A comparison of the prognostic value of BNP versus NT-proBNP after hospitalisation for heart failure

G. C. M. Linssen*, T. Jaarsma, H. L. Hillege, A. A. Voors, D. J. van Veldhuisen

*Corresponding author for this work

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Abstract

Aims Concentrations of circulating B-type natriuretic peptides provide important prognostic information in heart failure (HF) patients. We directly compared the prognostic performance of brain natriuretic peptide (BNP) versus N-terminal-proBNP (NT-proBNP) measurements in a large population of HF patients at hospital discharge after an admission for decompensated HF.

Methods and results BNP and NT-proBNP were measured in 563 stable HF patients before discharge. All patients were followed for a fixed period of 18 months. The primary endpoint was time to first major event (HF hospitalisation or death). Patients were in NYHA class II (47%) or III/IV (53%) at discharge and the mean age of the patients was 71 +/- 11 years, 217 (39%) females, mean left ventricular ejection fraction was 0.32 +/- 0.14 and 234 (42%) had an ischaemic aetiology of HF. During the study, 236 patients (42%) reached the primary endpoint. Multivariate odds ratios of the primary endpoint for doubling of baseline levels of BNP and NT-proBNP were 1.46 (95% CI 1.19-1.80, p <0.001) and 1.45 (95% CI 1.18-1.78, p <0.001), respectively. The multivariable adjusted areas under the receiver-operating characteristic curve for prediction of the primary endpoint for doubling of BNP and NT-proBNP were 0.69 and 0.68, respectively. Direct comparison of the prognostic value of BNP and NT-proBNP did not reveal significant differences.

Conclusions BNP and NT-proBNP at discharge for hospitalisation for HF are powerful, and equally strong and independent predictors of all-cause death and HF rehospitalisation.

Original languageEnglish
Pages (from-to)486-492
Number of pages7
JournalNetherlands Heart Hournal
Volume26
Issue number10
DOIs
Publication statusPublished - Oct-2018

Keywords

  • Heart failure
  • Biomarkers
  • B-type natriuretic peptides
  • BNP
  • NT-proBNP
  • Prognosis
  • NATRIURETIC PEPTIDE BNP
  • PRESERVED EJECTION FRACTION
  • B-TYPE
  • TERMINAL PROBNP
  • DYSFUNCTION
  • ASSOCIATION
  • BIOMARKERS
  • MANAGEMENT
  • COACH
  • RISK

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