Cardiac biomarkers in the setting of asthma exacerbations: a review of clinical implications and practical considerations

Yükleniyor...
Küçük Resim

Tarih

2020

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Current Medicine Group

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Purpose of Review The present paper aims to highlight clinical implications of elevated cardiac biomarkers and associated myocardial dysfunction in a variety of cardiac and non-cardiac scenarios in patients with an asthma exacerbation, and to propose a basic algorithm for cardiovascular evaluation and triage (and hence, for further management) of these patients primarily based on evaluation of cardiac biomarkers along with basic diagnostic modalities and specific cardiac symptoms in the hospital setting. Recent Findings Elevation of cardiac biomarkers in the setting of an asthma exacerbation mostly signifies a new-onset subclinical myocardial dysfunction/injury generally associated with certain asthma-related factors including acute hypoxemia and bronchodilator therapy, and usually has a limited prognostic value in these patients. On the other hand, elevation of these biomarkers in patients with an asthma exacerbation might also denote a variety of certain life-threatening cardiac or non-cardiac conditions associated with significant myocardial dysfunction (acute coronary syndromes (ACSs), sepsis, etc.) that might be masked by the rampant course of the asthma exacerbation, and hence, might possibly go undetected potentially aggravating the prognosis in a portion of these patients. In patients with an asthma exacerbation, it seems imperative to timely diagnose and manage emerging diverse clinical conditions particularly through the guidance of cardiac biomarkers and associated myocardial dysfunction patterns in an effort to improve overall prognosis in these patients.

Açıklama

Palabiyik, Orkide/0000-0002-3488-3740
Yetkin, Ertan (isu author)

Anahtar Kelimeler

Cardiac Biomarkers, Asthma, Asthma Exacerbation, Troponins, Natriuretic Peptides, N-Terminal Pro-Brain Natriuretic Peptide (Nt-Probnp), Brain Natriuretic Peptide (Bnp), Clinical Implications, Myocardial Dysfunction, Prognosis

Kaynak

Current Allergy and Asthma Reports

WoS Q Değeri

Q2

Scopus Q Değeri

Q1

Cilt

20

Sayı

6

Künye

Yalta, K., Yalta, T., Gurdogan, M., Palabιyιk, O., & Yetkιn, E. (2020). Cardiac Biomarkers in the Setting of Asthma Exacerbations: a Review of Clinical Implications and Practical Considerations. Pathology, 5, 6.