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Published on: July 25, 2019
The natriuretic peptides as biomarkers for adults with congenital heart disease
Amiram Nir1, Andreas Luchner, Azaria Jjt Rein
1Department of Pediatric Cardiology, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel. amiramn@ekmd.huji.ac.il
Insights
Adults with congenital heart disease are a growing population. This review explores natriuretic peptides, key heart disease markers, in adults with congenital heart conditions.
Area of Science:
- Cardiology
- Biomarkers
- Adult Congenital Heart Disease
Background:
- Improved treatments have increased the adult congenital heart disease (ACHD) population.
- ACHD patients present complex cardiac conditions and post-intervention sequelae.
- Natriuretic peptides are established prognostic markers in acquired heart disease.
Purpose of the Study:
- To review current knowledge on natriuretic peptides in adults with congenital heart disease.
- To highlight the role of natriuretic peptides in ACHD management and prognosis.
Main Methods:
- Literature review of studies on natriuretic peptides in ACHD.
- Synthesis of existing data on natriuretic peptide levels and clinical correlation in ACHD.
Main Results:
- Natriuretic peptides reflect disease severity and prognosis in ACHD.
- Specific patterns of natriuretic peptides are observed across different congenital heart defects.
- Natriuretic peptides aid in risk stratification and monitoring of ACHD patients.
Conclusions:
- Natriuretic peptides are valuable biomarkers for adults with congenital heart disease.
- Further research is needed to fully integrate natriuretic peptides into ACHD clinical practice.
- Understanding natriuretic peptide roles can improve long-term outcomes for ACHD survivors.
Abstract:
Thanks to improved treatment of congenital heart disease early in life, many such patients reach adulthood. Adults with congenital heart disease are an increasing population, which will continue to grow in the future. The clinical state of these patients is affected by their complex heart diseases, as well as the consequence of past corrective or palliative interventions. The natriuretic peptides are important markers for the presence, severity and prognosis of heart disease. The majority of the current knowledge is on patients with acquired heart disease. This article reviews the present knowledge regarding the role of the natriuretic peptides in adults with various forms of congenital heart disease.
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