B型利钠肽和N端B型利钠肽原检测结果判断要考虑的影响因素

被引:17
作者
张真路
机构
[1] 武汉亚洲心脏病医院检验中心
关键词
D O I
暂无
中图分类号
R541.6 [血液循环衰竭];
学科分类号
100201 [内科学];
摘要
<正>B型利钠肽(brain natriuretic peptide,BNP)和N端B型利钠肽原(N-Terminal pro brain natriureticpeptide,NT-pro BNP)作为生物标志物,已经广泛用于心力衰竭患者的诊断、预后判断及疗效观察等方面。但在具体的临床实践中如何应用好(NT-pro)BNP(即BNP和NT-proBNP)?作者认为有3点非常重要。首先,要知道BNP释放的刺激因素,如心肌细胞受到牵拉,即心室容积扩张、压力负荷增加,心肌缺血损伤/缺氧,内皮缩血管肽Ⅰ(endothelin-Ⅰ)、血管紧张素Ⅱ(angiotensinⅡ)、白细胞介素-1β(interleukin-1β)及α肾上
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