Assessment of BNP and NT-proBNP in emergency department patients presenting with suspected acute coronary syndromes

被引:17
作者
Cameron, SJ
Green, GB
White, CN
Laterza, OF
Clarke, W
Kim, H
Sokoll, LJ
机构
[1] Johns Hopkins Med Inst, Dept Pathol, Div Clin Chem, Baltimore, MD 21287 USA
[2] Johns Hopkins Med Inst, Dept Emergency Med, Baltimore, MD 21287 USA
关键词
D O I
10.1016/j.clinbiochem.2005.10.011
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
Objectives: The relationship between BNP and NT-proBNP among physiologically and clinically relevant demographic subgroups has never been clarified in the context of the emergency department (ED). Design and methods: A blood sample taken from patients presenting to the E.D. with suspected acute coronary syndromes (ACS) was analyzed for BNP and NT-proBNP, and correlation between them was examined as an entire group then as subgroups according to gender, ethnicity, age, and comorbidity variables. Results: BNP and NT-proBNP correlate well (0.89, P < 0.0001) in a population of 420 patients and in patient subgroups with a history of various etiologies, including vascular disorders. Conclusions: In general, BNP and NT-proBNP correlate very well in patients with suspected ACS and may aid in the risk stratification process in emergency departments. (c) 2005 The Canadian Society of Clinical Chemists. All rights reserved.
引用
收藏
页码:11 / 18
页数:8
相关论文
共 43 条
[1]   Multi-biomarker risk stratification of N-terminal pro-B-type natriuretic peptide, high-sensitivity C-reactive protein, and cardiac troponin T and I in end-stage renal disease for all-cause death [J].
Apple, FS ;
Murakami, MM ;
Pearce, LA ;
Herzog, CA .
CLINICAL CHEMISTRY, 2004, 50 (12) :2279-2285
[2]   Endothelial dysfunction in cardiovascular diseases - The role of oxidant stress [J].
Cai, H ;
Harrison, DG .
CIRCULATION RESEARCH, 2000, 87 (10) :840-844
[3]   Cardiac biomarkers in renal disease: The fog is slowly lifting [J].
Cameron, SJ ;
Green, GB .
CLINICAL CHEMISTRY, 2004, 50 (12) :2233-2235
[4]   Silent myocardial ischemia [J].
Cohn, PF ;
Fox, KM ;
Daly, C .
CIRCULATION, 2003, 108 (10) :1263-1277
[5]   Influence of gender on circulating cardiac natriuretic hormones in patients with heart failure [J].
Emdin, M ;
Passino, C ;
Del Ry, S ;
Prontera, C ;
Galetta, F ;
Clerico, A .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2003, 41 (05) :686-692
[6]   Detection of exercise-induced ischemia by changes in B-type natriuretic peptides [J].
Foote, RS ;
Pearlman, JD ;
Siegel, AH ;
Yeo, KTJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (10) :1980-1987
[7]   Increased circulating levels of natriuretic peptides predict future cardiac event in patients with chronic hemodialysis [J].
Goto, T ;
Takase, H ;
Toriyama, T ;
Sugiura, T ;
Kurita, Y ;
Tsuru, N ;
Masuda, H ;
Hayashi, K ;
Ueda, R ;
Dohi, Y .
NEPHRON, 2002, 92 (03) :610-615
[8]   The prognostic significance of troponin I and troponin T [J].
Green, GB ;
Li, DJ ;
Bessman, ES ;
Cox, JL ;
Kelen, GD ;
Chan, DW .
ACADEMIC EMERGENCY MEDICINE, 1998, 5 (08) :758-767
[9]   Essential biochemistry and physiology of (NT-pro)BNP [J].
Hall, C .
EUROPEAN JOURNAL OF HEART FAILURE, 2004, 6 (03) :257-260
[10]   Head-to-head comparison of N-terminal pro-brain natriuretic peptide, brain natriuretic peptide and N-terminal pro-atrial natriuretic peptide in diagnosing left ventricular dysfunction [J].
Hammerer-Lercher, A ;
Neubauer, E ;
Müller, S ;
Pachinger, O ;
Puschendorf, B ;
Mair, J .
CLINICA CHIMICA ACTA, 2001, 310 (02) :193-197