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Updated: Aug 16, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Assessing cardiovascular risk in children with chronic kidney disease. B-type natriuretic peptide: a potential new
Gema Ariceta1, Ellen R Brooks, Craig B Langman
1Division of Kidney Diseases, Children's Memorial Hospital, Chicago, IL 60614, USA. g-ariceta@northwestern.edu
Insights
Elevated B-type natriuretic peptide (BNP) levels indicate heart problems in adults and predict cardiovascular events. Further research is needed to understand BNP
Area of Science:
- Cardiology
- Nephrology
- Biomarkers
Background:
- Elevated B-type natriuretic peptide (BNP) is linked to left ventricular (LV) dysfunction.
- BNP is a sensitive diagnostic and prognostic marker for cardiovascular (CV) events in adults, including those with hypertension and chronic kidney disease (CKD).
- BNP levels can be affected by age and renal function, requiring careful interpretation.
Purpose of the Study:
- To explore the potential application of plasma BNP measurements in pediatric patients with CKD.
- To investigate BNP as a biomarker for cardiovascular disease in children with CKD.
Main Methods:
- Literature review on BNP's role in adult cardiovascular disease.
- Analysis of existing data regarding BNP levels in children, particularly those with congenital heart disease.
- Assessment of the relevance of BNP in pediatric CKD populations.
Main Results:
- BNP is a well-established marker for cardiovascular disease and events in adults.
- Data on BNP in children are scarce, primarily focusing on congenital heart disease.
- CKD is a significant risk factor for cardiovascular disease in children.
Conclusions:
- BNP shows promise as a biomarker for cardiovascular risk in children with CKD.
- Further studies are warranted to validate BNP's utility in pediatric CKD.
- Understanding BNP in pediatric CKD may improve cardiovascular risk assessment and management.
Abstract:
Elevated plasma B-type natriuretic peptide (BNP) level is a hallmark of altered left ventricular (LV) structure and function. Measurement of circulating BNP has proved to be a sensitive and specific diagnostic test for congestive heart failure (CHF) and coronary syndrome in adults. Further, BNP levels constitute a strong predictive marker for future cardiovascular (CV) events. In high CV risk populations, such as adults with hypertension or chronic kidney disease (CKD), increased BNP predicts CV morbidity and mortality in symptomatic or asymptomatic patients. However, caution is needed in interpreting plasma BNP levels, as they increase with both age and decreased renal function. Despite increasing evidence of the value of BNP in the medical literature in adults, data in children are limited to those with congenital heart disease. It is appropriate to analyze the potential application of this tool in children with CKD, a well-known factor for CV disease.
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