Serum IGF1's diagnostic potential for female heart failure with preserved ejection fraction under investigation in new study
Background
Heart failure with preserved ejection fraction (HFpEF) represents a significant and growing global health challenge, particularly in China, where prevalent HF cases surged by 208.4% to an estimated 14.3 million in 2023. Unlike heart failure with reduced ejection fraction (HFrEF), HFpEF is characterized by substantial heterogeneity in prognosis and often presents diagnostic difficulties, especially in women. Current diagnostic approaches can be complex and may not facilitate early detection, leading to delayed intervention. Investigating novel biomarkers like Insulin-like Growth Factor 1 (IGF1) could offer a more precise and earlier diagnostic tool, addressing a critical gap in managing this complex condition.
Study Design
This prospective cohort study aims to recruit female patients diagnosed with heart failure with preserved ejection fraction (HFpEF). Participants will undergo collection of relevant medical information during outpatient visits or hospitalization. Blood samples, 10-20 mL of venous blood each time, will be collected concurrently with routine clinical blood draws on the enrollment day, and at 3, 6, and 12 months post-enrollment. These samples will be exclusively used to measure serum IGF1 levels. Standard HF follow-up tests, such as echocardiograms, will be conducted as clinically necessary, forming part of routine HF management.
Why It Matters
If successful, this study could establish serum IGF1 as a valuable diagnostic biomarker for female HFpEF, potentially enabling earlier and more accurate identification of the condition. This is crucial because early diagnosis can significantly improve patient outcomes by allowing for timely initiation of management strategies. For clinicians, it could provide a straightforward, blood-test-based tool to complement existing diagnostic methods, particularly benefiting women who may present with atypical symptoms or face diagnostic delays. While this is a preliminary study, a positive finding would pave the way for larger validation trials, bringing us closer to a more refined and personalized diagnostic protocol for HFpEF.
igf1
hfpef
heart-failure
women
diagnosis
biomarker