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[B-type natriuretic peptides and subclinical target organ damage in essential hypertensive patients]
Xiao-ling Peng1, Ze-peng Lin, Rong-kui Zhang
1Sun Yat-sen Cardiovascular Hospital, Shenzhen 518020, China.
Insights
B-type natriuretic peptides (BNP) are linked to subclinical target organ damage in essential hypertension patients. Higher BNP levels correlate with increased left ventricular mass index, intima media thickness, coronary artery plaque size, and microalbuminuria.
Area of Science:
- Cardiology
- Nephrology
- Endocrinology
Context:
- Essential hypertension (EH) is a prevalent cardiovascular risk factor.
- Subclinical target organ damage (TOD) is an early indicator of cardiovascular complications.
- B-type natriuretic peptides (BNP) are increasingly recognized as biomarkers in cardiovascular disease.
Purpose:
- To investigate the association between B-type natriuretic peptides (BNP) and subclinical target organ damage (TOD) in patients with essential hypertension (EH).
Summary:
- 317 EH patients were stratified into normal, moderate, and elevated BNP groups.
- Measurements included blood pressure, left ventricular mass index (LVMI), carotid intima-media thickness (IMT), coronary artery plaque size (CS), and microalbuminuria.
- Elevated BNP levels were significantly associated with increased LVMI, IMT, CS, and microalbuminuria, with positive correlations observed after adjustment.
Impact:
- BNP levels serve as a valuable indicator for assessing subclinical TOD in EH patients.
- Findings highlight the role of BNP in early risk stratification and management of hypertensive individuals.
- This research contributes to understanding the multifaceted impact of hypertension on organ systems.
Objective:
To investigate the relationship between B-type natriuretic peptides (BNP) and subclinical target organ damage in essential hypertensive (EH) patients.
Methods:
A total of 317 EH patients were divided into 3 groups according to BNP levels, namely normal (BNP<600 ng/L) group (n=102), moderate (600-883.5 ng/L) group (n=116), and elevated BNP (>883.5 ng/L) group (n=99). The blood pressure, left ventricular mass index (LVMI), the intima media thickness (IMT) of the common carotid artery, the plaque size in the coronary artery (CS) and microalbuminuria levels were analyzed in these patients.
Results:
The EH patients with moderate and elevated BNP showed significantly higher LVMI, IMT, CS and microalbuminuria levels than those with normal BNP level (LVMI: 102.8∓23.12 and 123.9∓26.47 vs 91.09∓18.71 g/m2; IMT: 0.95∓0.32 and 1.16∓0.37 vs 0.84∓0.28 mm; microalbuminuria: 31.36∓20.55 and 36.73∓22.07 vs 23.21∓18.68, P<0.01). After adjustment, BNP was positively correlated to LVMI, IMT, CS and microalbuminuria level (r=0.45, 0.43, 0.39 and 0.41, respectively, P<0.01). Multivariate logistic regression analysis showed that age, systolic blood pressure, BNP, FPG, and microalbuminuria, LDL-C, and BMI were all related to the occurrence of subclinical target organ damages.
Conclusion:
BNP is positively correlated to subclinical target organs damages in EH patients.
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