Use of ischemia modified albumin for the diagnosis of myocardial infarction

ABSTRACT Introduction: Literature reports addressing ischemia modified albumin (IMA) as a good marker for the early diagnosis of myocardial ischemia through albumin cobalt binding (ACB) test, that is before myocardial infarction (MI) occurs. Objective: To evaluate the IMA plasmatic levels in infar...

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Main Authors: Nariélle F. Bonorino, Adroaldo Lunardelli, Jarbas R. Oliveira
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2015-12-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000600383&lng=en&tlng=en
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author Nariélle F. Bonorino
Adroaldo Lunardelli
Jarbas R. Oliveira
author_facet Nariélle F. Bonorino
Adroaldo Lunardelli
Jarbas R. Oliveira
author_sort Nariélle F. Bonorino
collection DOAJ
description ABSTRACT Introduction: Literature reports addressing ischemia modified albumin (IMA) as a good marker for the early diagnosis of myocardial ischemia through albumin cobalt binding (ACB) test, that is before myocardial infarction (MI) occurs. Objective: To evaluate the IMA plasmatic levels in infarcted patients, in order to verify its potential as an early marker for early diagnosis of MI, investigate its correlation with existing cardiac biomarkers such as total creatine kinase (CK) and creatine kinase-MB fraction (CK-MB), as well as to assess the correlation between IMA and oxidative stress. Methods: The sample was divided into two groups according to serum troponin I (TnI) results; one group of infarcted patients (with MI) (TnI levels higher than 0.05 ng/ml), and the other group of non-infarcted patients (without MI) (TnI levels lower than 0.05 ng/ml). The results of total CK, CK-MB, thiobarbituric acid reactive substances (TBARS), and IMA were analyzed in both groups. Results: Regarding the existing cardiac markers, there was a significant increase of total CK and CK-MB levels in With MI group. In relation to the oxidative stress parameter, a significant increase was observed in with MI group compared to without MI group. However, IMA showed no significant difference between the groups; and also there was no significant correlation between IMA and the cardiac markers. There was no correlation between IMA and TBARS. Conclusion: Our results suggest that IMA cannot be used alone for the diagnosis of MI.
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spelling doaj.art-ae1fb509e5a44bcd88b1cca0383d7d9b2022-12-22T02:28:15ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742015-12-0151638338810.5935/1676-2444.20150060S1676-24442015000600383Use of ischemia modified albumin for the diagnosis of myocardial infarctionNariélle F. BonorinoAdroaldo LunardelliJarbas R. OliveiraABSTRACT Introduction: Literature reports addressing ischemia modified albumin (IMA) as a good marker for the early diagnosis of myocardial ischemia through albumin cobalt binding (ACB) test, that is before myocardial infarction (MI) occurs. Objective: To evaluate the IMA plasmatic levels in infarcted patients, in order to verify its potential as an early marker for early diagnosis of MI, investigate its correlation with existing cardiac biomarkers such as total creatine kinase (CK) and creatine kinase-MB fraction (CK-MB), as well as to assess the correlation between IMA and oxidative stress. Methods: The sample was divided into two groups according to serum troponin I (TnI) results; one group of infarcted patients (with MI) (TnI levels higher than 0.05 ng/ml), and the other group of non-infarcted patients (without MI) (TnI levels lower than 0.05 ng/ml). The results of total CK, CK-MB, thiobarbituric acid reactive substances (TBARS), and IMA were analyzed in both groups. Results: Regarding the existing cardiac markers, there was a significant increase of total CK and CK-MB levels in With MI group. In relation to the oxidative stress parameter, a significant increase was observed in with MI group compared to without MI group. However, IMA showed no significant difference between the groups; and also there was no significant correlation between IMA and the cardiac markers. There was no correlation between IMA and TBARS. Conclusion: Our results suggest that IMA cannot be used alone for the diagnosis of MI.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000600383&lng=en&tlng=enalbumina séricaisquemia miocárdicainfarto
spellingShingle Nariélle F. Bonorino
Adroaldo Lunardelli
Jarbas R. Oliveira
Use of ischemia modified albumin for the diagnosis of myocardial infarction
Jornal Brasileiro de Patologia e Medicina Laboratorial
albumina sérica
isquemia miocárdica
infarto
title Use of ischemia modified albumin for the diagnosis of myocardial infarction
title_full Use of ischemia modified albumin for the diagnosis of myocardial infarction
title_fullStr Use of ischemia modified albumin for the diagnosis of myocardial infarction
title_full_unstemmed Use of ischemia modified albumin for the diagnosis of myocardial infarction
title_short Use of ischemia modified albumin for the diagnosis of myocardial infarction
title_sort use of ischemia modified albumin for the diagnosis of myocardial infarction
topic albumina sérica
isquemia miocárdica
infarto
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000600383&lng=en&tlng=en
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AT jarbasroliveira useofischemiamodifiedalbuminforthediagnosisofmyocardialinfarction