Clinical utility of NT-proBNP, a new biomarker of cardiac function and heart failure

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Recently, N-terminal pro-B-type natriuretic peptide (NT-proBNP), a new biomarker of cardiac function and heart failure, has become available as a clinical laboratory test in Japan. Its diagnostic and prognostic utility appears to be equivalent to BNP in the clinical setting; however, there are some biologic differences between NT-proBNP and BNP. Unlike BNP, NT-proBNP is not degraded in the circulation, and is stable even in serum. It has a longer half-life of approximately 1 to 2 hours, leading to higher circulating levels and slower fluctuations than BNP. Both of these biomarkers are influenced by renal function, but the effect is greater for NT-proBNP. Recently, NT-proBNP has become an important diagnostic tool for assessing patients who present acutely with dyspnea, and provides important prognostic information in both acute and chronic heart failure. Also, monitoring NT-proBNP levels in the outpatient setting is expected to improve patient care and outcomes. Furthermore, a recent study has reported that NT-proBNP may be independently associated with future cardiovascular events in a large community-based cohort free of heart failure. However, NT-proBNP is affected primarily by renal function, gender, age, and obesity, which should be considered when interpreting values.

Original languageEnglish
Pages (from-to)316-321
Number of pages6
JournalRinsho byori. The Japanese journal of clinical pathology
Volume56
Issue number4
Publication statusPublished - 01-04-2008

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Brain Natriuretic Peptide
Heart Failure
Biomarkers
Kidney
Dyspnea
Half-Life
Patient Care
Japan
Outpatients
Obesity
Serum

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Recently, N-terminal pro-B-type natriuretic peptide (NT-proBNP), a new biomarker of cardiac function and heart failure, has become available as a clinical laboratory test in Japan. Its diagnostic and prognostic utility appears to be equivalent to BNP in the clinical setting; however, there are some biologic differences between NT-proBNP and BNP. Unlike BNP, NT-proBNP is not degraded in the circulation, and is stable even in serum. It has a longer half-life of approximately 1 to 2 hours, leading to higher circulating levels and slower fluctuations than BNP. Both of these biomarkers are influenced by renal function, but the effect is greater for NT-proBNP. Recently, NT-proBNP has become an important diagnostic tool for assessing patients who present acutely with dyspnea, and provides important prognostic information in both acute and chronic heart failure. Also, monitoring NT-proBNP levels in the outpatient setting is expected to improve patient care and outcomes. Furthermore, a recent study has reported that NT-proBNP may be independently associated with future cardiovascular events in a large community-based cohort free of heart failure. However, NT-proBNP is affected primarily by renal function, gender, age, and obesity, which should be considered when interpreting values.",
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Clinical utility of NT-proBNP, a new biomarker of cardiac function and heart failure. / Ishii, Junichi.

In: Rinsho byori. The Japanese journal of clinical pathology, Vol. 56, No. 4, 01.04.2008, p. 316-321.

Research output: Contribution to journalReview article

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