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Clinical Chemistry and Laboratory Medicine (CCLM)

Published in Association with the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)

Editor-in-Chief: Plebani, Mario

Ed. by Gillery, Philippe / Greaves, Ronda / Lackner, Karl J. / Lippi, Giuseppe / Melichar, Bohuslav / Payne, Deborah A. / Schlattmann, Peter

IMPACT FACTOR 2017: 3.556

CiteScore 2018: 2.44

SCImago Journal Rank (SJR) 2018: 1.191
Source Normalized Impact per Paper (SNIP) 2018: 1.205

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Volume 46, Issue 6


Cardiovascular biomarkers: increasing impact of laboratory medicine in cardiology practice

Simona Vittorini / Aldo Clerico


The practice of cardiology is in continual evolution, in parallel with the progress achieved by medical research in understanding the pathophysiology of cardiovascular disease and in developing new therapeutic procedures. Consequently, manufacturers of cardiac biomarkers are pressed with new demands to improve the performance of the existing and the development of novel ones. Several highly sensitive and/or specific assays for myocardial ischemic damage and myocardial function detection have already become commercially available. Moreover, an increasing number of novel risk factors have been added to the classical risk factors of cardiovascular disease. Finally, the recent surge of genetic analysis procedures will likely soon provide the clinical cardiologist with a number of laboratory tests for defining the molecular diagnosis, assessing new risk factors, and better targeting the pharmaceutical approaches in patients with cardiovascular disease. In this review, we first present the general characteristics of a biomarker followed by the analytical and clinical performance of assay methods.

Clin Chem Lab Med 2008;46:748–63.

Keywords: analytical performance; biomarkers; cardiac troponin; cardiovascular disease; genomic analysis; natriuretic peptides

About the article

Corresponding author: Simona Vittorini, Institute of Clinical Physiology – National Research Council, Ospedale “G. Pasquinucci”, V. Aurelia Sud, Massa, Italy Phone: +39-0585-493621, Fax: +39-0585-493601,

Received: 2007-11-14

Accepted: 2008-03-01

Published in Print: 2008-06-01

Citation Information: Clinical Chemistry and Laboratory Medicine, Volume 46, Issue 6, Pages 748–763, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/CCLM.2008.188.

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