This new review examines the potential use of biomarkers in complex heart failure therapy and substantiates the feasibility of incorporating them into multimodal monitoring systems to create a more personalized and dynamic heart failure treatment model.
While natriuretic peptides remain the cornerstone of biomarker-based prognostication, emerging biomarkers reflecting diverse pathophysiological processes, such as myocardial stress, fibrosis, and inflammation, offer potential for enhanced risk stratification, particularly when used in serial multimarker panels. Despite their prognostic value, biomarkers are not yet routinely employed in guided therapy. Additionally with the increasing availability hemodynamic remote monitoring strategies and devices, we could learn more about pathophysiological processes, multi-biomarker panels and their relation to congestion and risks for progression of HF which can help to further refine biomarker-guided therapy.
https://link.springer.com/article/10.1007/s11897-026-00742-3