Acute cardiac care & resuscitation

A panel of blood biomarkers unique to sudden cardiac arrest

Heart RhythmPublished Case-control study

Authors' conclusion

We identified a panel of novel blood biomarkers specifically associated with SCA, including several that may be involved outside the CAD pathway.

Study context

Population
Survivors of sudden cardiac arrest (SCA), blood sampled at a median of 11 months after the eventreplication: 29 cases, 57 controls
Participants
20 / 40 / 20
Comparison
SCA survivors vs matched controls
  • Casesn = 20
  • Controlsn = 40reference
  • Coronary artery disease (CAD) controlsn = 20reference
Outcome
Protein biomarkers associated with SCA (false discovery rate P<.05)
Methodological detailsage- and sex-matched, replication analysis, Mean age 58 years (range 25-87), 70% male, Mass spectrometry proteomics (data-independent acquisition), cytokine immunoassays, 1153 lipids (13 classes)
  • Age- and sex-matched
  • Replication analysis
  • Mean age 58 years (range 25-87), 70% male
  • Mass spectrometry proteomics (data-independent acquisition), cytokine immunoassays, 1153 lipids (13 classes)

Main finding

As reported in the abstract

Protein biomarkers associated with SCA

Protein biomarkers associated with SCA (cases vs controls)

26

Of these, differentiated SCA from CAD

20

Observational data: associations, not effects.

Further findings

Replication analysis

Biomarkers replicated (of 26)
8
Replicated, not overlapping with CAD
6

Biological processes and lipids

Top processes: extracellular matrix, coagulation cascades, platelet activation
Lysophosphatidylcholine lipids implicated in SCA through the CAD pathway

Original publication

A panel of blood biomarkers unique to sudden cardiac arrest. Heart Rhythm. Published 13 December 2022. doi:10.1016/j.hrthm.2022.12.014

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