Serial measurements of N-terminal pro-brain natriuretic peptide after acute ischemic stroke

被引:41
作者
Jensen, J. K. [1 ]
Mickley, H.
Bak, S.
Korsholm, L.
Kristensen, S. R.
机构
[1] Odense Univ Hosp, Dept Cardiol, DK-5000 Odense C, Denmark
[2] Odense Univ Hosp, Dept Neurol, DK-5000 Odense C, Denmark
[3] Univ So Denmark, Dept Stat, Odense, Denmark
[4] Aarhus Univ Hosp, Aalborg Hosp, Cardiovasc Res Ctr, Dept Clin Biochem, Aalborg, Denmark
关键词
ischemic stroke; N-terminal pro-brain natriuretic peptide; time-course; prognosis;
D O I
10.1159/000094997
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The exact time-course of N-terminal pro-brain natriuretic peptide (NT-proBNP) and the prognostic importance in the immediate phase of ischemic stroke have not been established. Methods: NT-proBNP was measured daily from admission to day 5 and again at 6-month follow-up in 250 consecutive patients with acute ischemic stroke. Results: NT-proBNP peaked the day after onset of symptoms (p = 0.007) followed by a decrease until day 5 (p = 0.001, ANOVA). At 6-month follow-up the difference in the level of NT-proBNP was unchanged compared to day 5 (p = 0.42). NT-proBNP levels >= 615 pg/ml at day 2 after onset of symptoms was associated with 6-month mortality. Conclusion: NT-proBNP peaks the day after onset of symptoms in patients with acute ischemic stroke. A single measurement of NT-proBNP appears to be an indicator of 6-month mortality. Copyright (c) 2006 S. Karger AG, Basel.
引用
收藏
页码:439 / 444
页数:6
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