OBJECTIVES heart failure is primarily a disease of elderly people. Current guidelines suggest all patients with suspected heart failure should undergo objective assessment, usually by echocardiography. In the UK resources are limited and not all patients have access to echocardiography. The electrocardiogram is widely used as a pre-screening investigation. Recently the natriuretic peptides have...

b-type natriuretic peptide (bnp) level is known to increase in patients with rheumatic mitral stenosis. in this systematic review, we aimed to discuss the possible association between plasma bnp level and the success rate of percutaneous transvenous mitral commissurotomy. pubmed and scopus databases were searched systematically, using the following key terms: “b-type natriuretic peptide” or “bn...

1. The effect of atrial natriuretic peptide on osmotically stimulated thirst appreciation and consequent fluid intake was investigated in healthy man. 2. Six seated male subjects were studied on two occasions: synthetic alpha-human atrial natriuretic peptide (99-126) (2 pmol min-1 kg-1) or placebo (saline, 150 mmol/l NaCl) was infused intravenously for 105 min; 30 min after the start of atrial ...

Commentary Natriuretic peptides: are these new links in the hepatorenal connections? In 1981, de Bold et al' discovered that the heart produced a peptide factor, subsequently named atrial natriuretic peptide (ANP), with potent actions affecting sodium metabolism and blood pressure. Since then, other related peptides, first brain natriuretic peptide (BNP), and more recently C type natriuretic pe...

INTRODUCTION AND OBJECTIVES Measurement of natriuretic peptides may be recommended prior to echocardiography in patients with suspected heart failure. Cut-off point for heart failure diagnosis in primary care is not well established. We aimed to assess the optimal diagnostic cut-off value of N-terminal pro-B-type natriuretic peptide on a community population attended in primary care. METHODS ...

Preterm infants with symptomatic patent ductus arteriosus had considerably raised plasma concentrations of atrial natriuretic peptide. Surgical ligation of the patent ductus arteriosus was associated with an immediate fall in plasma atrial natriuretic peptide concentration. Thus left to right shunting and left atrial distension may cause atrial natriuretic peptide release in preterm infants wit...

BACKGROUND Dendroaspis natriuretic peptide (DNP), recently isolated from the venom of the green Mamba snake Dendroaspis angusticeps, is a 38 amino acid peptide containing a 17 amino acid disulfide ring structure similar to that of atrial natriuretic peptide (ANP), brain natriuretic peptide (BNP), and C-type natriuretic peptide (CNP). DNP-like immunoreactivity (DNP-LI) was reported to be present...

OBJECTIVE The initial presentation of congenital and acquired heart disease in children can present a diagnostic challenge. We sought to evaluate B-type natriuretic peptide as a marker of critical heart disease in children at presentation in the acute care setting. METHODS A cohort of 33 pediatric patients with newly diagnosed congenital or acquired heart disease had B-type natriuretic peptid...

OBJECTIVES Peripheral arterial diseases associated with an increased risk of death in kidney transplant patients. Natriuretic peptide has anti-atherosclerotic effects. We sought to evaluate the relation between ankle-brachial index and fasting serum long-acting natriuretic peptide concentrations in kidney transplant patients. MATERIALS AND METHODS Fasting blood samples were obtained from 69 k...