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Updated: Jun 1, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Can YKL-40 be a new inflammatory biomarker in cardiovascular disease?
1Department of Cardiology, Cardiac Catheterization Laboratory 2014, The Heart Centre, Rigshospitalet, Copenhagen University Hospital and Faculty of Health Sciences, Blegdamsvej 9, DK-2100 Copenhagen, Denmark. jens.kastrup@rh.regionh.dk
Insights
Elevated YKL-40 levels may indicate worse outcomes in patients with ischemic heart disease. This inflammatory biomarker shows potential for monitoring treatment and predicting future cardiovascular events.
Area of Science:
- Cardiology
- Biomarker Research
- Inflammation
Background:
- Coronary artery disease (CAD) remains a leading cause of mortality globally.
- Current treatments improve survival but many patients experience persistent symptoms and poor prognosis.
- There is a critical need for novel biomarkers to guide treatment and predict cardiovascular events in ischemic heart disease.
Purpose of the Study:
- To review existing literature on the inflammatory biomarker YKL-40 in cardiac patients.
- To evaluate the potential of YKL-40 as a biomarker for disease severity, prognosis, and survival in ischemic heart disease.
- To discuss the utility of YKL-40 in monitoring therapeutic interventions and prognostic evaluations.
Main Methods:
- Literature review of published studies on YKL-40 in cardiovascular disease.
- Analysis of YKL-40 levels in patients with acute and chronic ischemic heart disease.
- Discussion of YKL-40's correlation with clinical outcomes and treatment response.
Main Results:
- YKL-40 has been observed to be elevated in patients with both acute and stable chronic cardiovascular diseases.
- Preliminary findings suggest YKL-40 may be associated with disease severity and prognosis.
- Further research is warranted to confirm its role in monitoring treatment efficacy.
Conclusions:
- YKL-40 is a promising inflammatory biomarker in ischemic heart disease.
- It may serve as a valuable tool for assessing prognosis and guiding patient management.
- Its role in monitoring treatment requires further investigation and validation.
Abstract:
Coronary artery disease is the most common background of death in western countries. Medical therapies and revisualization by percutaneous coronary intervention or coronary by-pass surgery have reduced the mortality significantly. However, many of the treated patients still have angina or heart failure symptoms, many hospitalisations and a poor prognosis. Therefore, there is need for identifying new biomarkers, which alone or in combination with other risk markers are useful in monitoring treatment and as prognostic markers for future cardiovascular events in patients with ischemic heart disease. The inflammatory biomarker YKL-40 has recently been found elevated in patients with both acute and stable chronic cardiovascular diseases. Therefore, YKL-40 could potentially be a new useful biomarker of disease severity, prognosis and survival in patients with ischemic heart disease. The review will present published information about YKL40 in cardiac patients and discuss whether YKL-40 could be used for monitoring the therapies and for prognostic evaluations in patients with cardiovascular disease.
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