Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Correlation of Plasmatic Amyloid Beta Peptides (Aβ40, Aβ-42) with Myocardial Injury and Inflammatory Biomarkers in Acute Coronary Syndrome

Version 1 : Received: 15 January 2024 / Approved: 16 January 2024 / Online: 16 January 2024 (12:25:39 CET)

A peer-reviewed article of this Preprint also exists.

Del Moral, L.E.; Lerma, C.; González-Pacheco, H.; Chávez-Lázaro, A.C.; Massó, F.; Rodriguez, E. Correlation of Plasmatic Amyloid Beta Peptides (Aβ-40, Aβ-42) with Myocardial Injury and Inflammatory Biomarkers in Acute Coronary Syndrome. J. Clin. Med. 2024, 13, 1117. Del Moral, L.E.; Lerma, C.; González-Pacheco, H.; Chávez-Lázaro, A.C.; Massó, F.; Rodriguez, E. Correlation of Plasmatic Amyloid Beta Peptides (Aβ-40, Aβ-42) with Myocardial Injury and Inflammatory Biomarkers in Acute Coronary Syndrome. J. Clin. Med. 2024, 13, 1117.

Abstract

Ischemic heart disease is the leading cause of mortality worldwide. There is evidence of the participation of Aβ in thrombosis and clinical manifestations of acute coronary syndromes. In this study, we investigated the correlation of Aβ peptides with myocardial injury and inflammation biomarkers in acute coronary syndrome. This is a single-center, cross-sectional, observational, and correlation study that included 65 patients within the first 12 hours after symptom onset (chest pain, shoulder pain, or chest discomfort) with ST-elevation and non-ST elevation myocardial infarction who were admitted in the Coronary Care Unit, biochemical parameters of Aβ peptides levels were evaluated. Our results show that NSTEMI patients had a higher prevalence of hypertension, diabetes, smoking, and prior myocardial infarction when compared to STEMI patients. We observed a higher level of Aβ-42 in NSTEMI, but no difference in Aβ-40 levels. We also found a correlation between age and NT-proBNP with both Aβ peptides (Aβ-40, Aβ-42) in both groups. In this analysis, NSTEMI patients had higher prevalence of cardiovascular risk factors. Considering the toxic properties of Aβ-42 in coronary endothelial cells and cardiomyocytes, this peptide may be useful in risk stratification scores in patients with NSTEMI.

Keywords

acute myocardial infarction; beta amyloid; Aβ-42; Aβ-40; NT-proBNP

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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