Cardiogenic Shock: Focus on Non-Cardiac Biomarkers

Curr Heart Fail Rep. 2024 Dec;21(6):604-614. doi: 10.1007/s11897-024-00676-8. Epub 2024 Jul 30.

Abstract

Purpose of review: To examine the evolving multifaceted nature of cardiogenic shock (CS) in the context of non-cardiac biomarkers that may improve CS management and risk stratification.

Recent findings: There are increasing data highlighting the role of lactate, glucose, and other markers of inflammation and end-organ dysfunction in CS. These biomarkers provide a more comprehensive understanding of the concurrent hemo-metabolic and cellular disturbances observed in CS and offer insights beyond standard structural and functional cardiac assessments. Non-cardiac biomarkers both refine the diagnostic accuracy and improve the prognostic assessments in CS. Further studies revolving around novel biomarkers are warranted to support more targeted and effective therapeutic and management interventions in these high-risk patients.

Keywords: Biomarkers; Cardiogenic shock; Non-cardiac biomarkers; Risk stratification.

Publication types

  • Review

MeSH terms

  • Biomarkers* / blood
  • Blood Glucose / analysis
  • Blood Glucose / metabolism
  • Humans
  • Inflammation
  • Lactic Acid / blood
  • Prognosis
  • Risk Assessment / methods
  • Shock, Cardiogenic* / blood
  • Shock, Cardiogenic* / diagnosis
  • Shock, Cardiogenic* / etiology
  • Shock, Cardiogenic* / therapy

Substances

  • Biomarkers
  • Lactic Acid
  • Blood Glucose