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Prognostic value of pathogenetic therapy-induced changes in NT-proBNP in patients with chronic heart failure

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1. Title Title of document Prognostic value of pathogenetic therapy-induced changes in NT-proBNP in patients with chronic heart failure
2. Creator Author's name, affiliation, country E M Mezhonov;
2. Creator Author's name, affiliation, country S V Shalaev;
3. Subject Discipline(s)
3. Subject Keyword(s) NT-proBNP; left ventricular systolic dysfunction; prognosis; chronic heart failure; NT-proBNP
4. Description Abstract Aim. To study the prognostic value of therapy-induced changes in plasma NT-proBNP levels in patients with left ventricular (LV) systolic dysfunction. Subjects and methods. The study covered 84 patients aged 23 to 70 years (mean 54±8.1 years) with LV systolic dysfunction (an ejection fraction of <40%). Plasma NT-proBNP levels were determined in all the patients at baseline and 3 months later to evaluate the efficiency of therapy for heart failure (HF). The median follow-up was 18 months. The follow-up recorded the following outcomes (end points): death from decompensated HF and unplanned hospital admissions for progressive HF symptoms. Results. The baseline and therapy high plasma levels of NT-proBNP (more than 3000 pg/ml) were associated with worsening prognosis. The therapy-induced decrease in NT-proBNP levels was associated with more favorable prognosis. Conclusion. Repeat dynamic determination of plasma NT-proBNP levels allows identification of patients at increased risk of poor outcomes for a more intensive observation and more aggressive pathogenetic therapy.
5. Publisher Organizing agency, location LLC Obyedinennaya Redaktsiya
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 15.09.2012
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://ter-arkhiv.ru/0040-3660/article/view/31122
11. Source Title; vol., no. (year) Terapevticheskii arkhiv; Vol 84, No 9 (2012)
12. Language English=en ru
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2012 Consilium Medicum
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