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December 1, 2006Pacing and Clinical Electrophysiology

Significance and Utility of Plasma Brain Natriuretic Peptide Concentrations in Patients with Idiopathic Ventricular Arrhythmias

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Key result

Elevated plasma BNP normalized in 61% of patients following successful radiofrequency catheter ablation for idiopathic ventricular arrhythmias, vs 0% with failed ablation (P<0.0005).

Why the study?

Does plasma BNP concentration correlate with the origin of idiopathic ventricular arrhythmias and indicate successful radiofrequency catheter ablation?

Population

135 patients with symptomatic, monomorphic idiopathic ventricular arrhythmias without structural heart…

Design

Cohort

Authors

HTHiroshi TadaElectrophysiologySISachiko ItoGunma UniversityGSGoro ShinboDokkyo Medical University

Discussion

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Implication

BNP normalization may mark successful ablation in idiopathic VA; hypothesis-generating and requires prospective validation before clinical use.

Study Design

Type

Observational (n=135)

Structured PICO

Does plasma BNP concentration correlate with the origin of idiopathic ventricular arrhythmias and indicate successful radiofrequency catheter ablation?

P
Population
135 patients with symptomatic, monomorphic idiopathic ventricular arrhythmias (I-VT/PVCs) without structural heart disease or renal dysfunction (73 women; mean age 53 +/- 17 years; 50 ventricular tachycardias, 85 premature ventricular contractions) who underwent radiofrequency catheter ablation.
I
Intervention
Radiofrequency catheter ablation and measurement of plasma BNP concentration
O
Outcome
Plasma BNP concentration and its association with arrhythmia origin, patient characteristics, and ablation successsurrogate

Main Result

Absolute Event Rate: 61% vs 0%

p-value: p=<0.0005

Plasma BNP is frequently elevated in patients with idiopathic ventricular arrhythmias, particularly those of left ventricular origin, and its normalization may serve as a marker of successful catheter ablation.

Cite This Study

Tada et al. (2006) conducted an observational in Idiopathic ventricular arrhythmias (n=135). Radiofrequency catheter ablation vs. Failed ablation was evaluated on Normalization of high BNP concentration after ablation (p=<0.0005). Elevated plasma BNP normalized in 61% of patients following successful radiofrequency catheter ablation for idiopathic ventricular arrhythmias, vs 0% with failed ablation (P<0.0005).

synapsesocial.com/papers/6a1c8f60107ed6dc7cc3fc9bhttps://doi.org/10.1111/j.1540-8159.2006.00553.x

Topics

Ventricular arrhythmias
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Also Consider

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

  1. 1Relationship Between Left Ventricular Geometry and Natriuretic Peptide Levels in Essential Hypertension1996 · 261 citations
  2. 2Biological Variation of the Natriuretic Peptides and their Role in Monitoring Patients with Heart Failure2004 · 100 citations
  3. 3Catheter ablation of ventricular tachycardia1995 · 85 citations
  4. 4Standardization of M-mode echocardiographic left ventricular anatomic measurements1984 · 748 citations
  5. 5Diagnostic Accuracy and Prognostic Relevance of the Measurement of Cardiac Natriuretic Peptides: A Review2004 · 332 citations