Key result
Higher BNP in children with CHD versus healthy controls is strongly linked to HF severity.
Why the study?
Brain Natriuretic Peptide levels in early diagnosis of cardiac function in children with congenital heart diseases needed assessment.
Are Brain Natriuretic Peptide (BNP) plasma levels elevated and associated with heart failure severity in children with Congenital Heart Diseases?
Case-Control
Are Brain Natriuretic Peptide (BNP) plasma levels elevated and associated with heart failure severity in children with Congenital Heart Diseases?
BNP plasma levels are elevated in children with congenital heart disease and correlate with the severity of heart failure and pulmonary hypertension, suggesting utility in early diagnosis of cardiac dysfunction.
ObjectiveThis study aimed to assess Brain Natriuretic Peptide in early diagnose of cardiac function in children with Congenital Heart Diseases.MethodologyThis study was performed on children with CHD and healthy. Severity of heart failure modified Ross classification system was used for grouping patients in four classes. For all participants, height, weight and head circumference were measured. From participants 3 cc blood samples was taken and after separation, the plasma placed at temperature of -80 c. After collecting all samples they were in testing using an ELISA BNP kit. For 50 children in control group statistical methods used to generate RV and PA pressure randomly. The data were analyzed using SPSS for Windows, Version, 15.0 (Chicago,SPSS Inc. USA) with 0.05 for the level of significant. ResultsBNP, RV pressure, PA pressure, HB and O2 saturation had different means in cyanotic, Acyanotic and and control significantly. BNP, RV, PA , HB and O2Sat had different means in case and control significantly. , RV, HB and O2 saturation had different means significantly acordance with the sevirity of disease.BNP had correlation with PA and PA had correlation with Qp/Qs ratio ,Rp/Rs ratio , RV and O2Sat significantly .ConclusionAt the end from the results of the study concluded that BNP levels in children with chd increased. in patients with pulmonary hypertension , with increasing the level of pulmonary hypertension the BNP will increase. BNP increasing had high association with the severity of heart failure.
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Noori et al. (2016) conducted a case-control in Congenital Heart Diseases. Brain Natriuretic Peptide (BNP) levels vs. Healthy controls was evaluated on BNP levels and correlation with cardiac function and severity of heart failure. Brain Natriuretic Peptide levels were significantly increased in children with congenital heart disease compared to healthy controls, and strongly associated with the severity of heart failure.
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