Serum NT-proBNP Concentrations in the Early Phase Do Not Predict the Severity of Systolic or Diastolic Left Ventricular Dysfunction Among Patients With ST-Elevation Acute Myocardial Infarction

The cohort included 55 consecutive patients with first ST elevation acute myocardial infarction (STEAMI) who underwent reperfusion. Blood samples were drawn for N-terminal pro B-type natriuretic peptide (NT-proBNP), highly-sensitive C-reactive protein (hs-CRP), creatinine kinase (CK), cardiac tropon...

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Veröffentlicht in:Angiology 2006-12, Vol.57 (6), p.686-693
Hauptverfasser: Ben-Dor, Itsik, Haim, Moti, Rechavia, Eldad, Murninkas, Daniel, Harell, Daniella, Porter, Avital, Iakobishvili, Zaza, Battler, Alexander, Hasdai, David
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container_end_page 693
container_issue 6
container_start_page 686
container_title Angiology
container_volume 57
creator Ben-Dor, Itsik
Haim, Moti
Rechavia, Eldad
Murninkas, Daniel
Harell, Daniella
Porter, Avital
Iakobishvili, Zaza
Battler, Alexander
Hasdai, David
description The cohort included 55 consecutive patients with first ST elevation acute myocardial infarction (STEAMI) who underwent reperfusion. Blood samples were drawn for N-terminal pro B-type natriuretic peptide (NT-proBNP), highly-sensitive C-reactive protein (hs-CRP), creatinine kinase (CK), cardiac troponin l (cTnl), and white blood cell (WBC) count within 24 hours of admission. Transthoracic echocardiography, performed within the same time frame, assessed left ventricular (LV) systolic function, as well as diastolic function. Variables significantly associated with poor systolic LV dysfunction were hs-CRP, peak CK, cTnl, and WBC. There was no significant correlation between NT-proBNP and systolic function early after STEAMI (p=0.49). Among patients with diastolic dysfunction, there was no significant correlation between NT-proBNP levels and peak mitral E-wave velocity to peak initial A-wave velocity (E/A ratio) (r =0.19, p=0.18) or E-wave deceleration time (r =0.22, p=0.15). Thus, NT-proBNP levels in the early phase after STEAMI were not indicative of systolic or diastolic function.
doi_str_mv 10.1177/0003319706295228
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Vascular system</topic><topic>Coronary heart disease</topic><topic>Creatine Kinase - blood</topic><topic>Diastole</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. 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Blood samples were drawn for N-terminal pro B-type natriuretic peptide (NT-proBNP), highly-sensitive C-reactive protein (hs-CRP), creatinine kinase (CK), cardiac troponin l (cTnl), and white blood cell (WBC) count within 24 hours of admission. Transthoracic echocardiography, performed within the same time frame, assessed left ventricular (LV) systolic function, as well as diastolic function. Variables significantly associated with poor systolic LV dysfunction were hs-CRP, peak CK, cTnl, and WBC. There was no significant correlation between NT-proBNP and systolic function early after STEAMI (p=0.49). Among patients with diastolic dysfunction, there was no significant correlation between NT-proBNP levels and peak mitral E-wave velocity to peak initial A-wave velocity (E/A ratio) (r =0.19, p=0.18) or E-wave deceleration time (r =0.22, p=0.15). Thus, NT-proBNP levels in the early phase after STEAMI were not indicative of systolic or diastolic function.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>17235108</pmid><doi>10.1177/0003319706295228</doi><tpages>8</tpages></addata></record>
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subjects Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
C-Reactive Protein - analysis
Cardiology. Vascular system
Coronary heart disease
Creatine Kinase - blood
Diastole
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Echocardiography
Electrocardiography
Female
Heart
Humans
Leukocyte Count
Male
Medical sciences
Middle Aged
Myocardial Infarction - blood
Myocardial Infarction - complications
Myocardial Infarction - physiopathology
Natriuretic Peptide, Brain - blood
Peptide Fragments - blood
Prospective Studies
Systole
Troponin I - blood
Ventricular Dysfunction, Left - blood
Ventricular Dysfunction, Left - etiology
title Serum NT-proBNP Concentrations in the Early Phase Do Not Predict the Severity of Systolic or Diastolic Left Ventricular Dysfunction Among Patients With ST-Elevation Acute Myocardial Infarction
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