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Updated: Nov 6, 2025

Digital PCR for Quantifying Circulating MicroRNAs in Acute Myocardial Infarction and Cardiovascular Disease
Published on: July 3, 2018
MicroRNAs in Acute ST Elevation Myocardial Infarction-A New Tool for Diagnosis and Prognosis: Therapeutic
Alina Ioana Scărlătescu1,2, Miruna Mihaela Micheu2, Nicoleta-Monica Popa-Fotea1,2
1Department of Cardiology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Insights
microRNAs (miRNAs) show promise for diagnosing and predicting outcomes in ST-elevation myocardial infarction (STEMI). These small molecules offer potential as early diagnostic markers and therapeutic targets for heart attack patients.
Area of Science:
- Cardiology
- Molecular Biology
- Genetics
Background:
- ST-elevation myocardial infarction (STEMI) remains a primary cause of death globally.
- Early diagnosis is crucial for improving STEMI patient prognosis.
- microRNAs (miRNAs) are implicated in cardiovascular disease pathophysiology.
Purpose of the Study:
- To review the current understanding of miRNAs in STEMI.
- To explore the role of miRNAs as diagnostic markers for myocardial infarction.
- To summarize the prognostic and therapeutic potential of miRNAs in STEMI.
Main Methods:
- Literature review of studies on miRNAs and STEMI.
- Analysis of circulating miRNA levels in acute coronary syndromes (ACS).
- Evaluation of miRNA function in gene regulation relevant to cardiac damage.
Main Results:
- Elevated circulating miRNA levels indicate cardiac damage in ACS.
- miRNAs serve as promising biomarkers for early myocardial infarction diagnosis.
- miRNAs possess prognostic value and therapeutic potential in STEMI.
Conclusions:
- miRNAs are significant in cardiovascular disease, particularly STEMI.
- Circulating miRNAs offer a valuable tool for early STEMI diagnosis and prognosis.
- Targeting miRNAs presents a promising therapeutic strategy for STEMI management.
Abstract:
Despite diagnostic and therapeutic advances, coronary artery disease and especially its extreme manifestation, ST elevation myocardial infarction (STEMI), remain the leading causes of morbidity and mortality worldwide. Early and prompt diagnosis is of great importance regarding the prognosis of STEMI patients. In recent years, microRNAs (miRNAs) have emerged as promising tools involved in many pathophysiological processes in various fields, including cardiovascular diseases. In acute coronary syndromes (ACS), circulating levels of miRNAs are significantly elevated, as an indicator of cardiac damage, making them a promising marker for early diagnosis of myocardial infarction. They also have prognostic value and great potential as therapeutic targets considering their key function in gene regulation. This review aims to summarize current information about miRNAs and their role as diagnostic, prognostic and therapeutic targets in STEMI patients.
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