The use of B-type natriuretic peptide in the diagnosis of acute dyspnoea

被引:0
作者
Mueller, C [1 ]
Laule-Kilian, K [1 ]
Christ, A [1 ]
Staub, D [1 ]
机构
[1] Univ Basel Hosp, Dept Internal Med, CH-4031 Basel, Switzerland
关键词
dyspnoea; diagnosis; B-type natriuretic peptide; BNP; NT-proBNP; congestive heart failure;
D O I
暂无
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
B-type natriuretic peptide (BNP) and NT-proBNP are currently the most prominent members of the natriuretic peptide family. These markers are secreted from both the left and the right cardiac ventricle in response to ventricular volume expansion and pressure overload. Recent studies have suggested that these neurohormones are reliably elevated in the setting of congestive heart failure and may be very helpful in its diagnosis. The use of rapid BNP testing in addition to clinical judgement increased the accuracy of the clinical evaluation. The B-Type Natriuretic Peptide for Acute Shortness of Breath Evaluation (BASEL) study showed that the increase in accuracy offered by rapid BNP testing resulted in a significant reduction of hospitalisations, use of intensive care, time to discharge and initial treatment cost.
引用
收藏
页码:5 / 9
页数:5
相关论文
共 17 条
[1]   Effects of intravenous brain natriuretic peptide on regional sympathetic activity in patients with chronic heart failure as compared with healthy control subjects [J].
Brunner-La Rocca, HP ;
Kaye, DM ;
Woods, RL ;
Hastings, J ;
Esler, MD .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (05) :1221-1227
[2]   Utility of B-type natriuretic peptide in the diagnosis of congestive heart failure in an urgent-care setting [J].
Dao, Q ;
Krishnaswamy, P ;
Kazanegra, R ;
Harrison, A ;
Amirnovin, R ;
Lenert, L ;
Clopton, P ;
Alberto, J ;
Hlavin, P ;
Maisel, AS .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (02) :379-385
[3]   PLASMA BRAIN NATRIURETIC PEPTIDE IN ASSESSMENT OF ACUTE DYSPNEA [J].
DAVIS, M ;
ESPINER, E ;
RICHARDS, G ;
BILLINGS, J ;
TOWN, I ;
NEILL, A ;
DRENNAN, C ;
RICHARDS, M ;
TURNER, J ;
YANDLE, T .
LANCET, 1994, 343 (8895) :440-444
[4]   ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: Executive summary - A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1995 Guidelines for the evaluation and management of heart failure) [J].
Hunt, SA ;
Baker, DW ;
Chin, MH ;
Cinquegrani, MP ;
Feldman, AM ;
Francis, GS ;
Ganiats, TG ;
Goldstein, S ;
Gregoratos, G ;
Jessup, ML ;
Noble, RJ ;
Packer, M ;
Silver, MA ;
Stevenson, LW ;
Gibbons, RJ ;
Antman, EM ;
Alpert, JS ;
Faxon, DP ;
Fuster, V ;
Gregoratos, G ;
Jacobs, AK ;
Hiratzka, LF ;
Russell, RO ;
Smith, SC .
CIRCULATION, 2001, 104 (24) :2996-3007
[5]  
Levin ER, 1998, NEW ENGL J MED, V339, P321
[6]   Predischarge B-type natriuretic peptide assay for identifying patients at high risk of re-admission after decompensated heart failure [J].
Logeart, D ;
Thabut, G ;
Jourdain, P ;
Chavelas, C ;
Beyne, P ;
Beauvais, F ;
Bouvier, E ;
Solal, AC .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (04) :635-641
[7]   Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure [J].
Maisel, AS ;
Krishnaswamy, P ;
Nowak, RM ;
McCord, J ;
Hollander, JE ;
Duc, P ;
Omland, T ;
Storrow, AB ;
Abraham, WT ;
Wu, AHB ;
Clopton, P ;
Steg, PG ;
Westheim, A ;
Knudsen, CW ;
Perez, A ;
Kazanegra, R ;
Herrmann, HC ;
McCullough, PA .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (03) :161-167
[8]   B-Type natriuretic peptide and renal function in the diagnosis of heart failure: An analysis from the Breathing Not Properly Multinational Study [J].
McCullough, PA ;
Duc, P ;
Omland, T ;
McCord, J ;
Nowak, RM ;
Hollander, JE ;
Herrmann, HC ;
Steg, PG ;
Westheim, A ;
Knudsen, CW ;
Storrow, AB ;
Abraham, WT ;
Lamba, S ;
Wu, AHB ;
Perez, A ;
Clopton, P ;
Krishnaswamy, P ;
Kazanegra, R ;
Maisel, AS .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2003, 41 (03) :571-579
[9]   B-type natriuretic peptide and clinical judgment in emergency diagnosis of heart failure - Analysis from breathing not properly (BNP) multinational study [J].
McCullough, PA ;
Nowak, RM ;
McCord, J ;
Hollander, JE ;
Herrmann, HC ;
Steg, PG ;
Due, P ;
Westheim, A ;
Omland, T ;
Knudsen, CW ;
Storrow, AB ;
Abraham, WT ;
Lamba, S ;
Wu, AHB ;
Perez, A ;
Clopton, P ;
Krishnaswamy, P ;
Kazanegra, R ;
Maisel, AS .
CIRCULATION, 2002, 106 (04) :416-422
[10]   Biochemical detection of left-ventricular systolic dysfunction [J].
McDonagh, TA ;
Robb, SD ;
Murdoch, DR ;
Morton, JJ ;
Ford, I ;
Morrison, CE ;
Tunstall-Pedoe, H ;
McMurray, JJV ;
Dargie, HJ .
LANCET, 1998, 351 (9095) :9-13