Albumin
proteinAlbumin reduction in acute MI reflects systemic inflammation and oxidative stress, serving as a generic stress and hemodynamic marker.
Pathway placement
Cascade stepOff-pathway / systemic markers
Confidencemedium
RationaleSystemic acute-phase and oxidative stress marker; inverse predictor of vascular events.
Also acts inVascular inflammation
Druggability
Not assessed (no mapped human gene target).
Type I vs non-Type I discrimination
ScoresIndeterminate
R — rupture / Type-I67
C — non-Type-I48
A — assay feasibility84
E — evidence strength52
T1DI (composite)26
Specificity differential (R−C)+19.1
Non-Type-I axis panel
Does this marker also move in each non-Type-I setting? mag 0–3; higher means less Type-I-specific. n/a = no evidence retrieved, which is not the same as no change.
2sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 1
2hypovolemia / dehydrationn/a
2tachyarrhythmian/a
2hypoxemia / respiratory failuremag 1
2hypertensive emergencyn/a
2high-demand / peri-operative stressmag 1
3sudden cardiac deathmag 1
4aPCI-related periproceduraln/a
4bstent thrombosismag 2
4cin-stent restenosismag 2
5CABG-relatedn/a
Coverage: 7/12 axes with evidence
Tier: deep-scored (abstract-extracted) · 13 supporting references. See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Serum or plasma; urine (microalbumin)
Collection tube
Serum separator (gold/red-top, SST) · Lithium heparin (green-top) · Sterile urine container
Method / principle
Dye-binding (BCG/BCP) or immunoturbidimetric (urine)
Reagent / substrate
Bromocresol green/purple; anti-albumin latex for urine
Platform
Automated analyzer
Turnaround · availability
Routine · Universal
Literature evidence(7)
- Microalbuminuria as a Prognostic Marker in Essential Hypertension.Current medicinal chemistry · 2025 · PMID 40143689 · doi
- Greater alterations in atherogenic lipids and inflammatory markers in women during type 2 diabetes development and risk of coronary heart disease-Findings from two population-based studies.Journal of clinical lipidology · 2025 · PMID 40967996 · doi
- Uric Acid to Albumin Ratio as a Predictive Marker for Intracoronary Thrombus Severity in ST-Segment Elevation Myocardial Infarction (STEMI) Patients Undergoing Primary Percutaneous Coronary Intervention (PCI).Medical science monitor : international medical journal of experimental and clinical research · 2024 · PMID 39425464 · doi
- Circulating metabolites associated with incident myocardial infarction and stroke: A prospective cohort study of 90 438 participants.Journal of neurochemistry · 2022 · PMID 35762284 · doi
- Association of albumin, fibrinogen, and modified proteins with acute coronary syndrome.PloS one · 2022 · PMID 35881574 · doi
- Low serum albumin levels and in-hospital outcomes in patients with ST segment elevation myocardial infarction.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2021 · PMID 34344545 · doi
- Elevated plasma albumin and apolipoprotein A-I oxidation under suboptimal specimen storage conditions.Molecular & cellular proteomics : MCP · 2014 · PMID 24736286 · doi