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Considerable insight has emerged over the past few decades with regard to cellular and molecular derangements within the myocardium. Analysis of gene expression, while a powerful tool, often reveals a poor correlation with the quantity of corresponding functional protein. This is probably related to the divergent time course of gene expression in relation to protein expression, regulation and downstream protein production as well as the involvement of other factors. Given the rapid advances in proteomic profiling over the last few years, recent editorials have called for direct and large-scale analysis of proteins within the failing myocardium where significant information may be gained from proteomic approaches [2-4].

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