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Updated: Jul 7, 2025

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
Published on: April 17, 2021
Metabolic signatures in post-myocardial infarction heart failure, including insights into prediction, intervention,
Xueyan Peng1, Jie Du1, Yuan Wang1
1Beijing Collaborative Innovation Centre for Cardiovascular Disorders, No. 2 Anzhen Road, Chaoyang District, Beijing 100029, China; Key Laboratory of Remodeling-related Cardiovascular Diseases, Ministry of Education, Beijing 100029, China; Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China; Beijing Institute of Heart, Lung and Blood Vessel Disease, No. 2 Anzhen Road, Chaoyang District, Beijing 100029, China.
Insights
Identifying metabolic signatures in heart failure (HF) post myocardial infarction (MI) is key. This review explores metabolites as biomarkers for early detection, treatment targets, and prognosis in high-risk HF patients.
Area of Science:
- Cardiology
- Metabolomics
- Biochemistry
Background:
- Heart failure (HF) is a common and serious complication following myocardial infarction (MI).
- Patients with post-MI HF face a poor prognosis, necessitating early risk identification.
- Adverse cardiac remodeling in post-MI HF is linked to metabolic alterations due to ischemia.
Purpose of the Study:
- To review metabolic signatures of post-MI HF for non-invasive biomarker potential.
- To explore the role of metabolism in the pathophysiology of post-MI HF.
- To discuss metabolites as potential therapeutic targets and prognostic biomarkers for post-MI HF.
Main Methods:
- Literature review focusing on metabolic changes in post-MI HF.
- Analysis of risk factors influencing metabolic pathways (genetics, diet, obesity).
- Exploration of metabolite roles in cardiac remodeling and disease progression.
Main Results:
- Metabolic signatures can serve as non-invasive biomarkers for early detection in at-risk populations.
- Metabolism is integral to the pathophysiology of post-MI HF.
- Metabolites show promise as novel therapeutic targets and prognostic indicators.
Conclusions:
- Metabolic profiling offers valuable insights for preventing and treating post-MI HF.
- Early identification of high-risk individuals via metabolic biomarkers is crucial.
- Targeting metabolic pathways may improve outcomes for patients with post-MI HF.
Abstract:
Heart failure (HF) is a prevalent long-term complication of myocardial infarction (MI). The incidence of post-MI HF is high, and patients with the condition have a poor prognosis. Accurate identification of individuals at high risk for post-MI HF is crucial for implementation of a protective and ideally personalized strategy to prevent fatal events. Post-MI HF is characterized by adverse cardiac remodeling, which results from metabolic changes in response to long-term ischemia. Moreover, various risk factors, including genetics, diet, and obesity, can influence metabolic pathways in patients. This review focuses on the metabolic signatures of post-MI HF that could serve as non-invasive biomarkers for early identification in high-risk populations. We also explore how metabolism participates in the pathophysiology of post-MI HF. Furthermore, we discuss the potential of metabolites as novel targets for treatment of post-MI HF and as biomarkers for prognostic evaluation. It is expected to provide valuable suggestions for the clinical prevention and treatment of post-MI HF from a metabolic perspective.
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