Biomarkers in Chagas cardiomyopathy as diagnostic, risk and prognostic predictors
updates and associations
DOI:
10.46551/ruc.v25n1a1Keywords:
chagasic cardiomyopathy, Risc, BiomarkersAbstract
Objective: to report the various biomarkers described for Chagas cardiomyopathy, describing the clinical and pathophysiological significance in different contexts, isolated or combined, diagnosis, prognosis, risk and outcome. Method: This is an integrative literature review with a search for articles in the Medical Literature Analysis and Retrieval System Online (MEDLINE) database, consulted through the Virtual Health Library (BVS) and PubMed databases, using the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH), Chagas cardiomyopathy, Biomarkers, Risk, with a time frame from January 2012 to December 2021. A flowchart was prepared with the stages of identification, selection and inclusion of studies, and two tables were constructed to allow visualization of the structure and organization of the content. Results: 46 studies located in the MEDLINE database, observing the criteria of the PRISMA method, resulted in 11 articles included in the review, mostly cohort studies. Final considerations: The biomarkers BNP, NT-proBNP, Troponin, CKMB, with evidence related to severity and risk in Chagas cardiomyopathy, already known, showed consistent associations. MMP-2, MMP-9, TIMP-1 and TIMP-2, TNF-α, IL-6, IL-8, IL-10, showed significant associations. Galectin-3, vimentin, 8-OHdG, copeptin, endostatin, hnRNPA1, DHEA-S, cystatin C, also with significant associations and with prospects for further studies.
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