Review Article

Emerging Risk Biomarkers in Cardiovascular Diseases and Disorders

Table 1

Important emerging risk biomarkers in cardiovascular disease and disorders.

Name of diseaseEffectsRisk scoreBiomarkerReferences

Homozygous familial hypercholesterolemiaPremature cardiovascular morbidity and mortality10–20%Total cholesterol, LDL cholesterol

Hypertriglyceridemia/
hypertriglyceridemia
Elevated levels of Lp(a)20%Lipid profile

Chronic kidney diseaseElevated levels of Lp(a)10%Lipid profile

CholelithiasisGall stone formation due to cholesterol and salts20%LDL cholesterol and small dense LDL particles

HypercholesterolemiaVery high CVD risks20%LDL cholesterol and small dense LDL particles

AtherosclerosisArterial obstruction, chest pain20–25% ABCA1 effluxPolyunsaturated fat (PUFA) and carbohydrates, serum -glutamyl transferase activity, blood genomic profiling, and 47 integrin (LPAM-1)[6, 7, 4548]

Coronary heart diseaseMonocytosis, high diabetics, hypertension, and chronic kidney diseases20%, Impaired sterol efflux, efflux capacity of high-density lipoprotein, HDL), myeloperoxidase increasing circulating HDL[7]

Hyperglycaemia or type 1 diabetesCVD and mortality25%, (TC), (TG), HDL, LDL, and anthropometric and biochemical parameters[8]

DyslipidemiaHypoperfusion, high inflammation, and low BP10% TC, (TG), HDL, LDL, and anthropometric and biochemical parameters[8, 42]

Atherosclerotic peripheral arterial diseasePrevalent, morbid, and mortal diseases20% Shortening of lumenLDL cholesterol[9]

Ischemic heart disease (IHD)Endothelial dysfunction, vascular inflammation 10–20%Lipids, cholesterol, calcium, and cellular debris[11]

Diastolic dysfunction and diastolic heart failureAsymptomatic hypertension20%Myocardial remodeling[12]

Chronic heart failuresADP-induced platelet aggregation, triglycerides, end-diastolic volume, end-diastolic dimension, and ventricular septal thickness death15–20%Lipidemic, hemostasiological, and hemodynamic indicators, Willebrand factor, and D-dimer, [13]

Myocardial infarctionVery high morbidity, severe pain20–25%Circulating microRNAs level in patients[17]

Lipid stress and storageInfluence cholesterol availability in lipid rafts in immune cellsHigh LDL/HDL cholesterol levels Omega-3 Index[15, 16, 18]

Neuronal dysfunctionNeuronal cell death and neuroinflammatory10–15%27-hydroxycholesterol, plasma HDL, N-acylethanolamines (NAEs)[21]

Transient global cerebral ischemiaCardiac arrest and cardiovascular problems5–10%-3 PUFAs[22]

HypoglycaemiaCardiac implications5–10%Elevated levels of Lp(a) and low HDL cholesterol[23]

Hypertriglyceridemia/coronary artery disease (CAD)/acute coronary syndromeSevere effect on BMR and peripheral and cardiac circulation5–10% Altered serum lipid[1, 33]

HDL metabolism disordersSevere inflammation and pain5–10%Lipid droplets (LDs)[24]

Nephrotic syndromeRenal filtration chocked5–10%LDL cholesterol, triglycerides, and Lp(a)

Fatal myocardial infarction and brain strokeCardiovascular risks, morbidity, and mortality in elderly men20–25%Fat-specific protein Fsp27, fat storage-inducing transmembrane (FIT) proteins, seipin,and ADP-ribosylation factor 1-coat protein complex I[24]

Systemic lupus erythematosusProblem of PCV and hemoglobin 5%Factors, proteins, ions, and stimulators of heart muscles[34]

Acute myocardial infarctionDeath of part of myocardial muscles, central chest pain, and severe crushing20–25%Serum soluble ST2 and interleukin-33[36, 37]

Hypertension and dyslipidemia, hypercholesterolemiaCardiovascular risk factors15–20%Total cholesterol and low-density lipoproteins[41]

SCVRsTachyarrhythmias, bradyarrhythmias5–10%BP and LDL-C, high BMI [43]

HyperhomocysteinemiaHigh TC and pathogenesis5%LDL-C, HDL-C, TG, ApoAI, and ApoB Lp(a)[44]

AVDs, type 2 diabetes, or metabolic syndromeIncreased levels of triglycerides, low levels of high density lipoprotein cholesterol, and postprandial lipemia20–25%MetS[49, 50]

Procardiovascular risks, cardiovascular risksInflammation, obesity, and thrombosis5–10%Sedentary behavior, -trace protein from GFR marker[38, 40, 51]

Metabolic lipid disordersCirculatory dysfunctions, high BP, peripheral pain, and high or low BMR5–10%MALDI-MS, imaging and lipidomics for clinical diagnosis, and proteome analysis [52, 53]

Ischemic heart diseaseCirculatory dysfunctionsSmoking, hypertension, age, family historyEndothelial dysfunction, monocyte accumulation, endothelial apoptosis, and thrombus formation[54]

Low HDL-C syndromesIncreased risk of CAD5%Sphingomyelin phosphodiesterase 1 and glucocerebrosidase[55]

Hypothyroidism and gall stoneSevere pain, inflammation5%TSH level and sodium and potassium salts [56]

Multiple CVDs, diabetes, stroke, and recurrent ischaemia syndrome Hepatic inflammation due to common carotid intima-media thickness10–20%Multiple biomarkers, vascular imaging[57, 58]

Angina pectorisObesity, arterial thickness, BMI and respiration rate, and severe chest pain10–20%Coronary angiography[24]

Antiphospholipid syndrome Venous thrombosis 5%microRNAs[59, 60]

Myocardial infarctionPregnancy associated plasma protein-A (PAPP-A in serum)15%Severe blood pressure changes, central chest pain, and silent or knocking angina[61]