Novel biomarkers predicting cardiac function after acute myocardial infarction

Br Med Bull. 2016 Sep;119(1):63-74. doi: 10.1093/bmb/ldw027. Epub 2016 Jul 14.

Abstract

Background: Measurement of biomarkers provides a cost-effective and widely available method to estimate cardiac dysfunction and clinical outcome of patients with acute myocardial infarction (AMI).

Sources of data: PubMed entries with terms 'myocardial infarction' and the respective biomarker.

Areas of agreement: Cardiac troponins and natriuretic peptides are closely related to left ventricular dysfunction and the occurrence of adverse clinical events following AMI.

Areas of contention: The incremental value of novel biomarkers is controversial.

Future directions: The combination of traditional and novel biomarkers might further improve risk stratification of patients with AMI.

Search strategy: We searched all entries on the PubMed database with the MeSH terms 'myocardial infarction' and 'cardiac troponins', 'natriuretic peptides', 'copeptin', galectin-3', 'corin', 'fetuin-A', 'adiponectin' and 'microRNA'.

Keywords: acute myocardial infarction; biomarkers; cardiac function; prognosis.

Publication types

  • Review

MeSH terms

  • Biomarkers / blood
  • Cost-Benefit Analysis
  • Humans
  • Myocardial Infarction / blood*
  • Myocardial Infarction / physiopathology*
  • Natriuretic Peptides / blood*
  • Peptide Fragments / blood*
  • Predictive Value of Tests
  • Prognosis
  • Troponin / blood*

Substances

  • Biomarkers
  • Natriuretic Peptides
  • Peptide Fragments
  • Troponin