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April 8, 2026Al-Azhar Assiut Medical JournalOpen Access

Evaluation of plasma brain natriuretic peptide levels in children with congenital heart diseases

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Why the study?

The study aimed to evaluate the diagnostic value and correlation of plasma brain natriuretic peptide levels with hemodynamic, ECG, and echocardiographic data in pediatric congenital heart disease.

Does plasma BNP level serve as a reliable diagnostic marker and correlate with clinical severity in children with congenital heart disease?

Population

60 children aged 2 months to 10 years

Comparison

40 cases with CHD vs 20 controls

Design

Observational prospective study

Key result

Plasma brain natriuretic peptide levels at a cutoff of >7690 pg/ml demonstrated a sensitivity of 93.3% and specificity of 76% for diagnosing congenital heart disease in children.

Authors

HEHosny M.A. El-MasryMAMohammed A. AladawyMYMohammed M.S. Younis

Discussion

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Overview

May support BNP for CHD diagnosis in children; extends low-certainty evidence from 101 studies but leaves open routine use pending validation.

Key Points

  • The study evaluates the diagnostic value of plasma BNP levels in diagnosing congenital heart disease (CHD) in children.
  • Observational prospective study
  • Analyzed 60 children, 40 with CHD and 20 controls
  • Performed demographic and anthropometric assessments
  • Conducted ECG, echocardiography, and BNP assays
  • BNP levels were significantly higher in CHD cases than controls
  • Significant positive correlation with respiratory rate and modified Ross grading
  • Strong negative correlations with age, blood pressure, and ejection fraction
  • BNP cutoff of >7690 pg/ml showed 93.3% sensitivity and 76% specificity

Study Design

Type

Observational (n=60)

Multicenter

No

Structured PICO

Does plasma BNP level serve as a reliable diagnostic marker and correlate with clinical severity in children with congenital heart disease?

P
Population
60 children (40 cases with congenital heart disease and 20 controls) aged between 2 months to 10 years, admitted at a single pediatric department.
I
Intervention
Measurement of plasma brain natriuretic peptide (BNP) levels.
C
Comparator
Healthy control children (n=20).
O
Outcome
Diagnostic value of plasma BNP levels (sensitivity and specificity) and correlation with hemodynamic, ECG, and echocardiographic data.surrogate

Plasma BNP is a highly sensitive diagnostic marker that correlates with clinical severity and reduced ejection fraction in children with congenital heart disease.

Cite This Study

El-Masry et al. (2026) conducted an observational in Congenital heart disease (n=60). Plasma brain natriuretic peptide (BNP) measurement vs. Healthy controls was evaluated on Diagnostic value of plasma BNP levels. Plasma brain natriuretic peptide levels at a cutoff of >7690 pg/ml demonstrated a sensitivity of 93.3% and specificity of 76% for diagnosing congenital heart disease in children.

synapsesocial.com/papers/69d5f03374eaea4b11a799f1https://doi.org/10.4103/azmj.azmj_84_25
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