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NT-proBNP in Myocarditis after a Scorpion Sting Envenomation
Suresh V Sagarad1, Balaram Singh Thakur, S S Reddy
1Assistant Professor, Department of Medicine, NMC&H, Chief of Cardiology, RGSSH & SHRC , Raichur, India .
Elevated NT-proBNP levels indicate myocarditis following scorpion stings. These N-terminal pro-B-type natriuretic peptide levels were higher than in cardiomyopathy, correlating with cardiac dysfunction.
Area of Science:
- Cardiology
- Toxicology
- Biomarkers
Background:
- Scorpion stings can cause myocarditis, a serious cardiac condition.
- N-terminal pro-B-type natriuretic peptide (NT-proBNP) is a known biomarker for heart strain.
Purpose of the Study:
- To assess NT-proBNP levels in patients with scorpion sting-induced myocarditis.
- To compare these levels with those in heart failure due to cardiomyopathy.
Main Methods:
- Prospective study of 30 scorpion sting patients and 21 cardiomyopathy patients.
- Collected demographic, clinical, echocardiographic data, and NT-proBNP levels.
Main Results:
- 22 patients showed echocardiographic evidence of myocarditis (LVEF < 50%).
- These patients had significantly elevated NT-proBNP levels, especially with severe LV dysfunction.
- NT-proBNP levels were higher in scorpion sting myocarditis than in cardiomyopathy-induced heart failure.
Conclusions:
- NT-proBNP is significantly elevated in myocarditis post-scorpion sting envenomation.
- Elevated NT-proBNP correlates with left ventricular dysfunction and myocarditis severity.
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