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January 1, 2004Anesthesia & Analgesia

A-Type and B-Type Natriuretic Peptides in Cardiac Surgical Procedures

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Key result

Preoperative BNP concentrations correlated with aortic cross-clamp time (r2=0.32, P=0.006) and postoperative troponin I (r2=0.22, P=0.0009), and predicted long-term mortality after CABG.

Why the study?

Do A-type and B-type natriuretic peptide levels predict long-term mortality in patients undergoing cardiac surgical procedures?

Population

105 patients undergoing cardiac surgical procedures, including coronary artery bypass grafting with or…

Design

Cohort

Follow-up

up to 730 days (2 years)

Authors

EBElmar BerendesHelios Klinikum KrefeldCSC. G. SchmidtAshford and St Peter's Hospitals NHS Foundation TrustHAHugo Van AkenUniversidad Mayor

Discussion

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Overview

Preoperative BNP may refine long-term mortality risk stratification after CABG; leaves open whether measurement improves outcomes or should guide care.

Study Design

Type

Observational (n=105)

Structured PICO

Do A-type and B-type natriuretic peptide levels predict long-term mortality in patients undergoing cardiac surgical procedures?

P
Population
105 patients undergoing coronary artery bypass grafting or mitral/aortic valve replacement, followed for up to 730 days to assess the prognostic value of natriuretic peptides.
E
Exposure
Measurement of A-type (ANP) and B-type (BNP) natriuretic peptides preoperatively, during surgery, and postoperatively.
O
Outcome
Secretion pattern of ANP and BNP, and postoperative mortality up to 730 days after operation.surrogate

Preoperative BNP, but not ANP or postoperative BNP, is a significant predictor of long-term mortality in patients undergoing coronary artery bypass grafting.

Cite This Study

Berendes et al. (2004) conducted an observational in Patients undergoing cardiac surgical procedures (n=105). Preoperative A-type and B-type natriuretic peptide (ANP and BNP) concentrations was evaluated on Postoperative mortality up to 730 days and correlation with surgical factors (aortic cross-clamp time and troponin I). Preoperative BNP concentrations correlated with aortic cross-clamp time (r2=0.32, P=0.006) and postoperative troponin I (r2=0.22, P=0.0009), and predicted long-term mortality after CABG.

synapsesocial.com/papers/6a9cfb9693bd76cf8bb7a9b3https://doi.org/10.1213/01.ane.0000093249.35075.f1
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Also Consider

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

  1. 1Plasma Brain Natriuretic Peptide as an Indicator of Left Ventricular Systolic Function and Long-term Survival After Acute Myocardial Infarction1996 · 702 citations
  2. 2The Prognostic Value of B-Type Natriuretic Peptide in Patients with Acute Coronary Syndromes2001 · 1,305 citations
  3. 3Differential Secretion of Atrial and Brain Natriuretic Peptide in Critically Ill Patients2001 · 60 citations
  4. 4Effect of endogenous natriuretic peptide system on ventricular and coronary function in failing heart1997 · 85 citations
  5. 5Profile of plasma N-terminal proBNP following acute myocardial infarction. Correlation with left ventricular systolic dysfunction2000 · 215 citations