Objective: The performance of chrono-impedance measurement, a novel electrochemical method for determining free fatty acids (FA), was evaluated in a real-world clinical setting. Methods: Patients presenting to the emergency department with chest pain or discomfort were included. Routine diagnostic tests were performed in accredited laboratories. Chrono-impedance was measured using a screen-printed carbon electrode connected to a dedicated potentiostat. Serum total free-FA levels were determined by gas chromatography with flame ionization detection. Results: Among 104 patients, 21 received a specific diagnosis, while the remaining 83 patients were discharged with non-specific pain. Mean free-FA level was 0.9 ± 0.6 mM. Palmitic, linoleic, stearic, oleic, and arachidonic acids accounted for 74.9% of total free FAs. Impedance plots showed a characteristic logarithmic increase over time for all patients. When instantaneous impedance values at four different time points (10, 100, 376.6, and 500 s) were examined, a significantly strong correlation was observed between impedance and FA molarity (r = 0.8312, 0.9897, 0.9947, and 0.9951) and FA weight (r = 0.9572, 0.9878, 0.9996, and 0.9998), respectively. Conclusions: Chrono-impedance demonstrated a very high correlation with total free-FA levels in real patient samples.
ORAN et al. (Tue,) studied this question.