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Methyl Malonic Acid (MMA) is known to be an integral component of the cascade of events in mitochondrial energy metabolism and since heart failure involves energy pathways, it is probable that levels of MMA could be used as a reliable biomarker to objectively identify the disease during the early stages and help in prognostication.

To Ascertain the Utility of Urinary Methyl Malonic Acid as a Potential Marker of Ischemic Heart Failure