Background:
Acute coronary syndrome (ACS) is the leading cause for morbidity and mortality in developed
countries. Numerous groups have explored single and multiple biomarker strategies to identify diagnostic prognosticators of
ACS which will improve our ability to identify high-risk individuals. Matrix metalloproteinase (MMP-9) is one potential biomarker which has been widely studied in ACS. Recent reports have showed the prognostic utility of MMP-9, but due to inconsistent results, it has not been possible to draw firm conclusions.
Objective:
This review aims to explore the ability of MMP-9 to predict long-term prognosis of ACS. To clarify this issue,
we conducted a literature review to provide a comprehensive assessment of MMP-9 levels in ACS patients.
Method:
We retrieved a total of 1501 articles from PubMed and Google Scholar. After thorough scrutiny, 12 original research articles were found fulfilling the inclusion exclusion criteria. MMP-9’s ability as a biomarker of prognostication post
ACS was reviewed. PRISMA guidelines were used for reporting.
Result:
The results revealed that MMP-9, apart from being an efficient diagnostic biomarker for ACS, helps in predicting
the future risk of ACS with disease outcome. Positive correlation was found between plasma MMP-9 and left ventricular
remodeling. A positive association was also found between cardiovascular death and higher MMP-9 levels.
Conclusion:
MMP-9 can be a potential prognostic marker for ACS and aid in identifying high risk patients for intensive
management during follow -up.
Association between plasma lipid levels during acute coronary syndrome and long-term malignancy risk. The ABC-4* study on heart disease