March 1, 2018Open Access

N-Terminal Pro–B-Type Natriuretic Peptide in the Emergency Department

Structured PICO

Does NT-proBNP testing aid in the diagnosis or exclusion of acute heart failure in acutely dyspneic patients in the emergency department?

Population

Acutely dyspneic patients seen in the emergency department setting

Intervention

NT-proBNP measurement (using age-stratified cutpoints and a <300 pg/ml exclusion threshold)

Outcome

Diagnosis of acute heart failuresurrogate

In the emergency department, an NT-proBNP level below 300 pg/ml is a strong rule-out test for acute heart failure in patients presenting with acute dyspnea.

Abstract

In acutely dyspneic patients seen in the ED setting, age-stratified NT-proBNP cutpoints may aid in the diagnosis of acute HF. An NT-proBNP <300 pg/ml strongly excludes the presence of acute HF.

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Cite This Study

Januzzi et al. (Thu,) studied this question.

synapsesocial.com/papers/69db1d7e3d9adb00e7684376 https://doi.org/https://doi.org/10.1016/j.jacc.2018.01.021

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