Copyright © 2004 by the European Society of Cardiology.
Current opinion
BNP in acute coronary syndromes: the heart expresses its suffering
Cardiology Division, University of Bergen, Central Hospital in Rogaland, Stavanger, Norway
* Correspondence to: Dr. Alfe Inge Larsen, MD, Cardiology Division, University of Bergen, Central Hospital in Rogaland, P.O. Box 8100, 4001 Stavanger, Norway. Tel.: +47-51-518000; fax: +41-51-519905
E-mail address: alfil@broadpark.no
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The use of N-BNP is well established in the diagnosis and staging of patients with heart failure1 and its ability to predict prognosis in this population has been verified in several frequently cited studies.2 Recently, measurement of N-BNP has also been shown to be a useful prognostic tool in the population of patients with ACS.3 In a past issue of this journal, Bazzino et al., further extended our knowledge in that they demonstrated the prognostic value of elevated levels of N-terminal B-type natriuretic peptide (N-BNP) in addition to standardised risk-stratification schemes in patients
that were included consecutively with acute coronary syndromes (ACS).4
Risk stratification of patients with ACS
Although, early treatment with fibrinolytic agents or percutaneous coronary intervention is well documented in acute ST-elevation myocardial infarction (STEMI), the optimal treatment strategy for
Identifying patients with ACS at risk of developing subsequent acute heart failure
Clinical implications?
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