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Circulating miRNAs: novel biomarkers of acute coronary syndrome?

    Adam Pleister

    Department of Internal Medicine, Division of Cardiovascular Medicine, The Ohio State University, 473 West 12th Avenue, OH 43210, USA.

    ,
    Helina Selemon

    Davis Heart & Lung Research Institute, The Ohio State University, 473 West 12th Avenue, OH 43210, USA

    ,
    Shane M Elton

    Midwestern University, Glendale, AZ, USA

    &
    Terry S Elton

    * Author for correspondence

    College of Pharmacy, Division of Pharmacology, The Ohio State University, 473 West 12th Avenue, OH 43210, USA.

    Published Online:https://doi.org/10.2217/bmm.13.8

    Acute coronary syndrome refers to any group of clinical symptoms compatible with acute myocardial infarction (AMI). AMI is a major cause of death and disability worldwide with the greatest risk of death within the first hours of AMI onset. Therefore, delays in ‘ruling in’ AMI may increase morbidity and mortality due to the time lag in initiating therapy. Likewise, since the majority of patients presenting with acute chest pain do not have AMI, the rapid ‘ruling out’ of AMI in those patients would increase emergency department triage efficiency, decrease medical costs, and reduce morbidity and mortality. Thus, the identification of novel biomarkers that improve current strategies and/or accurately identify subjects who are at risk of developing acute and chronic manifestations of cardiovascular disease are desperately needed. This article discusses the potential of peripheral blood microRNAs as clinical biomarkers for the diagnosis and prognosis of cardiovascular diseases such as AMI.

    Papers of special note have been highlighted as: ▪ of interest ▪▪ of considerable interest

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