Can NT-proBNP monitoring help prevent cardiovascular disease?

被引:0
|
作者
Campbell, D. J. [1 ,2 ]
Woodward, M. [3 ]
Chalmers, J. P. [3 ]
Colman, S. A. [3 ]
Jenkins, A. J. [2 ]
Kemp, B. E. [1 ]
Neal, B. C. [3 ]
Patel, A. [3 ]
MacMahon, S. W. [3 ]
机构
[1] Univ Melbourne, St Vincents Hosp, St Vincents Inst Med Res, Fitzroy, Vic, Australia
[2] Univ Melbourne, St Vincents Hosp, Dept Med, Fitzroy, Vic, Australia
[3] Univ Sydney, George Inst Int Hlth, Camperdown, NSW, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In subjects with cerebrovascular disease, plasma NT-proBNP levels assist the identification of increased risk for congestive heart failure, myocardial infarction, and ischemic stroke. Given that perindopril-based blood pressure-lowering therapy reduced the risk of these events, we investigated whether it also reduced NT-proBNP levels. Blood pressure reduction was similar for subjects with different baseline levels of NT-proBNP and was associated with reduced NT-proBNP levels in those subjects with elevated NT-proBNP (> 26 pmol/L), with a median reduction of 16 pmol/L (interquartile range 0-51 pmol/L, P=0.004), corresponding to a median decrease of 39% (interquartile range 0-69%). We conclude that plasma NT-proBNP level, in addition to predicting cardiovascular risk, may provide a measure of risk reduction by blood pressure-lowering therapy.
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页码:331 / +
页数:3
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