Plasma brain natriuretic peptide and atrial natriuretic peptide concentrations correlate with left ventricular end‐diastolic pressure

The present study was designed to investigate whether brain natriuretic peptide (BNP) and atrial natriuretic peptide (ANP) plasma concentrations correlate with left ventricular end‐diastolic pressure (LVEDP), pulmonary capillary wedge pressure (PCWP), diastolic pulmonary arterial pressure (DPAP), ri...

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Veröffentlicht in:Clinical cardiology (Mahwah, N.J.) N.J.), 1993-07, Vol.16 (7), p.553-557
Hauptverfasser: Haug, C., Grünert, A., Metzele, A., Kochs, M., Hombach, V.
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container_end_page 557
container_issue 7
container_start_page 553
container_title Clinical cardiology (Mahwah, N.J.)
container_volume 16
creator Haug, C.
Grünert, A.
Metzele, A.
Kochs, M.
Hombach, V.
description The present study was designed to investigate whether brain natriuretic peptide (BNP) and atrial natriuretic peptide (ANP) plasma concentrations correlate with left ventricular end‐diastolic pressure (LVEDP), pulmonary capillary wedge pressure (PCWP), diastolic pulmonary arterial pressure (DPAP), right atrial pressure (RAP), or ejection fraction (EF). Plasma BNP and ANP levels were determined by commercial radioimmunoassays (Peninsula) after Sep Pak C18 extraction in blood samples withdrawn from the pulmonary artery and the left ventricle or from the left ventricle and the femoral vein in 85 patients undergoing diagnostic cardiac catheterization. Linear and nonlinear regression analysis and the paired sample f‐test were applied to the data. Pulmonary arterial plasma BNP and ANP levels showed a close nonlinear correlation with LVEDP (BNP: r=0.94, p < 0.001; ANP: r=0.81, p < 0.001), a significant linear correlation with PCWP, DPAP, and RAP, and a significant negative correlation with EE ANP concentrations decreased significantly from the pulmonary artery to the left ventricle and from the left ventricle to the femoral vein (p < 0.001). BNP levels also decreased significantly between the left ventricle and the femoral vein (p < 0.001), but there was no significant difference between pulmonary arterial and left ventricular BNP concentrations. BNP and ANP concentrations correlated significantly between pulmonary arterial and left ventricular blood samples (BNP: r = 0.99, ANP: r = 0.93, p < 0.001) and between left ventricular and peripheral blood samples (BNP: r=0.99, ANP: r=0.94, p
doi_str_mv 10.1002/clc.4960160708
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Plasma BNP and ANP levels were determined by commercial radioimmunoassays (Peninsula) after Sep Pak C18 extraction in blood samples withdrawn from the pulmonary artery and the left ventricle or from the left ventricle and the femoral vein in 85 patients undergoing diagnostic cardiac catheterization. Linear and nonlinear regression analysis and the paired sample f‐test were applied to the data. Pulmonary arterial plasma BNP and ANP levels showed a close nonlinear correlation with LVEDP (BNP: r=0.94, p < 0.001; ANP: r=0.81, p < 0.001), a significant linear correlation with PCWP, DPAP, and RAP, and a significant negative correlation with EE ANP concentrations decreased significantly from the pulmonary artery to the left ventricle and from the left ventricle to the femoral vein (p < 0.001). BNP levels also decreased significantly between the left ventricle and the femoral vein (p < 0.001), but there was no significant difference between pulmonary arterial and left ventricular BNP concentrations. BNP and ANP concentrations correlated significantly between pulmonary arterial and left ventricular blood samples (BNP: r = 0.99, ANP: r = 0.93, p < 0.001) and between left ventricular and peripheral blood samples (BNP: r=0.99, ANP: r=0.94, p<0.001). The present data suggest that peripheral plasma BNP and ANP levels are useful noninvasive indices of cardiac performance.]]></description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960160708</identifier><identifier>PMID: 8348764</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Atrial Function, Right - physiology ; Atrial Natriuretic Factor - blood ; atrial natriuretic peptide ; Biological and medical sciences ; brain natriuretic peptide ; Cardiac Catheterization ; Cardiology. 