Atrial natriuretic peptide in infants and children
Related Experiment Video
Updated: Nov 3, 2026

Measuring Cardiac Autonomic Nervous System (ANS) Activity in Children
Published on: April 29, 2013
1Department of Pediatrics, Children's Hospital, University of Heidelberg, FRG.
Insights
Plasma atrial natriuretic peptide (ANP) is elevated in newborns during postnatal adaptation, especially in premature infants. Levels normalize shortly after birth, suggesting ANP
Area of Science:
- Pediatric Endocrinology
- Neonatology
- Cardiovascular Physiology
Background:
- Atrial natriuretic peptide (ANP) plays a role in fluid and electrolyte balance.
- Understanding ANP levels in infants is crucial for assessing cardiovascular adaptation post-birth.
Purpose of the Study:
- To measure plasma ANP levels in a cohort of normal infants and children.
- To investigate the relationship between ANP levels and age during early life.
Main Methods:
- Plasma samples were collected from 192 infants and children (1 day to 18 years).
- ANP concentrations were determined using a validated assay.
- Comparison was made with healthy adult volunteers.
Main Results:
- Plasma ANP was significantly elevated in neonates, particularly premature infants, during the postnatal period.
- ANP levels in infants and children aged 4 months to 18 years were comparable to adult values.
- No significant correlation was found between ANP levels and chronological age.
Conclusions:
- ANP is elevated during postnatal adaptation, indicating its involvement in fluid shifts.
- Elevated ANP may counteract elevated vasoconstrictor hormones in the neonatal period.
- ANP likely contributes to the physiological volume contraction observed after birth.
Abstract:
Atrial natriuretic peptide (ANP) was measured in the plasma of 192 normal infants and children aged 1 day to 18 years. Plasma ANP was high during postnatal adaptation, particularly in premature infants. In 96 infants and children aged 4 months to 18 years, plasma ANP was similar to values obtained in 7 healthy adult volunteers (23.9 +/- 11.9 vs. 25.7 +/- 4.6 fmol/ml). There was no significant relationship between ANP and age. ANP is elevated about twofold in full-term neonates being 3-4 days of age, and returned to normal thereafter. It is concluded that ANP is raised during the postnatal adaptation. This hormone is possibly involved in the postnatal volume contraction and may antagonize vasoconstrictor hormones that are elevated during the postnatal period.
Related Concept Videos
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Hormonal Regulation of Blood Pressure
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction while...
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Heart Failure II: Pathophysiology

