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Biomarkers

GDF-15 and risk stratification in atrial fibrillation

Biomarkers are needed to accurately represent or predict clinical outcomes for optimal management of patients with atrial fibrillation (AF) in clinical practice. Growth differentiation factor-15, a member of the transforming growth factor-β family, has an independent prognostic role for major bleeding and death in patients with AF receiving oral anticoagulation.

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References

  1. Hart, R. G., Pearce, L. A. & Aguilar, M. I. Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation. Ann. Intern. Med. 146, 857–867 (2007).

    Article  PubMed  Google Scholar 

  2. Camm, A. J. et al. 2012 focused update of the ESC guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. Eur. Heart J. 33, 2719–2747 (2012).

    PubMed  Google Scholar 

  3. Lip, G. Y. Stroke and bleeding risk assessment in atrial fibrillation: when, how and why? Eur. Heart J. 34, 1041–1049 (2013).

    Article  CAS  PubMed  Google Scholar 

  4. Walletin, L. et al. Growth differentiation factor 15, a marker of oxidative stress and inflammation, for risk assessment in patients with atrial fibrillation: insights from ARISTOTLE trial. Circulation http://dx.doi.org/10.1161/CIRCULATIONAHA.114.011204.

  5. Watson, T., Shantsila, E. & Lip, G. Y. Mechanisms of thrombogenesis in atrial fibrillation: Virchow's triad revisited. Lancet 373, 155–166 (2009).

    Article  CAS  PubMed  Google Scholar 

  6. Hijazi, Z., Oldgren, J., Siegbahn, A., Granger, C. B. & Wallentin, L. Biomarkers in atrial fibrillation: a clinical review. Eur. Heart J. 34, 1475–1480 (2013).

    Article  CAS  PubMed  Google Scholar 

  7. Roldan, V. et al. High sensitivity cardiac troponin T and interleukin-6 predict adverse cardiovascular events and mortality in anticoagulated patients with atrial fibrillation. J. Thromb. Haemost. 10, 1500–1507 (2012).

    Article  CAS  PubMed  Google Scholar 

  8. Gallagher, A. M., Setakis, E., Plumb, J. M., Clemens, A. & van Staa, T. P. Risk of stroke and mortality associated with suboptimal anticoagulation in atrial fibrillation patients. Thromb. Haemost. 106, 968–977 (2011).

    Article  CAS  PubMed  Google Scholar 

  9. Depta, J. P. & Bhatt, D. L. Atherothrombosis and atrial fibrillation: important and often overlapping clinical syndromes. Thromb. Haemost. 104, 657–663 (2010).

    Article  CAS  PubMed  Google Scholar 

  10. Goto, S. et al. Prevalence, clinical profile, and cardiovascular outcomes of atrial fibrillation patients with atherothrombosis. Am. Heart J. 156, 855–863. e2 (2008).

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors are supported by RD12/0042/0049 (RETICS) from ISCIII and PI13/00513/FEDER from ISCIII.

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Correspondence to Francisco Marín.

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F.M. has received funding for research, consultancy, and lecturing from Abbott, Astra Zeneca, Bayer, Boehringer Ingelheim, Boston Scientific, Bristol-Myers Squibb/Pfizer, and Daiichi Sankyo. V.R. has received funding for consultancy and lecturing from Bayer, Boehringer Ingelheim, and Bristol-Myers Squibb.

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Marín, F., Roldán, V. GDF-15 and risk stratification in atrial fibrillation. Nat Rev Cardiol 12, 8–9 (2015). https://doi.org/10.1038/nrcardio.2014.190

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