Related Experiment Video
Updated: Aug 1, 2025

Digital PCR for Quantifying Circulating MicroRNAs in Acute Myocardial Infarction and Cardiovascular Disease
Published on: July 3, 2018
Association Between Serum Irisin Levels and ST-Segment Elevation Myocardial Infarction
Derya Ozturk1, Adem Melekoglu1, Ertugrul Altinbilek1
1Sisli Hamidiye Etfal Education and Research Hospital, Department of Emergency, İstanbul, Turkey.
Insights
Lower serum irisin levels are highly predictive of ST-elevation myocardial infarction (STEMI). This study suggests irisin is a promising biomarker for acute myocardial infarction (AMI) severity, correlating with cardiac troponin-I levels.
Area of Science:
- Cardiology
- Biochemistry
- Biomarkers
Background:
- ST-elevation myocardial infarction (STEMI) is a critical cardiovascular condition with significant morbidity and mortality risks.
- Irisin, an adipomyokine, is linked to various health conditions, with elevated levels post-STEMI associated with adverse cardiovascular events.
Purpose of the Study:
- To investigate the association between serum irisin levels and acute myocardial infarction (AMI).
- To determine if irisin can serve as a biomarker for AMI severity in STEMI patients.
- To explore correlations between serum irisin and cardiac troponin-I (cTi) levels.
Main Methods:
- The study included 90 participants: 46 controls and 44 STEMI patients.
- Evaluated demographic data, medical history (diabetes, hypertension), ECG findings, blood biochemistry, cardiac biomarkers (cTi), and serum irisin levels.
Main Results:
- STEMI patients exhibited significantly lower heart rate and higher ST-elevation and QTc intervals compared to controls (p < 0.05).
- Serum irisin levels were significantly lower in STEMI patients (p < 0.001).
- Decreased irisin levels correlated with increased cTi and QTc (p < 0.05), with 93% sensitivity and 78% specificity.
Conclusions:
- Reduced irisin levels are highly predictive of STEMI.
- Serum irisin levels in STEMI patients are associated with cTi and QTc intervals.
- Irisin shows promise as a biomarker for assessing acute myocardial infarction severity.
Background:
An acute ST-elevation myocardial infarction (STEMI) is a serious cardiovascular condition with a high risk of morbidity and mortality. Irisin is adipomyokine that is associated with various health conditions. In post-STEMI, elevated serum irisin levels are associated with more adverse cardiovascular events.
Objective:
The purpose of this study was to investigate associations between the serum irisin levels and acute MI (AMI) and whether irisin may be a useful biomarker for severity of AMI in patients with STEMI. Possible correlations between serum irisin and cardiac troponin-I (cTi) levels were investigated.
Methods:
A total of 90 subjects (46 control subjects and 44 STEMI patients) were included in the study. Besides demographic data, presence of diabetes mellitus and hypertension, electrocardiography (ECG) findings, blood biochemistry, cardiac biomarkers (cTi) and serum irisin levels were examined.
Results:
Significantly lower heart rate (HR) and significantly higher ST-elevation and QTc interval were detected in ECG recordings in STEMI patients (p < 0.05). Serum irisin levels were significantly lower in STEMI patients compared to the control subjects (p < 0.001). The decrease in the serum irisin levels was significantly correlated with the increase in cTi levels, as well as increased QTc (p < 0.05). The sensitivity and specificity of irisin were found to be 93% and 78%, respectively.
Conclusion:
Decreased irisin levels were found to be highly predictive in STEMI. In patients with STEMI, the serum irisin levels were associated with cTi levels and QTc, suggesting that irisin is a promising biomarker for AMI cases.
More Related Videos
Related Concept Videos
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome III: Diagnostic Studies
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Myocarditis II: Clinical Features and Diagnostic Tests
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...

