Natriuretic peptide determinations in critical care medicine: part of routine clinical practice or research test only?

被引:0
|
作者
Collinson, Paul O. [1 ,2 ,3 ]
机构
[1] Univ London St Georges Hosp, Dept Chem Pathol, London SW17 0QT, England
[2] Univ London St Georges Hosp, Dept Cardiol, London SW17 0QT, England
[3] Sch Med, London SW17 0QT, England
来源
CRITICAL CARE | 2009年 / 13卷 / 01期
关键词
HEART-FAILURE; ILL PATIENTS; WEDGE PRESSURE; NT-PROBNP; DIAGNOSIS; DYSPNEA;
D O I
10.1186/cc7133
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Measurement of N-terminal pro-B-type natriuretic peptide has been shown a good rule-out test for cardiac dysfunction in patients in the intensive care unit. The peptide measurement should not be used as a replacement for other forms of monitoring, and performs best as a diagnostic test when interpreted together with other clinical findings and investigations. At a cutoff value similar to that found in other clinical studies in acute decompensated heart failure, measurement of N-terminal pro-B-type natriuretic peptide offers an additional tool for diagnostic assessment of patients presenting to the intensive care physician.
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页数:2
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