N-Terminal-proBNP (NT-proBNP) as an indicator of cardiac dysfunction. A study in patients presenting with suspected cardiac disorders.

G Hess, J Moecks, D Zdunek
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引用次数: 18

Abstract

Background: Natriuretic peptides represent a novel diagnostic tool in the assessment of cardiac dysfunction.

Methods: A total of 473 consecutive referred patients presenting to 18 cardiologists for the assessment of their cardiac state were recruited for the study. Patients received a medical history, a physical examination an electrocardiogram and an echocardiogram where left ventricular ejection fraction was recorded.

Results: NT-proBNP was found to correlate with left ventricular ejection fraction (LVEF), level of symptoms (NYHA classification), history of angina pectoris (AP) and myocardial infarction (AMI). Atrial fibrillation (AF) and thyroid dysfunction as well as renal impairment were shown to influence NT-proBNP levels.

Conclusion: The study supports the hypothesis that NT-proBNP determination contributes to the assessment of patients presenting to cardiologists.

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n端probnp (NT-proBNP)作为心功能障碍的指标。一项对疑似心脏疾病患者的研究。
背景:利钠肽是评估心功能障碍的一种新的诊断工具。方法:共有473名连续转诊到18名心脏病专家评估其心脏状态的患者被招募参加这项研究。患者接受病史、体格检查、心电图和超声心动图,记录左心室射血分数。结果:NT-proBNP与左室射血分数(LVEF)、症状程度(NYHA分类)、心绞痛(AP)和心肌梗死(AMI)病史相关。心房颤动(AF)、甲状腺功能障碍以及肾功能损害均可影响NT-proBNP水平。结论:该研究支持NT-proBNP测定有助于评估就诊于心脏病专家的患者的假设。
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[Pulmonary hypertension]. [History of atrial fibrillation]. Plasma levels of NT-pro-BNP in patients with atrial fibrillation before and after electrical cardioversion. Experience with INR self-management: patient selection and complication rates. Slow pathway ablation in children with documented reentrant supraventricular tachycardia not inducible during invasive electrophysiologic study.
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