N-Terminal B-type Natriuretic Peptide in Heart Failure

被引:60
作者
Richards, Arthur Mark [1 ,2 ]
机构
[1] Natl Univ Singapore, Natl Univ Heart Ctr, Cardiovasc Res Inst, Cardiol, 1E Kent Ridge Rd,NUHS Tower Block 9th Floor, Singapore 129788, Singapore
[2] Univ Otago, Christchurch Heart Inst, Riccarton Ave, Christchurch 8014, New Zealand
关键词
NT-proBNP; Heart failure; Diagnosis; Prognosis; Monitoring; PRESERVED EJECTION FRACTION; BODY-MASS INDEX; DIAGNOSTIC PERFORMANCE; EMERGENCY DIAGNOSIS; ATRIAL-FIBRILLATION; DYSPNEIC PATIENTS; PROGNOSTIC VALUE; BASE-LINE; PROBNP; BNP;
D O I
10.1016/j.hfc.2017.08.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Plasma amino-terminal pro-B-type natriuretic peptide (NT-proBNP) is a guideline-mandated biomarker in heart failure (HF). Used as an inclusion criterion for therapeutic trials, NT-proBNP enriches trial populations and is a valid surrogate endpoint. Its diagnostic performance is best validated in acute decompensated HF (ADHF). NT-proBNP offers prognostic information independent of standard clinical predictors and refines risk stratification. With the advent of combined angiotensin 2 type 1 receptor blockade and neprilysin inhibition (ARNI), NT-proBNP retains its relationship to cardiac status and is the marker of choice in assessment of possible ADHF and in serial monitoring of HF patients receiving ARNI treatment.
引用
收藏
页码:27 / +
页数:14
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