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Ischemia modified albumin changes – review and clinical implications

  • Eftihia Sbarouni EMAIL logo , Panagiota Georgiadou and Vassilis Voudris
Published/Copyright: November 18, 2010

Abstract

Ischemia modified albumin (IMA), as measured using the albumin cobalt binding test, is currently the most promising biomarker for early detection of ischemia before the onset of irreversible cardiac injury. This paper reviews the information available on IMA, including its pathophysiology, analysis, clinical applications and future perspectives. The data provided was identified by a search of MEDLINE using the terms IMA, biomarkers and ischemia. IMA may be useful to cover the complete diagnostic window of patients presenting with acute coronary syndromes (ACS) in the Emergency Department, along with the electrocardiogram and cardiac troponins. Preliminary data regarding the significance of IMA in the prognosis of either ACS or following revascularization need further study.


Corresponding author: Eftihia Sbarouni, 2nd Department of Cardiology, Onassis Cardiac Surgery Center, 356 Syngrou Avenue, 176 74 Athens, Greece Phone: +30 210 9493372, Fax: +30 210 9493373

Received: 2010-7-12
Accepted: 2010-8-25
Published Online: 2010-11-18
Published in Print: 2011-02-01

©2011 by Walter de Gruyter Berlin New York

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