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Published on: October 1, 2019
[Biomarkers in heart failure: BNP and NT-proBNP]
Chao-Chung Ho1, Chuan-Chieh Liu
1Department of Nursing, Chang Gung Institute of Technology.
Insights
B-type natriuretic peptide (BNP) and NT-proBNP are key heart failure (HF) biomarkers. While valuable, additional biomarkers are needed for improved HF diagnosis and treatment.
Area of Science:
- Biomarkers and Molecular Diagnostics
- Cardiovascular Medicine
Context:
- Heart failure (HF) incidence has risen significantly, posing a major public health challenge.
- High readmission rates for acute decompensated HF underscore the need for better patient monitoring and therapeutic guidance.
- Molecular biomarkers are crucial for understanding and managing HF.
Purpose:
- To evaluate the role of natriuretic peptides, specifically B-type natriuretic peptide (BNP) and NT-proBNP, as diagnostic and prognostic tools in heart failure.
- To identify the limitations of current biomarkers and highlight the need for novel markers.
Summary:
- BNP and NT-proBNP are established biomarkers for heart failure (HF), aiding in diagnosis and prognosis.
- Despite their utility, BNP and NT-proBNP do not meet all criteria for an ideal biomarker.
- The development of new biomarkers is essential for advancing the diagnosis and treatment of both chronic and acute decompensated HF.
Impact:
- BNP and NT-proBNP serve as critical indicators in cardiovascular disorders, particularly heart failure.
- The findings emphasize the ongoing search for superior biomarkers to enhance HF management.
- Future biomarker discovery promises to improve patient outcomes and therapeutic strategies for heart failure.
Abstract:
Used as biomarkers of heart failure (HF), BNP and NT-proBNP may be considered as the 'fatal finish line' for all cardiovascular disorders. The incidence of heart failure has increased steadily over the past several decades. High readmission rates for patients with acute decompensated heart failure have led to a search for biomarkers able to predict future clinical outcomes that would facilitate HF patient monitoring and help guide therapy. Molecular biomarkers play an important role in heart failure. From among several promising markers, the family of natriuretic peptides, especially B-type natriuretic peptide (BNP) and NT-proBNP, have been identified as potentially valuable diagnostic and prognostic tools. Not unexpectedly, BNP/NT-proBNP fails to fulfill all the criteria of an ideal biomarker. The development of additional biomarkers will be an important step toward improving diagnosis and treatment of patients with chronic and acute decompensated heart failure.
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