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A comparison of the prognostic value of BNP versus NT-proBNP after hospitalisation for heart failure
Univ Groningen, Netherlands; Hosp Grp Twente, Netherlands; Hosp Grp Twente, Netherlands.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-4197-4026
Univ Groningen, Netherlands; Univ Groningen, Netherlands.
Univ Groningen, Netherlands.
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2018 (English)In: Netherlands Heart Journal, ISSN 1568-5888, E-ISSN 1876-6250, Vol. 26, no 10, p. 486-492Article in journal (Refereed) Published
Abstract [en]

Aims Concentrations of circulating B-type natriuretic peptides provide important prognostic information in heart failure (HF) patients. We directly compared the prognostic performance of brain natriuretic peptide (BNP) versus N-terminal-proBNP (NT-proBNP) measurements in a large population of HF patients at hospital discharge after an admission for decompensated HF. Methods and results BNP and NT-proBNP were measured in 563 stable HF patients before discharge. All patients were followed for a fixed period of 18 months. The primary endpoint was time to first major event (HF hospitalisation or death). Patients were in NYHA class II (47%) or III/IV (53%) at discharge and the mean age of the patients was 71 +/- 11 years, 217 (39%) females, mean left ventricular ejection fraction was 0.32 +/- 0.14 and 234 (42%) had an ischaemic aetiology of HF. During the study, 236 patients (42%) reached the primary endpoint. Multivariate odds ratios of the primary endpoint for doubling of baseline levels of BNP and NT-proBNP were 1.46 (95% CI 1.19-1.80, p amp;lt; 0.001) and 1.45 (95% CI 1.18-1.78, p amp;lt; 0.001), respectively. The multivariable adjusted areas under the receiver-operating characteristic curve for prediction of the primary endpoint for doubling of BNP and NT-proBNP were 0.69 and 0.68, respectively. Direct comparison of the prognostic value of BNP and NT-proBNP did not reveal significant differences. Conclusions BNP and NT-proBNP at discharge for hospitalisation for HF are powerful, and equally strong and independent predictors of all-cause death and HF rehospitalisation.

Place, publisher, year, edition, pages
BOHN STAFLEU VAN LOGHUM BV , 2018. Vol. 26, no 10, p. 486-492
Keywords [en]
Heart failure; Biomarkers; B-type natriuretic peptides; BNP; NT-proBNP; Prognosis
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:liu:diva-151766DOI: 10.1007/s12471-018-1145-xISI: 000445228900004PubMedID: 30088253OAI: oai:DiVA.org:liu-151766DiVA, id: diva2:1254165
Note

Funding Agencies|Netherlands Heart Foundation [2000Z003]; Biosite Europe, France (Brain Natriuretic Peptide [BNP]); Roche Diagnostics; Netherlands (N-terminal- proBNP); Novartis Pharma BV, the Netherlands

Available from: 2018-10-08 Created: 2018-10-08 Last updated: 2019-06-27

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