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脑钠肽监测对慢性充血性心力衰竭患者心功能评估的临床意义 被引量：2

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摘要 目的：分析脑钠肽的监测对慢性充血性心力衰竭患者心功能评估的临床意义。方法回顾性分析选自2010年5月至2013年5月的86例慢性充血性心力衰竭患者的临床资料。药物治疗前后不同心功能状态BNP及LVEF水平不同。结果随心力衰竭程度的加重，BNP水平逐渐升高，心力衰竭组（心功能分级Ⅲ~Ⅳ）明显高于对照组（心功能I~Ⅱ级），差异有显著性（P＜0.01）；随心力衰竭程度加重，LVEF逐渐减低，与对照组比较，心功能Ⅳ级与Ⅲ级，Ⅲ级与Ⅱ级和Ⅱ级与Ⅳ级比较差异均有统计学意义（P＜0.01）。结论 BNP与NYHA心功能级别相关性分析呈正相关，P＜0.05，与LVEF进行相关性分析呈负相关。对BNP的监测，对于心力衰竭患者心功能评估，及对指导治疗和推断愈后具有重要意义。
作者 吴桦
机构地区 辽宁省建平县医院心内科
出处 《中国医药指南》 2014年第4期173-174,共2页 Guide of China Medicine
关键词 脑钠肽 心力衰竭 临床评估
分类号 R541.6 [医药卫生—心血管疾病]
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参考文献11

  • 1Yoshimura M,Yasue H,Okamura K,et a1.Diferent secretion patternof atrial natriuretic peptide and brain natriuretic peptide in patientswith congestive heart failure[J].Circulation,1993,87(3):464.
  • 2Dickstein K.Natriuretic peptides in detection of heart failure[J].Lancet,1997,351(1):3.
  • 3Luchner A,stevens TL,Borgeson DD,et a1.Diferential atrial andventricular expression of myocardial BNP during evolution of heartfailure[J].Am J Physiol,1998,274(11):1684.
  • 4Goto T,Takase H,Toriyama T,et a1.Circulating concentrations ofcardiac proteins indicatethe severity of congestive heart failure[J].Heart,2003,89(9):1303.
  • 5Tang WH,Girod JP,Lee MJ,et a1.Plasma B-type natriuretic peptidelevels in ambulatory patients with established chronic symptomticheartfailure[J].Circulation,2003,108(19):2964.
  • 6NgLL,LokeI,Davies JE.Identification ofpreviouslyundiag-nosed left ventricular systolic dysfunction:community screening using natriuretic peptides and electrocardaiography[J].Eur J HearFail,2003,5(7):775.
  • 7Cowiea MR,Jourdainb P,Maiselc A,et a1.Clinical applications ofB-type natriuretic peptidetesting[J].Eur Heart J,2003,24(12):1710.
  • 8Yamaguchi H,Yoshida J,Yamamoto K,et a1.Elevation of plasmabrain natriuretic peptide is a hallmatk of diastolic hart failure inde.pendent of ventricular hypertrophy[J].Am Coil Cardiol,2004,43(1):55.
  • 9Bettencourt P,Frioes F,Azevedo A,et a1.Prognostic informationprovided by serial measurements of brain natriuetic peptide in heartfailure[J].Int J Cardiol,2004,93(1):45.
  • 10Katayama T,Nakashima H,Yonekura T,et a1.Clinical signifi-can ce of acute phase brain natriuretic peptide in acute myocardialinfarction treated with direct coronary angioplasty[J].Cardiol,2003,42(2):195.

二级参考文献8

  • 1Yoshimura M, Yasue H, Okamura K, et al. Different secretion pattern of atrial natriuretic peptide and brain natriuretic peptide in patients with congestive heart failure. Circulation, 1993,87:464-469.
  • 2Dickstein K. Natriuretic peptides in detection of heart failure. Lancet, 1997,351:3-4.
  • 3Luchner A, Stevens TL, Borgeson DD, et al. Differential atrial and ventricular expression of myocardial BNP during evolution of heart failure. Am J Physiol, 1998,274:H1684-H1689.
  • 4Maeda K, Takayoshi T, Wada T, et al. Palsma brain natriuretic peptide as a biochemical marker of high left ventricular end-diastolic pressure in patients with symptomatic left ventricular dysfunction. Am Heart J, 1998,135:825-832.
  • 5Clerio A, Lervasi G, Chicca M, et al. Circulating levels of cardiac natriuretic peptides (ANP and BNP) measured by highly sensitive and specific immunoradiometric assays in normal subjects and in patients with different degrees of heart failure. J Endocrinol Invest, 1998,21:170-179.
  • 6Maisel A. B-type natriuretic peptide levels: a potential novel "hite count" for congestive heart failure. J Cardiac Fail, 2001,7:183-193.
  • 7Morrison LK, Harrison A, Krishnaswamy P, et al. Utility of a rapid B-natriuretic peptide assay in differentiating congestive heart failure from lung disease in patients presenting with dyspnea.J Am Coll Cardiol,2002,39:202-209.
  • 8赵丽,吴学思,韩智红,胡荣,吕强.B型利钠肽检测对心力衰竭患者的临床评估[J].中华心血管病杂志,2004,32(1):51-52. 被引量：166

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二级引证文献23

中国医药指南
2014年 第4期

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