N-terminal pro-B-type natriuretic peptide in chronic heart failure: The impact of sex across the ejection fraction spectrum

作者: Ulrika Ljung Faxén , Lars H. Lund , Nicola Orsini , Anna Strömberg , Daniel C. Andersson

DOI: 10.1016/J.IJCARD.2019.04.023

关键词:

摘要: Abstract Objective The aim was to assess sex-specific differences in N-terminal B-type natriuretic peptide (NT-proBNP) regarding concentrations, predictors of high and prognostic role, a large unselected population with chronic heart failure (HF) preserved (HFpEF), mid-range (HFmrEF), reduced ejection fraction (HFrEF). Methods results In 9847 outpatients HFpEF, HFmrEF, HFrEF (49 vs. 35 25% females, respectively) from the Swedish HF Registry, median NT-proBNP concentrations were 1598 ng/L females 1310 ng/L males 1764 1464 ng/L 2543 2226 ng/L (p  Conclusion Concentrations higher across EF spectrum, larger relative HFpEF sinus rhythm. However, similar levels observed both sexes. There no sex-differences role NT-proBNP. These findings support use for purposes HF, regardless sex.

参考文章(40)
Michael Christ, Kirsten Laule-Kilian, Willibald Hochholzer, Theresia Klima, Tobias Breidthardt, Andre P. Perruchoud, Christian Mueller, Gender-Specific Risk Stratification With B-Type Natriuretic Peptide Levels in Patients With Acute Dyspnea: Insights From the B-type Natriuretic Peptide for Acute Shortness of Breath Evaluation Study Journal of the American College of Cardiology. ,vol. 48, pp. 1808- 1812 ,(2006) , 10.1016/J.JACC.2006.07.037
S Van Wijk, Vanessa Van Empel, Nasser Davarzani, Micha T Maeder, S Muzzarelli, U Jeker, Thomas Dieterle, R Handschin, S Kiencke, ME Pfisterer, HP Brunner-La Rocca, Circulating biomarkers of distinct pathophysiological pathways in heart failure with preserved vs. reduced left ventricular ejection fraction European Journal of Heart Failure. ,vol. 17, pp. 1006- 1014 ,(2015) , 10.1002/EJHF.414
Mauro Gori, Carolyn S. P. Lam, Deepak K. Gupta, Angela B. S. Santos, Susan Cheng, Amil M. Shah, Brian Claggett, Michael R. Zile, Elisabeth Kraigher-Krainer, Burkert Pieske, Adriaan A. Voors, Milton Packer, Toni Bransford, Martin Lefkowitz, John J. V. McMurray, Scott D. Solomon, , Sex-specific cardiovascular structure and function in heart failure with preserved ejection fraction European Journal of Heart Failure. ,vol. 16, pp. 535- 542 ,(2014) , 10.1002/EJHF.67
Michele Emdin, Claudio Passino, Silvia Del Ry, Concetta Prontera, Fabio Galetta, Aldo Clerico, None, Influence of gender on circulating cardiac natriuretic hormones in patients with heart failure. Clinical Chemistry and Laboratory Medicine. ,vol. 41, pp. 686- 692 ,(2003) , 10.1515/CCLM.2003.104
Dirk J. Lok, IJsbrand T. Klip, Adriaan A. Voors, Sjoukje I. Lok, Pieta W. Bruggink-André de la Porte, Hans L. Hillege, Tiny Jaarsma, Dirk J. van Veldhuisen, Peter van der Meer, Prognostic value of N‐terminal pro C‐type natriuretic peptide in heart failure patients with preserved and reduced ejection fraction European Journal of Heart Failure. ,vol. 16, pp. 958- 966 ,(2014) , 10.1002/EJHF.140
Aldo Clerico, Silvia Del Ry, Silvia Maffei, Concetta Prontera, Michele Emdin, Daniela Giannessi, None, The circulating levels of cardiac natriuretic hormones in healthy adults: Effects of age and sex Clinical Chemistry and Laboratory Medicine. ,vol. 40, pp. 371- 377 ,(2002) , 10.1515/CCLM.2002.060
Monika Sanghavi, Martha Gulati, Sex Differences in the Pathophysiology, Treatment, and Outcomes in IHD Current Atherosclerosis Reports. ,vol. 17, pp. 511- 511 ,(2015) , 10.1007/S11883-015-0511-Z
Silvia MAFFEI, Silvia DEL RY, Concetta PRONTERA, Aldo Clerico, None, Increase in circulating levels of cardiac natriuretic peptides after hormone replacement therapy in postmenopausal women Clinical Science. ,vol. 101, pp. 447- 453 ,(2001) , 10.1042/CS1010447
Manuel Martínez‐Sellés, Robert N Doughty, Katrina Poppe, Gillian A Whalley, Nikki Earle, Christophe Tribouilloy, John JV McMurray, Karl Swedberg, Lars Køber, Colin Berry, Iain Squire, Meta‐Analysis Global Group In Chronic Heart Failure (MAGGIC), None, Gender and survival in patients with heart failure: interactions with diabetes and aetiology. Results from the MAGGIC individual patient meta-analysis. European Journal of Heart Failure. ,vol. 14, pp. 473- 479 ,(2012) , 10.1093/EURJHF/HFS026
Gerard CM Linssen, Michiel Rienstra, Tiny Jaarsma, Adriaan A Voors, Isabelle C van Gelder, Hans L Hillege, Dirk J van Veldhuisen, None, Clinical and prognostic effects of atrial fibrillation in heart failure patients with reduced and preserved left ventricular ejection fraction European Journal of Heart Failure. ,vol. 13, pp. 1111- 1120 ,(2011) , 10.1093/EURJHF/HFR066