Influencing factors of NT-proBNP level inheart failure patients with different cardiacfunctions and correlation with prognosis

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Argitaratua izan da:Experimental and Therapeutic Medicine vol. 15, no. 6 (2018), p. 5275
Egile nagusia: Xu, Liang
Beste egile batzuk: Chen, Yanchun, Ji, Yanni, Yang, Song
Argitaratua:
Spandidos Publications UK Ltd.
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Sarrera elektronikoa:Citation/Abstract
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LEADER 00000nab a2200000uu 4500
001 2095422183
003 UK-CbPIL
022 |a 1792-0981 
022 |a 1792-1015 
024 7 |a 10.3892/etm.2018.6114  |2 doi 
035 |a 2095422183 
045 2 |b d20180101  |b d20181231 
100 1 |a Xu, Liang 
245 1 |a Influencing factors of NT-proBNP level inheart failure patients with different cardiacfunctions and correlation with prognosis 
260 |b Spandidos Publications UK Ltd.  |c 2018 
513 |a Journal Article 
520 3 |a Factors influencing N-terminal pro-brain natriuretic peptide (NT-proBNP) level in heart failure patients with different cardiac functions were identified to explore the correlations with prognosis. Eighty heart failure patients with different cardiac functions treated in Yixing People's Hospital from January 2016 to June 2017 were selected, and divided into two groups (group with cardiac function in class II and below and group with cardiac function in class III and above), according to the cardiac function classification established by New York Heart Association (NYHA). Blood biochemical test and outcome analysis were conducted to measure serum NT-proBNP and matrix metalloproteinase-9 (MMP-9) levels in patients with different cardiac functions, and correlations between levels of NT-proBNP and MMP-9 and left ventricular ejection fraction (LVEF) level were analyzed in patients with different cardiac functions at the same time. In addition, risk factors for heart failure in patients with different cardiac functions were analyzed. Compared with the group with cardiac function in class III and above, the group with cardiac function in class II and below had significantly lower serum NT-proBNP and MMP-9 levels (p<0.05). For echocardiogram indexes, left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) in the group with cardiac function in class II and below were obviously lower than those in the group with cardiac function in class III and above (p<0.05), while LVEF was higher in group with cardiac function in class II and below than that in group with cardiac function in class III and above (p<0.05). NT-proBNP and MMP-9 levels were negatively correlated with LVEF level [r=−0.8517 and −0.8517, respectively, p<0.001 (<0.05)]. Cardiac function in class III and above, increased NT-proBNP, increased MMP-9 and decreased LVEF were relevant risk factors and independent risk factors for heart failure in patients with different cardiac functions. NT-proBNP and MMP-9 levels are negatively correlated with LVEF in patients regardless of the cardiac function class. Therefore, attention should be paid to patients who have cardiac function in class III and above, increased NT-proBNP and MMP-9 levels and decreased LVEF in clinical practices, so as to actively prevent and treat heart failure. 
651 4 |a New York 
651 4 |a China 
651 4 |a United States--US 
653 |a Diabetes 
653 |a Age 
653 |a Heart failure 
653 |a Hypertension 
653 |a Risk factors 
653 |a Physicians 
653 |a Hospitals 
653 |a Beta blockers 
653 |a Pain 
653 |a Methods 
653 |a Dyspnea 
653 |a Peptides 
653 |a Cardiac function 
653 |a Ultrasonic imaging 
653 |a Males 
653 |a Ejection fraction 
653 |a Medical prognosis 
700 1 |a Chen, Yanchun 
700 1 |a Ji, Yanni 
700 1 |a Yang, Song 
773 0 |t Experimental and Therapeutic Medicine  |g vol. 15, no. 6 (2018), p. 5275 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2095422183/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/2095422183/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/2095422183/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch