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May 30, 2018Diabetes Care

Serial Measurement of Natriuretic Peptides and Cardiovascular Outcomes in Patients With Type 2 Diabetes in the EXAMINE Trial

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Why the study?

Does serial measurement of NT-proBNP predict cardiovascular death or heart failure hospitalization in patients with type 2 diabetes and recent acute coronary syndrome?

Population

Patients with type 2 diabetes and a recent acute coronary syndrome event enrolled in the EXAMINE trial

Design

Cohort

Authors

PJPetr Jarolı́mHeart Failure / Cardiomyopathy
William B. White
William B. WhiteGeneral / Preventive / Lipids
Christopher P. Cannon
Christopher P. CannonGeneral / Preventive / Lipids

Discussion

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Implication

May aid risk stratification in T2D post-ACS; leaves open whether serial monitoring improves outcomes or should guide therapy.

Structured PICO

Does serial measurement of NT-proBNP predict cardiovascular death or heart failure hospitalization in patients with type 2 diabetes and recent acute coronary syndrome?

P
Population
Patients with type 2 diabetes and a recent acute coronary syndrome event enrolled in the EXAMINE trial
I
Intervention
Serial measurement of NT-proBNP at baseline and 6 months
O
Outcome
Composite of cardiovascular (CV) death or hospitalization for heart failurecomposite

Serial monitoring of NT-proBNP in patients with type 2 diabetes and recent acute coronary syndrome is useful for identifying those at highest risk for heart failure events.

Cite This Study

Jarolı́m et al. (2018) studied this question.

synapsesocial.com/papers/6a9ebb71694df69d986a7dcehttps://doi.org/10.2337/dc18-0109
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Also Consider

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

  1. 1DPP-4 inhibition has no acute effect on BNP and its N-terminal pro-hormone measured by commercial immune-assays. A randomized cross-over trial in patients with type 2 diabetes2017 · 24 citations
  2. 2Prognostic Value of Serial B-Type Natriuretic Peptide Testing During Follow-up of Patients With Unstable Coronary Artery Disease2005 · 226 citations
  3. 3Prognostic Implications of Changes in N-Terminal Pro-B-Type Natriuretic Peptide in Patients With Heart Failure2016 · 383 citations
  4. 4Concentrations of C-Reactive Protein and B-Type Natriuretic Peptide 30 Days after Acute Coronary Syndromes Independently Predict Hospitalization for Heart Failure and Cardiovascular Death2008 · 62 citations
  5. 5Heart Failure, Saxagliptin, and Diabetes Mellitus: Observations from the SAVOR-TIMI 53 Randomized Trial2014 · 735 citations