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Updated: Jun 22, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Increases in serum concentration of human heart-type fatty acid-binding protein following elective coronary
Eftihia Sbarouni1, Panagiota Georgiadou, Ioannis Sklavainas
1Second Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece. esbarouni@yahoo.gr
Insights
Serum levels of heart-type fatty acid-binding protein (H-FABP) significantly increase 1 hour after elective coronary angioplasty. This finding suggests H-FABP may be a marker of myocardial ischemia during the procedure.
Area of Science:
- Cardiology
- Biomarkers
- Ischemic Heart Disease
Background:
- Heart-type fatty acid-binding protein (H-FABP) is a recognized marker of myocardial necrosis.
- The impact of myocardial ischemia on H-FABP levels remains unclear.
- Investigating H-FABP changes following coronary angioplasty is crucial.
Purpose of the Study:
- To determine if serum H-FABP levels increase after non-urgent coronary angioplasty.
- To assess the temporal changes in H-FABP following the procedure.
Main Methods:
- A study involving 31 patients undergoing coronary angioplasty.
- Peripheral venous blood samples were collected immediately before, 1 hour after balloon inflation, and 24 hours after the procedure.
- Serum H-FABP levels were quantified using assays.
Main Results:
- Serum H-FABP levels showed a significant increase at 1 hour post-angioplasty compared to baseline (p = 0.024).
- No significant differences were observed between H-FABP levels at 1 hour and 24 hours post-procedure (p = 0.87).
- No significant difference was found between 24-hour post-angioplasty levels and baseline levels (p = 0.112).
Conclusions:
- H-FABP levels significantly rise 1 hour after elective coronary angioplasty compared to baseline.
- The prognostic significance of this H-FABP increase, similar to troponins, requires further investigation.
- This study highlights H-FABP as a potential indicator of myocardial ischemia during angioplasty.
Background:
Heart-type fatty acid-binding protein (H-FABP) is considered a marker of myocardial necrosis but whether or not it is modified by myocardial ischemia is not clear. We sought to investigate if H-FABP serum levels increase following non-urgent coronary angioplasty.
Methods:
We studied 31 patients undergoing coronary angioplasty. Peripheral venous samples were drawn immediately before angioplasty, 1 h after the first balloon inflation and 24 h after the procedure and assayed for H-FABP.
Results:
Serum levels of H-FABP increased significantly at 1 h vs baseline from 2554 +/- 1268 to 3322 +/- 245 pg ml(-1) (p = 0.024). However, no differences were observed between 1 h and 24 h after angioplasty (3268 +/- 1861 vs 3322 +/- 2459 pg ml(-1), p = 0.87). Moreover, no significant difference was observed when we compared 24 h after angioplasty with the baseline (3268 +/- 1861 vs 2554 +/- 1268 pg ml(-1), p = 0.112).
Conclusions:
We conclude that H-FABP significantly increases after elective coronary angioplasty at 1 h compared with baseline values; whether or not this has any prognostic significance for future events, as it occurs with troponins, needs to be studied further.
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