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J Am Coll Cardiol, 2003; 41:1264-1272, doi:10.1016/S0735-1097(03)00168-2
© 2003 by the American College of Cardiology Foundation
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Evaluation of B-type natriuretic peptide for risk assessment in unstable Angina/Non–ST-elevation myocardial infarction

B-type natriuretic peptide and prognosis in TACTICS-TIMI 18

David A. Morrow, MD, MPH*,*, James A. de Lemos, MD{dagger}, Marc S. Sabatine, MD, MPH*, Sabina A. Murphy, MPH{ddagger}, Laura A. Demopoulos, MD§, Peter M. DiBattiste, MD§, Carolyn H. McCabe, BS*, C. Michael Gibson, MD, MS, FACC{ddagger}, Christopher P. Cannon, MD, FACC* and Eugene Braunwald, MD, FACC*

* Cardiovascular Division, Department of Medicine, Brigham & Women’s Hospital, Boston, Massachusetts, USA
{dagger} Donald W. Reynolds Cardiovascular Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA
{ddagger} Harvard Clinical Research Institute, Boston, Massachusetts, USA
§ Merck & Co, West Point, Pennsylvania, USA



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Figure 1 Kaplan-Meier estimates of the probability of death (A) and death or congestive heart failure (CHF) (B) through six months among patients with baseline concentration of B-type natriuretic peptide (BNP) >80 pg/ml and ≤80 pg/ml. The p values are based on the log-rank test.

 


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Figure 2 Mortality risk stratified by B-type natriuretic peptide (BNP) levels over range of 40 to 160 pg/ml. The odds ratio (ORs) and chi-squared ({chi}2) statistics in the table below the chart are based on BNP results dichotomized at the lower bound of the range.

 


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Figure 3 Risk of death or myocardial infarction (MI) at 30 days stratified by B-type natriuretic peptide (BNP) and cardiac troponin I (cTnI). NEG = negative; POS = positive.

 


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Figure 4 Risk of congestive heart failure (CHF) at 30 days stratified by B-type natriuretic peptide (BNP) and cardiac troponin I (cTnI). NEG = negative; POS = positive.

 


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Figure 5 Effect of the invasive (INV) versus conservative (CON) management strategy stratified by baseline levels of B-type natriuretic peptide (BNP) and cardiac troponin I (cTnI). ACS = acute coronary syndrome; NEG = negative; POS = positive.

 




 
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