NT-proBNP levels and mortality in a general population-based cohort from Turkey: a long-term follow-up study

Biomark Med. 2018 Oct;12(10):1073-1081. doi: 10.2217/bmm-2018-0120. Epub 2018 Sep 7.

Abstract

Aim: We investigated the relationship between NT-ProBNP and mortality in a general population-based cohort.

Methods & results: A total of 2021 out of 4650 participants from previously published HAPPY study were included. Mean follow-up was 84.5 ± 10.4 months. After adjusting for risk factors, high levels of LogNT-proBNP predicted all-cause death (HR: 3.23; 95% CI: 2.20-4.75; p < 0.001) and cardiovascular death (HR: 3.85; 95% CI: 2.37-6.26; p < 0.001). Regression analysis revealed that LogNT-proBNP was an independent predictor of all-cause death (HR: 2.85; 95% CI: 1.91-4.24; p < 0.001) and cardiovascular death (HR: 3.02; 95% CI: 1.84-4.95; p < 0.001). Conclusıon: Our study showed that in long term follow-up, NT-proBNP is associated with increased all-cause and cardiovascular mortality.

Keywords: NT-proBNP; all-cause mortality; cardiovascular epidemiology; cardiovascular mortality; general population.

MeSH terms

  • Adult
  • Area Under Curve
  • Biomarkers / analysis
  • Cardiovascular Diseases / mortality
  • Cardiovascular Diseases / pathology*
  • Female
  • Follow-Up Studies
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Natriuretic Peptide, Brain / analysis*
  • Peptide Fragments / analysis*
  • Prognosis
  • Proportional Hazards Models
  • ROC Curve
  • Regression Analysis
  • Risk Factors
  • Turkey

Substances

  • Biomarkers
  • Peptide Fragments
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain