic Peptide, Brain / Q000097:blood; D010446:Peptide Fragments / Q000097:blood; D011347:Procollagen / Q000097:blood; D020257:Ventricular Remodeling / Q000502:physiology*
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D010446:Peptide Fragments; D011347:Procollagen; D020097:Natriuretic Peptide, Brain; D002097:C-Reactive Protein; D020780:Matrix Metalloproteinase 9