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July 1, 2025Research in Cardiovascular MedicineOpen Access

Investigating the Prognostic Value of Brain Natriuretic Peptide and Serum Lactate in Predicting Morbidity and Mortality of Children Undergoing Cardiac Surgery

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Key result

Elevated perioperative BNP and lactate linked to higher 1-month mortality, prolonged ventilation, and longer ICU stays.

  • n=132

Why the study?

The predictive role of BNP and serum lactate in children undergoing cardiac surgery remains unclear, with contradictory results reported across prior studies.

Do serum levels of BNP and lactate predict morbidity and mortality in children with congenital heart diseases undergoing cardiac surgery?

Population

132 children who underwent cardiac surgery

Comparison

Serum BNP and lactate measured before, 24 h, and 72 h after surgery

Design

Prospective study

Follow-up

1-month

Authors

ZAZahra Ansari AvalMMMohammad MahdaviMBMaryam Bahramian

Discussion

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Member takes

Overview

May inform perioperative risk assessment in congenital heart surgery; hypothesis-generating and requires prospective validation before guiding care.

Study Design

Type

Cohort (n=132)

Structured PICO

Do serum levels of BNP and lactate predict morbidity and mortality in children with congenital heart diseases undergoing cardiac surgery?

P
Population
132 children with congenital heart diseases undergoing cardiac surgery
I
Intervention
Measurement of serum Brain Natriuretic Peptide (BNP) and lactate levels before, 24 h, and 72 h after surgery
O
Outcome
1-month mortality rate, duration of being connected to the ventilator, and duration of admission to the intensive care unit (ICU)hard clinical

Elevated serum levels of BNP and lactate before and after cardiac surgery are significant predictors of morbidity and mortality in children with congenital heart disease.

Cite This Study

Aval et al. (2025) conducted a cohort in Congenital heart disease requiring cardiac surgery (n=132). Brain natriuretic peptide (BNP) and serum lactate levels was evaluated on 1-month mortality rate, duration of ventilator connection, and duration of ICU admission. Elevated serum levels of BNP and lactate before and after cardiac surgery were significantly associated with increased 1-month mortality, longer ventilator duration, and prolonged ICU stay.

synapsesocial.com/papers/6a08efc1bf6e8decd6d602a5https://doi.org/10.4103/rcm.rcm_12_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1B-type Natriuretic Peptide: Perioperative Patterns in Congenital Heart Disease2010 · 47 citations
  2. 2B-type natriuretic peptide predicts cardiac morbidity and mortality after major surgery2007 · 72 citations
  3. 3Troponin T and B-Type Natriuretic Peptide After On-Pump Cardiac Surgery2014 · 58 citations
  4. 4Acute B-type natriuretic peptide response and early postoperative right ventricular physiology following tetralogy of Fallot's repair2012 · 13 citations
  5. 5Increased Peak Postoperative B-type Natriuretic Peptide Predicts Decreased Longer-term Physical Function after Primary Coronary Artery Bypass Graft Surgery2011 · 29 citations