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N-terminal pro-brain natriuretic peptide levels predict left ventricular systolic function in patients with chronic kidney disease.

Authors
Lee, JE; Choi, SY; Huh, W; Park, SW; Kim, DJ; Oh, HY; Kim, YG
Citation
Journal of Korean medical science, 24(suppl.1):S63-S68, 2009
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
N-terminal pro-brain natriuretic peptide (NT-proBNP) can be a useful marker for left ventricular (LV) dysfunction in patients without kidney disease. This study was conducted to clarify the relationship between NT-proBNP and LV systolic function in patients with decreased renal function. We studied 256 chronic kidney disease (CKD) patients, patients on dialysis were excluded. The median glomerular filtration rate was 24 (13-36) mL/min/1.73 m(2) and the median NT-proBNP was 4,849 (1,310-19,009) pg/mL. The prevalence of LV systolic dysfunction increased from the lower to the upper NT-proBNP quartiles (I, 17%; II, 34%; III, 61%; and IV, 72%; p<0.001 for trend). The NT-proBNP quartile was an independent predictor of LV systolic dysfunction after adjustment for renal function, compared with quartile I: II, odds ratio (OR) 3.99 (95% confidence interval [CI],1.34-11.93); III, OR 11.28 (95% CI, 3.74-33.95); and IV, OR 36.97 (95% CI, 11.47-119.1). Area under the curve and optimum cut points for NT-proBNP to detect LV systolic dysfunction were 0.781 and 2,165 pg/mL in CKD stage 3, 0.812 and 4,740 pg/mL in CKD stage 4, and 0.745 and 15,892 pg/mL in CKD stage 5. The NT-proBNP level was a predictor of LV systolic dysfunction in CKD patients. Optimum cut points should be stratified according to renal function.
MeSH terms
AgedArea Under CurveFemaleGlomerular Filtration RateHumansKidney Failure, Chronic/complications*Kidney Failure, Chronic/pathologyMaleMiddle AgedNatriuretic Peptide, Brain/blood*Peptide Fragments/diagnostic usePrevalenceProtein Structure, TertiarySensitivity and SpecificityVentricular Dysfunction, Left/complicationsVentricular Dysfunction, Left/diagnosisVentricular Function, Left*
DOI
10.3346/jkms.2009.24.S1.S63
PMID
19194564
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Cardiology
AJOU Authors
최소연
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