Clinical utility of HFABP in myocardial infarction

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Abstract

Assessing chest pain patients presenting to the emergency area (EA) is still a clinical challenge, as acute myocardial infarction(AMI) diagnosis is not adjudicated in the majority of patients. New generation high sensitivity troponin assays (hs-cTn) still presentsome limitations, thus, novel biomarkers to early rule-in and rule- out myocardial infarction in chest pain patients presenting to theEA are sought after. Among all, heart- type fatty acid binding protein (h-FABP) has been largely investigated. Studies performed onHFABP in these patients present marked heterogeneity. However, it can be stated that HFABP is clearly not a reliable marker for AMIdiagnosis, neither as a stand-alone test nor in combination with hs- cTn. More interventional trials are needed and more homogeneous studies are required to understand whether HFABP can add incremental value in rule- out AMI and risk stratify chest painpatients, however, available data may not encourage going on investigating.
Original languageEnglish
Number of pages5
JournalActa Medica Mediterranea
Publication statusPublished - 2018

All Science Journal Classification (ASJC) codes

  • General Medicine

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