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Emerging Biomarkers in Cardiovascular Risk Assessment and Myocardial Injury

Special Issue Editor


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Guest Editor
1. Department of Cardiology, University Hospital of Salamanca, Instituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, Spain
2. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBER-CV), Instituto de Salud Carlos III, 28029 Madrid, Spain
Interests: cardiovascular diseases; chronic kidney disease; mortality; biomarker

Special Issue Information

Dear Colleagues,

Cardiovascular diseases remain the leading cause of morbidity and mortality worldwide and continue to pose a major challenge for healthcare systems. Despite advances in diagnosis and therapy, the early identification of individuals at high risk and the precise characterization of underlying pathophysiological mechanisms remain unmet clinical needs. Conventional risk scores based on traditional factors account for only a fraction of the variability in outcomes. The discovery and validation of novel molecular and circulating biomarkers offer a promising opportunity to enhance early detection, refine risk stratification, and support personalized prevention and treatment strategies. 

Well-established biomarkers routinely integrated into clinical practice, such as high-sensitivity cardiac troponins (hs-cTn), N-terminal pro-Brain natriuretic peptide (NT-proBNP) and high-sensitivity C-reactive protein (hs-CRP) provide accurate measures of myocardial injury, hemodynamic stress and systemic inflammation, respectively. In parallel, emerging biomarkers -including growth differentiation factor 15 (GDF-15), soluble ST2, galectin-3, circulating microRNA signatures (e.g., miR-1, miR-133a, miR-208, miR-499), and metabolites such as trimethylamine-N-oxide (TMAO)- offer additional mechanistic insights into fibroinflammatory remodelling, endothelial dysfunction, metabolic dysregulation, and oxidative stress. These biomarkers highlight key molecular pathways, including NF-κB-driven inflammation, TGF-β-mediated fibrosis, mitochondrial dysfunction, dysregulated calcium handling, and programmed cell death. 

This Special Issue aims to bring together basic, translational, and clinical research focused on emerging biomarkers of cardiovascular burden and myocardial injury, with particular focus on mechanistic insights, prognostic value, and clinical applicability. 

Dr. Beatriz Martín-Carro
Guest Editor

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Keywords

  • cardiovascular disease
  • myocardial injury
  • heart failure
  • biomarkers
  • risk stratification

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