Cardiometabolic Diseases - Help patients with comorbid chronic conditions (2024)

Cardiometabolic Diseases - Help patients with comorbid chronic conditions (1)

Cardiometabolic Diseases - Help patients with comorbid chronic conditions (2)

Make the Connection

Cardiometabolic conditions are not only some of the most prevalent chronic diseases in the U.S., but they are also deeply connected. Detecting and managing one cardiometabolic disease, let alone several, can be challenging.

At Labcorp, we can help you and your patients evaluate cardiometabolic risks early. Together, we can enhance patient care and improve health outcomes through education and simplified diagnostic testing.

Navigating Interconnected Cardiometabolic Conditions

  • Explore connections
  • Address diagnostic complexity
  • Empower clinical decisions
  • Provider resources

Cardiometabolic conditions share several risk factors

Four major cardiometabolic conditions—cardiovascular disease (CVD), diabetes, chronic kidney disease (CKD) and nonalcoholic fatty liver disease (NAFLD)/nonalcoholic steatohepatitis (NASH)–are connected in several ways, starting with shared risk factors:

  • Age
  • Family history
  • Health habits, including smoking, excessive alcohol use, unhealthy diets, obesity and inactive lifestyle1

Metabolic factors related to both genes and lifestyle also contribute to cardiometabolic risk, including:2

  • High blood glucose
  • Low levels of HDL cholesterol
  • High levels of triglycerides
  • Large waist circumference
  • High blood pressure

Cardiometabolic conditions frequently overlap

CVD, Diabetes, CKD, and NAFLD/NASH tend to cluster together: The presence of one cardiometabolic disease increases the risk of having another.3

Consider how these four conditions are connected and which diagnostic tests from Labcorp may be appropriate for patients with each condition. For example, in addition to foundational tests, Labcorp offers cardiogenetic testing, as well as the option to measure for the presence of insulin resistance, systemic inflammation, biomarkers and lipoprotein particles to guide you in prioritizing interventions and individualizing treatment.

Empowering clear, confident decisions

At Labcorp, we understand the complexity of screening, diagnosing, and managing patients with comorbid conditions. That's why we provide you with a simplified way to clearly navigate the maze of testing options and increase guideline-recommended screening.

We can help deliver clarity as you identify and care for patients at risk for developing cardiometabolic conditions.

Comprehensive cardiometabolic testing portfolio

Labcorp offers a full range of testing options for CVD, diabetes, CKD, and NAFLD/NASH to enable an integrated guideline driven approach to chronic condition evaluation and management.

See testing options

Cardiometabolic conditions: Benefits of early detection

For both high-risk patients without a diagnosed condition and patients who already have a diagnosed cardiometabolic disease, timely interventions are key to improving health outcomes.

Lifestyle changes or medication can slow or prevent a single disease from progressing or related conditions from developing. But of comorbidities starts, the risks of increased mortality, decreased quality of life, and increased use of healthcare services rise.4

Complexity in diagnosis has created gaps in recommended Cardiometabolic screening

The first step in gaining more clarity is to identify and evaluate cardiometabolic risks. The latest guidelines from leading medical organizations—including the US Preventive Services Task Force (USPSTF), American Heart Association, and American Diabetes Association—have evolved to recommend screening for comorbid cardiometabolic conditions.5-7

However, many patients with potential cardiometabolic multi-morbidities do not receive recommended screenings. For example, patients with diabetes and hypertension are at risk for CKD, yet only 13% receive guideline-recommended testing in routine care.8

Determining the right diagnostic test is crucial

Cardiometabolic conditions require a laboratory-based diagnosis. Tests such as lipid panels and glycemic assays remain foundational to assess a patient's risk of developing CVD or diabetes.

Evolving guidelines and advanced biomarkers have made it necessary for primary care providers to have deep expertise across a wide range of specialties to determine the appropriate diagnostic test. With the number of patients with multi-comorbid conditions growing, having a simplified way to efficiently identify those most at-risk for developing cardiometabolic conditions is key.

How to help patients living with comorbid chronic conditions

Download our guide to learn more about identifying and monitoring for significant cardiometabolic conditions and the broad range of tests Labcorp offers to screen for them.

Download the guide(Opens in a new window)

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Expert support

For your most complex cases, Labcorp’s team of medical experts can help you with test selection and results interpretation.

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Tools to increase efficiency and optimize care

Our easy-to-use, web-based analytic tools complement our testing offerings to help you focus on providing the best possible care for your patients.

Diagnostic Assistant

Integrates patient EMR data with Labcorp results to provide a clearer clinical picture at the point of care.

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Clinical Decision Support


Evidence-based guidance individualized to your patient results at the point of care to enhance health outcomes.

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Insight Analytics


Care coordination that identifies opportunities to improve care and close care gaps on the individual and population levels.

Find Out How

Learn more about how Labcorp can help

Contact your Labcorp representative to learn more about we can help support diagnostic testing for high-risk patients with cardiometabolic conditions in your practice.

