Acute cardiac care & resuscitation

Targeted proteomic profiling of cardiogenic shock in the cardiac intensive care unit

Eur Heart J Acute Cardiovasc CarePublished Cross-sectional case-control study

An erratum to this article was published (Eur Heart J Acute Cardiovasc Care, 7 Aug 2025 ↗)

Authors' conclusion

In this pilot study of targeted proteomic profiling in CS, we identified nine biomarkers significantly associated with CS when cross-validated against non-shock controls including those with HF or isolated hypotension

Study context

Population
Patients admitted to a cardiac ICU, 2017–2020 (biorepository)
Participants
239 patients
Comparison
Cardiogenic shock (CS) cases vs non-shock controls
  • CSn = 69
  • Non-shock controlsn = 170reference
Outcome
Circulating protein biomarkers associated with CS (Olink platform, 359 biomarkers)
Methodological detailspilot study, Bonferroni correction
  • Pilot study
  • Bonferroni correction

Main finding

As reported in the abstract

Biomarkers associated with CS

Biomarkers significantly associated with CS vs all controls after Bonferroni correction

63

17.7%

Biomarkers remaining significant when cross-validated vs isolated hypotension and HF controls (cathepsin D, FGF-21, FGF-23, GDF-15, IGFBP-1, NT-proBNP, osteopontin, OSMR, sST2)

9

Observational data: associations, not effects.

Further findings

Multi-marker model for CS diagnosis

Biomarkers providing complementary information: sST2, FGF-23, CTSD, GDF-15
4

Original publication

Targeted proteomic profiling of cardiogenic shock in the cardiac intensive care unit. Eur Heart J Acute Cardiovasc Care. Published 30 May 2024. doi:10.1093/ehjacc/zuae068

Summarised from the published abstract; every number is checked against it

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