Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2008-9-16
pubmed:abstractText
Natriuretic peptide (NP) levels (B-type natriuretic peptide (BNP) and N-terminal proBNP) are now widely used in clinical practice and cardiovascular research throughout the world and have been incorporated into most national and international cardiovascular guidelines for heart failure. The role of NP levels in state-of-the-art clinical practice is evolving rapidly. This paper reviews and highlights ten key messages to clinicians: 1) NP levels are quantitative plasma biomarkers of heart failure (HF). 2) NP levels are accurate in the diagnosis of HF. 3) NP levels may help risk stratify emergency department (ED) patients with regard to the need for hospital admission or direct ED discharge. 4) NP levels help improve patient management and reduce total treatment costs in patients with acute dyspnoea. 5) NP levels at the time of admission are powerful predictors of outcome in predicting death and re-hospitalisation in HF patients. 6) NP levels at discharge aid in risk stratification of the HF patient. 7) NP-guided therapy may improve morbidity and/or mortality in chronic HF. 8) The combination of NP levels together with symptoms, signs and weight gain assists in the assessment of clinical decompensation in HF. 9) NP levels can accelerate accurate diagnosis of heart failure presenting in primary care. 10) NP levels may be helpful to screen for asymptomatic left ventricular dysfunction in high-risk patients.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1388-9842
pubmed:author
pubmed-author:AdamsKirkwoodKJr, pubmed-author:AnkerStefan DSD, pubmed-author:AspromonteNadiaN, pubmed-author:BraunwaldEugeneE, pubmed-author:ClelandJohn G FJG, pubmed-author:Cohen-SolalAlainA, pubmed-author:DahlstromUlfU, pubmed-author:DeMariaAnthonyA, pubmed-author:Di SommaSalvatoreS, pubmed-author:FilippatosGerasimos SGS, pubmed-author:FonarowGregg CGC, pubmed-author:JourdainPatrickP, pubmed-author:KomajdaMichelM, pubmed-author:LiuPeter PPP, pubmed-author:MaiselAlanA, pubmed-author:McDonaghTheresaT, pubmed-author:McDonaldKennethK, pubmed-author:MebazaaAlexandreA, pubmed-author:MuellerChristianC, pubmed-author:NieminenMarkku SMS, pubmed-author:PeacockW FrankWF, pubmed-author:TubaroMarcoM, pubmed-author:ValleRobertoR, pubmed-author:VanderhydenMarcM, pubmed-author:YancyClyde WCW, pubmed-author:ZannadFaiezF
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
824-39
pubmed:dateRevised
2011-6-8
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
State of the art: using natriuretic peptide levels in clinical practice.
pubmed:affiliation
VA San Diego Healthcare System Cardiology, San Diego, CA 92161, USA. amaisel@ucsd.edu
pubmed:publicationType
Journal Article, Review