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Updated: Jun 6, 2025

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Published on: January 31, 2025
Study of plasma essential element concentrations to explore markers of acute myocardial infarction
Junko Fujihara1, Naoki Nishimoto2, Yoshikazu Takinami3
1Department of Legal Medicine, Shimane University Faculty of Medicine, 89-1 Enya, Izumo, Shimane, 693-8501, Japan. jfujihar@med.shimane-u.ac.jp.
Insights
Lower copper (Cu) and calcium (Ca) levels, along with higher magnesium (Mg) levels, may indicate acute myocardial infarction (AMI) in heart disease patients. These elemental differences could serve as potential biomarkers for AMI diagnosis.
Area of Science:
- Biochemistry
- Cardiology
- Clinical Diagnostics
Background:
- Essential element concentrations are implicated in disease pathogenesis.
- Previous research linked serum iron (Fe), zinc (Zn), and copper (Cu) to acute myocardial infarction (AMI).
- The distinct elemental profiles differentiating AMI from other cardiac conditions remain under-investigated.
Purpose of the Study:
- To investigate plasma levels of Fe, Mg, Zn, Cu, Ca, inorganic P, and cardiac troponin T (TnT) in patients with various heart diseases.
- To identify potential plasma element biomarkers for distinguishing AMI from other cardiac conditions like angina, heart failure, and chest pain.
Main Methods:
- Plasma Fe, Mg, Zn, and Cu were measured using a Metallo Assay kit.
- Plasma Ca and inorganic P were determined via an automatic biochemical analyzer.
- Cardiac TnT levels were quantified using enzyme-linked immunosorbent assay (ELISA).
Main Results:
- Plasma TnT levels were elevated in AMI patients compared to other heart disease groups and negatively correlated with Cu and Ca.
- While Fe, Cu, and inorganic P were within normal ranges, heart disease patients exhibited lower Mg and Ca, and higher Zn levels.
- Significant differences in Mg levels were observed, with higher concentrations in AMI compared to heart failure patients.
Conclusions:
- Lower plasma Cu and Ca levels, coupled with higher Mg levels, may serve as potential diagnostic markers for AMI.
- These elemental variations suggest a role for specific minerals in the pathophysiology or as indicators of AMI.
Abstract:
Essential element concentrations in biological samples may be related to the pathogenesis of various diseases. Previous studies have reported that serum iron (Fe), zinc (Zn), and copper (Cu) were related to acute myocardial infarction (AMI). However, the differences in element concentrations between AMI and other cardiac disease has not been investigated. In this study, differences in plasma Fe, magnesium (Mg), Zn, Cu, calcium (Ca), inorganic phosphorus (P), and cardiac troponin T (TnT) levels in heart disease patients (AMI, angina, heart failure, and chest pain) were investigated to explore potential markers of AMI. Fe, Mg, Zn, and Cu concentrations were assayed by using a Metallo Assay kit; Ca and inorganic P were determined by using an automatic biochemical analyzer; and cardiac TnT levels were assayed by using enzyme-linked immunosorbent assay. Plasma TnT levels were higher in AMI than in other heart diseases and were negatively correlated with Cu and Ca. Fe, Cu, and inorganic P levels were within the normal range, while Mg and Ca levels were lower, and Zn levels were higher than the normal range in heart disease patients. Except Mg, no significant differences in element levels were observed among heart diseases: Mg levels were significantly higher in AMI than in heart failure. These results suggest that lower Cu and Ca levels and a higher Mg level compared with other heart diseases may be a marker of AMI.
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