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Plasma BNP and ANP levels were determined by commercial radioimmunoassays (Peninsula) after Sep Pak C18 extraction in blood samples withdrawn from the pulmonary artery and the left ventricle or from the left ventricle and the femoral vein in 85 patients undergoing diagnostic cardiac catheterization. Linear and nonlinear regression analysis and the paired sample f‐test were applied to the data. Pulmonary arterial plasma BNP and ANP levels showed a close nonlinear correlation with LVEDP (BNP: r=0.94, p < 0.001; ANP: r=0.81, p < 0.001), a significant linear correlation with PCWP, DPAP, and RAP, and a significant negative correlation with EE ANP concentrations decreased significantly from the pulmonary artery to the left ventricle and from the left ventricle to the femoral vein (p < 0.001). BNP levels also decreased significantly between the left ventricle and the femoral vein (p < 0.001), but there was no significant difference between pulmonary arterial and left ventricular BNP concentrations. BNP and ANP concentrations correlated significantly between pulmonary arterial and left ventricular blood samples (BNP: r = 0.99, ANP: r = 0.93, p < 0.001) and between left ventricular and peripheral blood samples (BNP: r=0.99, ANP: r=0.94, p<0.001). The present data suggest that peripheral plasma BNP and ANP levels are useful noninvasive indices of cardiac performance.]]></description><subject>Atrial Function, Right - physiology</subject><subject>Atrial Natriuretic Factor - blood</subject><subject>atrial natriuretic peptide</subject><subject>Biological and medical sciences</subject><subject>brain natriuretic peptide</subject><subject>Cardiac Catheterization</subject><subject>Cardiology. Vascular system</subject><subject>Cardiopathies: etiologic forms (general aspects and miscellaneous)</subject><subject>Coronary Disease - blood</subject><subject>Coronary Disease - diagnosis</subject><subject>diastolic pulmonary arterial pressure</subject><subject>ejection fraction</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>left ventricular end‐diastolic pressure</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Natriuretic Peptide, Brain</subject><subject>Nerve Tissue Proteins - blood</subject><subject>pulmonary capillary wedge pressure</subject><subject>Pulmonary Wedge Pressure - physiology</subject><subject>Radioimmunoassay</subject><subject>Regression Analysis</subject><subject>right atrial pressure</subject><subject>Stroke Volume - physiology</subject><subject>Ventricular Function, Left - physiology</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDGP1DAQhS0EOvYOWjqkFIguix078bhEK-CQVoIC6mhiT4SR11lsh9N1dLT8Rn4JCbs6KJCoPJ73zZvRY-yJ4FvBefPCBrtVpuOi45rDPbYRRjY1aKnvs83arU0D5iG7zPnzwnNo5AW7AKlAd2rDvr8PmA9YDQl9rCKW5OdExdvqSMfiHVUYXbW2MfxTtlO0FEvC4qeYl29KFLBQdePLpyrQWKqvq-7tHDBVFN3Pbz-cx1ymsNokynmxfMQejBgyPT6_V-zj61cfdtf1_t2bt7uX-9oqbqBWwkE3Do1z2AJ2aoBWooTBtMKNMICwoECRNASoFIJsuNBKGS2UXopWXrHnJ99jmr7MlEt_8NlSCBhpmnOvWzBCdmIBtyfQpinnRGN_TP6A6bYXvF-T75fk-z_JLwNPz87zcCB3h5-jXvRnZx2zxTAmjNbnO0xpo5vfe80Ju_GBbv-ztN_td3-d8AvaV6AF</recordid><startdate>199307</startdate><enddate>199307</enddate><creator>Haug, C.</creator><creator>Grünert, A.</creator><creator>Metzele, A.</creator><creator>Kochs, M.</creator><creator>Hombach, V.</creator><general>Wiley Periodicals, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199307</creationdate><title>Plasma brain natriuretic peptide and atrial natriuretic peptide concentrations correlate with left ventricular end‐diastolic pressure</title><author>Haug, C. ; Grünert, A. ; Metzele, A. ; Kochs, M. ; Hombach, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4098-41d86fb2dda58a64b853a38b951df8b81c8484e39e8a44a832017449714717453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Atrial Function, Right - physiology</topic><topic>Atrial Natriuretic Factor - blood</topic><topic>atrial natriuretic peptide</topic><topic>Biological and medical sciences</topic><topic>brain natriuretic peptide</topic><topic>Cardiac Catheterization</topic><topic>Cardiology. Vascular system</topic><topic>Cardiopathies: etiologic forms (general aspects and miscellaneous)</topic><topic>Coronary