Contact a representative

Labcorp test offerings

Number Name
322000 Metabolic Panel (14), Comprehensive
322758 Metabolic Panel (8), Basic
335884 Metabolic Syndrome Profile

Diabetes

Number Name
023400 Diabetes Comorbidity Assessment
090400 Diabetes Risk–Asymptomatic Adults
123855 Diabetes Risk Index (DRI)
004650 Adiponectin
160721 Antipancreatic Islet Cells
001818 Glucose, Plasma
101000 Gestational Glucose Tolerance Screening and Diagnostic Test (Two-hour, ADA Recommendations)
143008 Glutamic Acid Decarboxylase (GAD) Autoantibody
001453 Hemoglobin (Hb) A1c
102525 Hemoglobin (Hb) A1c With eAG
335884 Metabolic Syndrome Profile

CHRONIC KIDNEY DISEASE (CKD)

Number Name
140301 Kidney Profile
140302 Kidney Profile Plus Metabolic Panel (8), Basic
140303 Kidney Profile Plus Metabolic Panel (14), Comprehensive
245292 Cardiorenal-Glycemic Status

NAFLD/NASH

Number Name
385375 AST and Platelets with APRI
403604 FIB-4
402145 Liver Fibrosis Risk Profile With Hepatic Function Panel, Complete Blood Count (CBC) With Differential, FIB-4, and APRI
504960 NASHnext™
550960 NASH FibroSure® Plus
550140 NASH FibroSure®
550960 NASH FibroSure® Plus
402175 FIB-4 With Reflex to Enhanced Liver Fibrosis (ELF)™

Cardiovascular disease

LIPIDS AND LIPOPROTEINS

Number Name
167015 Apolipoprotein B
884247 NMR LipoProfile® With Lipids (Without Graph)
361946 Lipid Cascade With Reflex to Lipoprotein Particle Assessment by NMR (Without Graph)
363676 Lipid Cascade With Reflex to Apolipoprotein B
303756 Lipid Panel
343925 Lipid Profile With Non-HDL Cholesterol
120188 Lipoprotein(a)
235010 Lipid Panel With LDL:HDL Ratio
221010 Lipid Panel With Total Cholesterol:HDL Ratio
123510 Lipid Panel With GlycA (Inflammation)
123525 Lipid Panel With Diabetes Risk Index (DRI)
123544 Lipid Panel With Apolipoprotein B (ApoB)
123559 Lipid Panel With GlycA (Inflammation) and Diabetes Risk Index (DRI)
123567 Lipid Panel With Apolipoprotein B (ApoB), GlycA (Inflammation), Diabetes Risk Index (DRI)
123023 Oxidized Low-density Lipoprotein (OxLDL)
123413 TMAO (Trimethylamine N-oxide)

EMERGING RISK FACTORS AND INFLAMMATORY MARKERS

Number Name
123850 GlycA
120766 C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
001610 Fibrinogen Activity
117052 Fibrinogen Antigen
706994 hom*ocyst(e)ine
140916 Interleukin-6, Serum
146787 Plasminogen Activator Inhibitor 1 (PAI-1) Activity
005215 Sedimentation Rate, Modified Westergren

820712 -Lipoprotein associated Phospholipase A2 is also available

ACUTE ISCHEMIC MARKERS

Number Name
120816 Creatine Kinase (CK), MB
001362 Creatine Kinase (CK), Total
010405 Myoglobin
140150 Troponin T (Highly Sensitive)
140889 B-Type Natriuretic Peptide (BNP)
143000 NT-proBNP

GENETIC ASSESSMENT

Number Name
368600 Familial Hypercholesterolemia (FH) Screen
451416 GeneSeq®: Cardio-Early-onset Coronary Artery Disease/Familial Hypercholesterolemia Profile
451432 GeneSeq®: Cardio-Familial Aortopathy Profile
451412 GeneSeq®: Cardio-Familial Arrhythmia Profile
451422 GeneSeq®: Cardio-Familial Cardiomyopathy Profile
451402 GeneSeq®: Cardio-Familial Congenital Heart Disease Profile
452040 GeneSeq®: Cardio-Familial Hypercholesterolemia Profile
452053 GeneSeq®: Cardio-Gene Specific Sequencing
451441 GeneSeq®: Cardio-Noonan Syndrome/RASopathies Profile
451382 Mutation-specific Sequencing, Whole Blood
503935 Apo E Genotyping: Cardiovascular Risk
452028 FBN1 (Marfan Syndrome) Full Gene Sequencing

References

  1. Brunzell J, et al. Lipoprotein Management in Patients With Cardiometabolic Risk: Consensus Conference Report From the American Diabetes Association and the American College of Cardiology Foundation. J Am Coll Cardiol. 2008;51(15):1512-1524.
  2. American Heart Association. What is Metabolic Syndrome? Accessed February 3, 2023. https://www.heart.org/en/health-topics/metabolic-syndrome/about-metabolic-syndrome
  3. Chronic Diseases in America. Centers for Disease Control and Prevention. Accessed November 25, 2022. https://www.cdc.gov/chronicdisease/resources/infographic/chronic-diseases.htm
  4. Kendir C, van den Akker M, Vos R, Metsemakers J. Cardiovascular disease patients have increased risk for comorbidity: A cross-sectional study in the Netherlands. Eur J Gen Pract. 2018;24(1):45-50.
  5. US Preventive Services Task Force. Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement. JAMA. 2021;326(8):736-743. doi:10.1001/jama.2021.12531.
  6. Arnett D, et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;140:e596-e646.
  7. American Diabetes Association Professional Practice Committee. 11. Chronic kidney disease and risk management: Standards of Medical Care in Diabetes—2022. Diabetes Care. 2022;45(Suppl. 1):S175-S1.
  8. Ennis J, Gillespie B, Allego D, Letovsky S. "CKD Screening Among At-Risk Individuals is Inadequate: An Analysis from a National Laboratory Database." Poster presented at 2020 National Kidney Foundation Spring Assembly. March 26, 2020.
Cardiometabolic Diseases - Help patients with comorbid chronic conditions (2024)
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