Aminoterminal pro-brain natriuretic peptide and ventricular filling pressures in heart transplant recipients

J Heart Lung Transplant. 2003 Jul;22(7):822-5. doi: 10.1016/s1053-2498(02)01158-0.

Abstract

We tested the hypothesis that, in heart transplant recipients, plasma aminoterminal pro-brain natriuretic peptide (NT-proBNP) dosage is useful for diagnosis of high ventricular loading pressures in the absence of systolic dysfunction. We studied 60 consecutive transplanted heart recipients without systolic dysfunction at 1 to 16 years after transplantation. We found that, in these patients with frequent high ventricular filling pressures, plasma NT-proBNP was highly correlated with creatininemia and not correlated with ventricular loading pressures. These results do not support the hypothesis that NT-proBNP is useful for diagnosis of isolated diastolic dysfunction in transplanted heart recipients.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Biomarkers / blood
  • Creatinine / blood
  • Creatinine / urine
  • Female
  • Heart Failure / blood
  • Heart Failure / physiopathology
  • Heart Failure / therapy
  • Heart Transplantation*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Middle Aged
  • Natriuretic Peptide, Brain
  • Nerve Tissue Proteins / blood*
  • Peptide Fragments / blood*
  • Postoperative Complications / blood
  • Postoperative Complications / etiology
  • Postoperative Complications / physiopathology
  • Prospective Studies
  • Protein Precursors / blood*
  • Statistics as Topic
  • Stroke Volume / drug effects
  • Stroke Volume / physiology
  • Treatment Outcome
  • Ventricular Dysfunction, Left / blood
  • Ventricular Dysfunction, Left / physiopathology
  • Ventricular Dysfunction, Left / therapy
  • Ventricular Pressure / physiology*

Substances

  • Biomarkers
  • Immunosuppressive Agents
  • Nerve Tissue Proteins
  • Peptide Fragments
  • Protein Precursors
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain
  • Creatinine