| Меню сайта |
- Дистанционное образование
|
| Статистика |
Онлайн всего: 1 Гостей: 1 Пользователей: 0 |
|
| СНО терапии |
 |
Use of preoperative natriuretic peptides and Use of preoperative natriuretic peptides and atrial fibrillation after coronary artery bypass g
|
[
]
| 07.08.2009, 22:34 |
|
Background Atrial fibrillation (AF) is a common complication after coronary artery bypass grafting (CABG). We
prospectively compared the ability of echocardiographic parameters and the cardiac neurohormones, brain natriuretic peptide
(BNP), and N-terminal pro-brain natriuretic peptide (NT-proBNP) to predict AF in this setting.
Methods We recruited 275 patients undergoing nonemergency CABG. Patients undergoing valve surgery or with prior
atrial dysrhythmia (based on clinical history and review of medical records) were excluded. Echocardiography was performed,
and natriuretic peptide levels were measured, 24 hours before surgery. The primary end point was postoperative AF lasting
N 30 seconds.
Results The only significant echocardiographic predictors of postoperative AF (n = 107, 39%) were the transmitral E to
A-wave ratio and the early mitral annulus velocity. Levels of BNP and NT-proBNP were higher in patients who developed AF.
Both natriuretic peptides, but none of the echocardiographic parameters, remained independently predictive in multivariable
analysis. The optimum cut points for predicting AF were 31 pg/mL for BNP (odds ratio [OR] 2.74, P = .001) and 74 pg/mL for
NT-proBNP (OR 2.74, P = .003).
Conclusion Levels of BNP and NT-proBNP are independent, though modestly effective, predictors of AF after isolated
CABG. In contrast, none of the echocardiographic parameters assessed, including measures of LV systolic function and filling
pressure, were independently predictive. (Am Heart J 2009;158:244-51.)
|
| Категория: Статьи | Добавил: nbylova
|
| Просмотров: 450 | Загрузок: 0
| Рейтинг: 0.0/0 |
|
Добавлять комментарии могут только зарегистрированные пользователи. [ Регистрация | Вход ] |
|
