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January 1, 2015JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCHOpen Access

Heart-Type Fatty Acid Binding Protein: A Better Cardiac Biomarker than CK-MB and Myoglobin in the Early Diagnosis of Acute Myocardial Infarction

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Key result

H-FABP demonstrated greater sensitivity, specificity, and ROC area under curve compared to CK-MB and myoglobin for the diagnosis of AMI within 6 hours of symptom onset.

Why the study?

Does H-FABP measurement improve the early diagnosis of AMI compared to CK-MB and myoglobin in patients with suspected AMI within 6 hours of symptom onset?

Population

80 subjects including 40 acute myocardial infarction cases and 40 non-cardiac chest pain otherwise healthy…

Comparison

Serum heart-type fatty acid binding protein… vs Serum CK-MB and myoglobin measurement

Design

Case-control

Authors

APAnand K Pyati

Discussion

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Overview

May aid early AMI diagnosis; hypothesis-generating in case-control data, needs prospective validation.

Study Design

Type

Case-Control (n=80)

Structured PICO

Does H-FABP measurement improve the early diagnosis of AMI compared to CK-MB and myoglobin in patients with suspected AMI within 6 hours of symptom onset?

P
Population
80 subjects, including 40 patients with suspected AMI within 6 hours of symptom onset and 40 healthy controls with non-cardiac chest pain.
E
Exposure
Serum heart-type fatty acid binding protein (H-FABP) measurement
C
Comparator
Serum CK-MB and myoglobin measurement
O
Outcome
Diagnostic validity (sensitivity, specificity, PPV, NPV, and ROC AUC) for early diagnosis of AMIsurrogate

H-FABP is a superior biomarker to CK-MB and myoglobin for the early diagnosis of acute myocardial infarction within 6 hours of symptom onset.

Cite This Study

Anand K Pyati (2015) conducted a case-control in Acute Myocardial Infarction (n=80). Heart-type fatty acid binding protein (H-FABP) vs. CK-MB and myoglobin was evaluated on Diagnostic validity (sensitivity, specificity, PPV, NPV, and ROC curve analysis). H-FABP demonstrated greater sensitivity, specificity, and ROC area under curve compared to CK-MB and myoglobin for the diagnosis of AMI within 6 hours of symptom onset.

synapsesocial.com/papers/6a9ef2ed5c985731fbe99ee9https://doi.org/10.7860/jcdr/2015/15132.6684
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart-Type Fatty Acid-Binding Protein in the Early Diagnosis of Acute Myocardial Infarction : The potential for influencing patient management2010 · 11 citations
  2. 2The value of human heart-type fatty acid binding protein in diagnosis of patients with acute chest pain2012 · 10 citations
  3. 3Automated Heart-Type Fatty Acid–Binding Protein Assay for the Early Diagnosis of Acute Myocardial Infarction2010 · 33 citations
  4. 4Heart-type Fatty Acid Binding Protein as an Adjunct to Cardiac Troponin-I for the Diagnosis of Myocardial Infarction2010 · 14 citations
  5. 5Do we need additional markers of myocyte necrosis: the potential value of heart fatty-acid-binding protein2004 · 154 citations