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Annals of Clinical Biochemistry

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Ann Clin Biochem 2009;46:241-243
doi:10.1258/acb.2009.009022
© 2009 Association for Clinical Biochemistry

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Original Articles

Ischaemia-modified albumin in dilated cardiomyopathy

Eftihia Sbarouni, Panagiota Georgiadou, Maria Koutelou, Ioannis Sklavainas, Demosthenes Panagiotakos and Vassilis Voudris


2nd Department of Cardiology, Onassis Cardiac Surgery Center, Athens 176 74, Greece


Corresponding author: Eftihia Sbarouni, 2nd Department of Cardiology, Onassis Cardiac Surgery Center, 356 Syngrou Avenue, Athens 176 74, Greece. Email: esbarouni{at}yahoo.gr


Background: Biomarkers of myocardial necrosis may be increased in patients with chronic heart failure. We investigated whether ischaemia-modified albumin (IMA), a marker of ischaemia, is also elevated in patients with compensated heart failure, due to dilated cardiomyopathy (DCM).

Methods: We studied 42 patients with DCM and an equal number of age-matched normal volunteers. We assessed IMA serum levels with the albumin cobalt binding test.

Results: IMA was 89.9 ± 13.1 (71–117) KU/L in the patient group and 93.9 ± 9.9 (76–122) KU/L in the control group, with no significant difference between the two (P = 0.11). However, IMA differed significantly according to the New York Heart Association classification (P = 0.003) and was negatively correlated with the left ventricular ejection fraction (r = –0.40, P = 0.014).

Conclusions: We conclude that IMA, a marker of ischaemia, does not differ in patients with clinically stable DCM compared with normal subjects, but varies significantly in relation to the severity of the disease.


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