Evidence map›Paper›PMID 42899423›Full record

SynthesisCardiovascular therapeutics2026

Prognostic Value of Heart-Type Fatty Acid-Binding Protein in Patients With Acute Coronary Syndrome: A Systematic Review and Meta-Analysis.

Ahmed Elmewafy, Eyad Jamileh, Abdullah Hussain, Loay Kamel, Omar Farooq, Hany Gamal, Ibrahim Antoun

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cardiovascular therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ahmed ElmewafySchool of Medicine, University of Sheffield, Sheffield, UK, sheffield.ac.uk.ORCID https://orcid.org/0009-0003-8257-1260
Eyad JamilehRoyal Blackburn Teaching Hospital, East Lancashire Hospitals NHS Trust, Blackburn, UK, nhs.uk.ORCID https://orcid.org/0000-0002-1006-9824
Abdullah HussainSchool of Medicine, Royal College of Surgeons in Ireland, Medical University of Bahrain, Busaiteen, Kingdom of Bahrain, uob.edu.bh.ORCID https://orcid.org/0009-0001-4503-3477
Loay KamelSchool of Medicine, Royal College of Surgeons of Ireland, University of Medicine and Health Sciences, Dublin, Ireland, rcsi.ie.ORCID https://orcid.org/0009-0009-4065-407X
Omar FarooqRoyal Blackburn Teaching Hospital, East Lancashire Hospitals NHS Trust, Blackburn, UK, nhs.uk.
Hany GamalSchool of Medicine, St. George's University, St. George's, Grenada.
Ibrahim AntounDivision of Cardiovascular Sciences, Clinical Science Wing, University of Leicester, Glenfield Hospital, Leicester, UK, nhs.uk.ORCID https://orcid.org/0000-0002-4374-7476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHeart-type fatty acid-binding protein (H-FABP) is rapidly released following myocardial injury, but its prognostic significance in acute coronary syndrome (ACS) remains uncertain. We evaluated the association between elevated H-FABP and adverse clinical outcomes in confirmed or suspected ACS.

methodsPubMed, Embase, CENTRAL, Web of Science and Scopus were searched from inception to 30 August 2026 without date restriction. Studies assessing diagnostic and/or prognostic relevance of circulating H-FABP in adults with confirmed or suspected ACS were eligible. Prognostic outcomes included all-cause mortality, major adverse cardiovascular events (MACE), heart failure (HF)-related hospitalisation and recurrent myocardial infarction (MI). Risk of bias was assessed using QUIPS. Crude odds ratios (ORs) from extractable 2 × 2 event data were pooled using inverse-variance random-effects models with restricted maximum-likelihood estimation.

resultsTwelve studies were included, with five contributing to meta-analysis. Elevated H-FABP was associated with higher odds of all-cause mortality (OR 5.68; 95% CI 3.98-8.09; I

conclusionElevated H-FABP is associated with adverse outcomes in ACS, but current evidence does not establish independent prognostic value. Further prospective studies should determine whether H-FABP adds predictive value beyond established clinical and biochemical risk markers.

Indexed as

Acute Coronary SyndromeFatty Acid Binding Protein 3AgedBiomarkersFatty Acid-Binding ProteinsFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRecurrenceRisk AssessmentRisk FactorsUp-RegulationBiomarkersFABP3 protein, humanFatty Acid Binding Protein 3Fatty Acid-Binding Proteinsacute coronary syndromebiomarkersheart-type fatty acid-binding proteinmeta-analysisprognosis

Identifiers

PMID42899423
PMCPMC13681350

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.