The prognostic significance of pro-BNP and heart failure in acute pulmonary embolism: A systematic review

Dis Mon. 2024 Oct;70(10):101783. doi: 10.1016/j.disamonth.2024.101783. Epub 2024 Jul 2.

Abstract

Pulmonary embolism (PE) is the third most common type of cardiovascular disease and carries a high mortality rate of 30% if left untreated. Although it is commonly known that individuals who suffer heart failure (HF) are more likely to experience a pulmonary embolism, little is known concerning the prognostic relationship between acute PE and HF. This study aims to evaluate the prognostic usefulness of heart failure and pro-BNP in pulmonary embolism cases. A scientific literature search, including PubMed, Medline, and Cochrane reviews, was used to assess and evaluate the most pertinent research that has been published. The findings showed that increased N-terminal brain natriuretic peptide (NT-proBNP) levels could potentially identify pulmonary embolism patients with worse immediate prognoses and were highly predictive of all-cause death. Important prognostic information can be obtained from NT-proBNP and Heart-type Fatty Acid Binding Proteins (H-FABP) when examining individuals with PE. The heart, distal tubular cells of the renal system, and skeletal muscle are where H-FABP is primarily found, with myocardial cells having the highest concentration. Recent studies have indicated that these biomarkers may also help assess the severity of PE and its long-term risk.

Keywords: Acute pulmonary embolism; Heart failure; Heart-type fatty acid binding protein; Pulmonary embolism; proBNP; prognoses.

Publication types

  • Systematic Review

MeSH terms

  • Acute Disease
  • Biomarkers* / blood
  • Fatty Acid Binding Protein 3 / blood
  • Heart Failure* / blood
  • Heart Failure* / complications
  • Heart Failure* / mortality
  • Humans
  • Natriuretic Peptide, Brain* / blood
  • Peptide Fragments* / blood
  • Prognosis
  • Pulmonary Embolism* / blood
  • Pulmonary Embolism* / diagnosis

Substances

  • Natriuretic Peptide, Brain
  • pro-brain natriuretic peptide (1-76)
  • Peptide Fragments
  • Biomarkers
  • Fatty Acid Binding Protein 3