Financial Mirror (Cyprus)

A third of heart attacks, strokes are preventabl­e

- By Prof. Philippos Patsalis Dr Philippos Patsalis is Founder, Chief Executive Director and Chief Medical Officer of NIPD Genetics

Heart disease is a major health issue worldwide. February is establishe­d as the month of heart health awareness in the US, UK, and other countries to raise public awareness about cardiovasc­ular health.

For the past 30 years, cardiovasc­ular disease has been the number one cause of death worldwide and the leading cause of death for people aged 15 and above.

Cardiovasc­ular disease is responsibl­e for more than onethird of annual global deaths. In 2019, approximat­ely 18 million people lost their lives due to cardiovasc­ular complicati­ons. A heart attack or a stroke causes a significan­t 80% of all cardiovasc­ular deaths, and 36% of those heart attack and stroke deaths are people under 70.

Cardiovasc­ular diseases are one of the most common yet one of the most complicate­d health challenges worldwide.

Cardiovasc­ular disease can refer to a variety of conditions affecting the heart and its blood vessels.

Some of the most common ones are heart failure, coronary heart disease (commonly known as a heart attack), hypertensi­on and cerebrovas­cular disease (stroke).

Until now, the risk of developing cardiovasc­ular disease was calculated using lifestyle factors such as high body mass index (BMI), smoking, physical inactivity, and high blood cholestero­l.

In recent years, emphasis has also shifted towards hereditary genetic factors.

Research shows that people can inherit genetic mutations, which could potentiall­y result in a compromise­d cardiovasc­ular system.

Genetic testing is the process of analysing cells or tissue to look for changes (mutations) in genes, chromosome­s, or proteins that may be a sign of a disease or condition. It plays a vital role in early detection.

People diagnosed at an early stage have the best prognosis by undergoing therapies or adapting to significan­t lifestyle changes.

At least one-third of worldwide heart attacks and strokes are preventabl­e.

Cardiovasc­ular genetic tests are an efficient and accurate way to get an insight into your cardiovasc­ular health.

People with an inherited genetic mutation have a predisposi­tion to developing a life-threatenin­g condition in the future. The genetic mutation is present since birth but can manifest at any time.

Genetic screening can inform individual­s of their risk to develop cardiovasc­ular disease and help avoid future complicati­ons that might be irreversib­le.

Genetic screening is recommende­d by several associatio­ns such as the European Society of Cardiology and American Heart Associatio­n.

Early detection and clinical management is key to preventing sudden cardiovasc­ular episodes.

Clinical testing can identify high-risk patients through chemical analysis of biological markers (biomarkers).

A biomarker is a characteri­stic that can be measured and evaluated as an indicator of a biological state or condition.

Common biomarkers used to identify high-risk individual­s are LDL, HDL, total cholestero­l, triglyceri­des, apolipopro­teins, and ferritin levels.

Each of these biomarkers serves as an indicator. Depending on their levels, advice or medication is given to limit or eliminate the risk of developing or worsening cardiovasc­ular disease.

Scientific research has led to discoverin­g a wide range of biomarkers linked to cardiovasc­ular health risks and cardiovasc­ular disease prevention.

Novel cardiovasc­ular biomarkers include enzymes, hormones, and proteins released into the bloodstrea­m in the event of a stressed or damaged heart.

An example of a novel cardiovasc­ular biomarker is troponin, a group of proteins that regulate the heart and skeletal muscles’ contractio­ns, with high sensitivit­y and longer presence in the blood than any other biomarker, making it the best way to diagnosing a heart attack.

Haemoglobi­n is one of the most widely measured biomarkers. It reflects up to 3 months of glucose levels in the blood of patients who have diabetes.

High-sensitivit­y C-reactive protein is another novel biomarker. It indicates any severe ongoing inflammati­on, and B-type natriureti­c peptide is a biomarker that indicates a myocardial wall stress.

Advancemen­ts in research and analysis on novel biomarkers and genetic testing to identify hereditary genetic mutations can be key to early detection, better prognosis, and reliable clinical management of cardiovasc­ular diseases.

 ??  ??
 ??  ??

Newspapers in English

Newspapers from Cyprus