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Updated: Feb 11, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Human serum albumin in cardiovascular diseases
1Service de Cardiologie, Centre hospitalier Edmond Garcin, Aubagne, France.
Insights
Low serum albumin levels (hypoalbuminemia) are linked to cardiovascular diseases and may be a modifiable risk factor. This review explores albumin's protective roles and hypoalbuminemia's impact on heart health.
Area of Science:
- Cardiology
- Biochemistry
- Internal Medicine
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality.
- Endothelial dysfunction, inflammation, and oxidative stress are key in atherosclerosis and CVD development.
- Low serum albumin levels (hypoalbuminemia) correlate with various CVDs, independent of traditional risk factors.
Purpose of the Study:
- To review the physiological functions of serum albumin.
- To examine the prevalence, causes, and prognostic significance of hypoalbuminemia in CVD.
- To discuss hypoalbuminemia's potential role in CVD onset and progression.
Main Methods:
- Literature review of epidemiological and clinical studies.
- Analysis of the physiological properties of serum albumin.
- Synthesis of evidence on hypoalbuminemia as a risk and prognostic factor in cardiovascular diseases.
Main Results:
- Serum albumin possesses anti-inflammatory, antioxidant, anticoagulant, and antiplatelet aggregation properties.
- Hypoalbuminemia is an independent prognosticator in coronary artery disease, heart failure, stroke, and other cardiovascular conditions.
- Hypoalbuminemia may represent an unrecognized, modifiable risk factor for cardiovascular diseases.
Conclusions:
- Hypoalbuminemia is strongly associated with increased risk and poorer prognosis in cardiovascular diseases.
- Understanding albumin's physiological roles highlights its importance in cardiovascular health.
- Further research into modifiable strategies to address hypoalbuminemia is warranted for clinical implications.
Abstract:
Cardiovascular diseases are the leading cause of death worldwide. Endothelial dysfunction, inflammation and oxidative stress are at the forefront in the onset and development of atherosclerosis and many cardiovascular diseases. Epidemiological evidence is that low serum albumin levels are linked to incident ischemic heart disease, heart failure, atrial fibrillation, stroke and venous thromboembolism, independent of risk factors, body mass index and inflammation. Hypoalbuminemia has also emerged as an independent prognosticator in many cardiovascular diseases, such as coronary artery disease, heart failure, congenital heart disease, infective endocarditis and stroke, even after adjusting for usual causal factors and prognostic markers. Given physiological properties of serum albumin that include anti-inflammatory, antioxidant, anticoagulant and antiplatelet aggregation activity as well as colloid osmotic effect, hypoalbuminemia could act as an unrecognized modifiable risk factor. The purpose of this review is to provide an overview of the physiological properties of serum albumin, as well as prevalence, causes, prognostic value and potential contribution to the disease emergence and progression of hypoalbuminemia, and the resulting clinical implications.
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