Disease - blood</topic><topic>Coronary Disease - diagnosis</topic><topic>diastolic pulmonary arterial pressure</topic><topic>ejection fraction</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>left ventricular end‐diastolic pressure</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Natriuretic Peptide, Brain</topic><topic>Nerve Tissue Proteins - blood</topic><topic>pulmonary capillary wedge pressure</topic><topic>Pulmonary Wedge Pressure - physiology</topic><topic>Radioimmunoassay</topic><topic>Regression Analysis</topic><topic>right atrial pressure</topic><topic>Stroke Volume - physiology</topic><topic>Ventricular Function, Left - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haug, C.</creatorcontrib><creatorcontrib>Grünert, A.</creatorcontrib><creatorcontrib>Metzele, A.</creatorcontrib><creatorcontrib>Kochs, M.</creatorcontrib><creatorcontrib>Hombach, V.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haug, C.</au><au>Grünert, A.</au><au>Metzele, A.</au><au>Kochs, M.</au><au>Hombach, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma brain natriuretic peptide and atrial natriuretic peptide concentrations correlate with left ventricular end‐diastolic pressure</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>1993-07</date><risdate>1993</risdate><volume>16</volume><issue>7</issue><spage>553</spage><epage>557</epage><pages>553-557</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract><![CDATA[The present study was designed to investigate whether brain natriuretic peptide (BNP) and atrial natriuretic peptide (ANP) plasma concentrations correlate with left ventricular end‐diastolic pressure (LVEDP), pulmonary capillary wedge pressure (PCWP), diastolic pulmonary arterial pressure (DPAP), right atrial pressure (RAP), or ejection fraction (EF). Plasma BNP and ANP levels were determined by commercial radioimmunoassays (Peninsula) after Sep Pak C18 extraction in blood samples withdrawn from the pulmonary artery and the left ventricle or from the left ventricle and the femoral vein in 85 patients undergoing diagnostic cardiac catheterization. Linear and nonlinear regression analysis and the paired sample f‐test were applied to the data. Pulmonary arterial plasma BNP and ANP levels showed a close nonlinear correlation with LVEDP (BNP: r=0.94, p < 0.001; ANP: r=0.81, p < 0.001), a significant linear correlation with PCWP, DPAP, and RAP, and a significant negative correlation with EE ANP concentrations decreased significantly from the pulmonary artery to the left ventricle and from the left ventricle to the femoral vein (p < 0.001). BNP levels also decreased significantly between the left ventricle and the femoral vein (p < 0.001), but there was no significant difference between pulmonary arterial and left ventricular BNP concentrations. BNP and ANP concentrations correlated significantly between pulmonary arterial and left ventricular blood samples (BNP: r = 0.99, ANP: r = 0.93, p < 0.001) and between left ventricular and peripheral blood samples (BNP: r=0.99, ANP: r=0.94, p<0.001). The present data suggest that peripheral plasma BNP and ANP levels are useful noninvasive indices of cardiac performance.]]></abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>8348764</pmid><doi>10.1002/clc.4960160708</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Atrial Function, Right - physiology
Atrial Natriuretic Factor - blood
atrial natriuretic peptide
Biological and medical sciences
brain natriuretic peptide
Cardiac Catheterization
Cardiology. Vascular system
Cardiopathies: etiologic forms (general aspects and miscellaneous)
Coronary Disease - blood
Coronary Disease - diagnosis
diastolic pulmonary arterial pressure
ejection fraction
Female
Heart
Humans
left ventricular end‐diastolic pressure
Male
Medical sciences
Middle Aged
Natriuretic Peptide, Brain
Nerve Tissue Proteins - blood
pulmonary capillary wedge pressure
Pulmonary Wedge Pressure - physiology
Radioimmunoassay
Regression Analysis
right atrial pressure
Stroke Volume - physiology
Ventricular Function, Left - physiology
title Plasma brain natriuretic peptide and atrial natriuretic peptide concentrations correlate with left ventricular end‐diastolic pressure
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