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Title:
Biological and Analytical Variation of Clinical Biomarker Testing: Implications for Biomarker-guided Therapy | Current Heart Failure Reports
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Testing for serum-based biomarkers are essential for diagnosis, risk stratification, and management of patients with cardiovascular disease. All biomarker assays have inherent analytical variability (coefficient of variance CVA), ranging from 5β20 %. There are also variances within a subject over time (CVI) and between subjects (CVG). Variances are determined by experimentation under controlled conditions on healthy subjects. Once measured, the index of individuality (II), reference change value (RCV), and number of samples to establish a homeostatic set point can be calculated. These attributes affect how results of biomarker tests are interpreted in routine clinical practice such as cardiac troponin for acute coronary syndromes, the natriuretic peptides, galectin-3 and sST2 for heart failure, lipids and lipoproteins for primary cardiovascular disease risk, and liver function tests and skeletal muscle biomarkers for detecting complications from statin use.
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month download article/chapter acute coronary syndromes travel/accommodations/meeting expenses long-term individual variation aha/cdc scientific statement b-type natriuretic peptide long-term biological variation b-type natriuretic peptides high-sensitivity cardiac troponin biomarker-guided therapy biomarkers long-term biological variability elevated c-reactive protein short-term biological variation full article pdf chronic heart failure congestive heart failure cardiovascular disease privacy choices/manage cookies high-sensitivity assays high-sensitivity troponin natriuretic peptide testing high-sensitivity assay serum-based biomarkers skeletal muscle biomarkers high intraindividual variation b-type probnp american heart association inherent analytical variability related subjects cardiac troponin assays article wu sensitive cardiac troponin test result variation c-reactive protein acute myocardial infarction biomarker-guided therapy check access instant access cardiac troponin testing animal subjects performed highly sensitive troponin european economic area homeostatic set point absolute cutoff concentration fokkema mr van der meer deal-hf study garcia-lario jv jupiter study group wu ahb
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headline:Biological and Analytical Variation of Clinical Biomarker Testing: Implications for Biomarker-guided Therapy
description:Testing for serum-based biomarkers are essential for diagnosis, risk stratification, and management of patients with cardiovascular disease. All biomarker assays have inherent analytical variability (coefficient of variance CVA), ranging from 5β20Β %. There are also variances within a subject over time (CVI) and between subjects (CVG). Variances are determined by experimentation under controlled conditions on healthy subjects. Once measured, the index of individuality (II), reference change value (RCV), and number of samples to establish a homeostatic set point can be calculated. These attributes affect how results of biomarker tests are interpreted in routine clinical practice such as cardiac troponin for acute coronary syndromes, the natriuretic peptides, galectin-3 and sST2 for heart failure, lipids and lipoproteins for primary cardiovascular disease risk, and liver function tests and skeletal muscle biomarkers for detecting complications from statin use.
datePublished:2013-09-15T00:00:00Z
dateModified:2013-09-15T00:00:00Z
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pageEnd:440
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keywords:
Biological variation
Analytical variation
Heart failure
Acute coronary syndromes
Cardiovascular disease risk
Cardiology
Cardiac Surgery
Vascular Surgery
Internal Medicine
Imaging / Radiology
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headline:Biological and Analytical Variation of Clinical Biomarker Testing: Implications for Biomarker-guided Therapy
description:Testing for serum-based biomarkers are essential for diagnosis, risk stratification, and management of patients with cardiovascular disease. All biomarker assays have inherent analytical variability (coefficient of variance CVA), ranging from 5β20Β %. There are also variances within a subject over time (CVI) and between subjects (CVG). Variances are determined by experimentation under controlled conditions on healthy subjects. Once measured, the index of individuality (II), reference change value (RCV), and number of samples to establish a homeostatic set point can be calculated. These attributes affect how results of biomarker tests are interpreted in routine clinical practice such as cardiac troponin for acute coronary syndromes, the natriuretic peptides, galectin-3 and sST2 for heart failure, lipids and lipoproteins for primary cardiovascular disease risk, and liver function tests and skeletal muscle biomarkers for detecting complications from statin use.
datePublished:2013-09-15T00:00:00Z
dateModified:2013-09-15T00:00:00Z
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pageEnd:440
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Biological variation
Analytical variation
Heart failure
Acute coronary syndromes
Cardiovascular disease risk
Cardiology
Cardiac Surgery
Vascular Surgery
Internal Medicine
Imaging / Radiology
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