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J Am Coll Cardiol, 2006; 47:52-60, doi:10.1016/j.jacc.2005.06.085 (Published online 12 December 2005).
© 2006 by the American College of Cardiology Foundation
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Comparison of B-Type Natriuretic Peptides for Assessment of Cardiac Function and Prognosis in Stable Ischemic Heart Disease

Mark Richards, MD*,*, M. Gary Nicholls, MD*, Eric A. Espiner, MD*, John G. Lainchbury, MD*, Richard W. Troughton, MD*, John Elliott, MD*, Christopher M. Frampton, PhD*, Ian G. Crozier, MD*, Timothy G. Yandle, PhD*, Robert Doughty, MD{dagger},{ddagger}, Stephen MacMahon, PhD{dagger},§, Norman Sharpe, MD{dagger},{ddagger} for the Christchurch Cardioendocrine Research Group and the Australia-New Zealand Heart Failure Group

* Christchurch Cardioendocrine Research Group, Christchurch Hospital, Christchurch, New Zealand
{dagger} Australia-New Zealand Heart Failure Group
{ddagger} Department of Medicine, University of Auckland, Auckland, New Zealand
§ Institute for International Health, Newtown, Sydney, New South Wales, Australia


Figure 1
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Figure 1 Plasma brain natriuretic peptide (BNP) plotted against plasma amino terminal pro-brain natriuretic peptide (NTproBNP) in 1,049 patients with stable ischemic heart disease.

 

Figure 2
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Figure 2 Left ventricular ejection fraction (LVEF) plotted against brain natriuretic peptide (BNP) (closed symbols) and amino terminal pro-brain natriuretic peptide (NTproBNP) (open symbols) in 1,049 patients with stable ischemic heart disease.

 

Figure 3
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Figure 3 Age (top) and creatinine clearance (CrCl) (bottom) plotted against brain natriuretic peptide (BNP) (closed symbols) and amino terminal pro-brain natriuretic peptide (NTproBNP) (open symbols) in 1,049 patients with stable ischemic heart disease.

 

Figure 4
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Figure 4 Body mass index plotted against brain natriuretic peptide (BNP) (closed symbols) and amino terminal pro-brain natriuretic peptide (NTproBNP) (open symbols) in 1,049 patients with stable ischemic heart disease.

 

Figure 5
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Figure 5 Receiver-operating characteristic curves for detection of left ventricular ejection fraction (LVEF) <30% (top), 40% (middle), or 50% (bottom) by brain natriuretic peptide (BNP) (solid lines) and amino terminal pro-brain natriuretic peptide (NTproBNP) (dotted lines) in 1,049 patients with stable ischemic heart disease. Curves do not significantly differ for any level of LVEF. AUC = area under the curve.

 

Figure 6
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Figure 6 Receiver-operating characteristic curves for detection of left ventricular ejection fraction (LVEF) <30% (top), 40% (middle), and 50% (bottom) by brain natriuretic peptide (BNP) (solid lines) or amino terminal pro-brain natriuretic peptide (NTproBNP) (dotted lines) in 1,049 patients with asymptomatic stable ischemic heart disease. AUC = area under the curve.

 

Figure 7
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Figure 7 Kaplan-Meier event-free survival curves for death or heart failure admission for those with brain natriuretic peptide (BNP) (solid lines) and amino terminal pro-brain natriuretic peptide (NTproBNP) (dotted lines) above (lower two lines) or below (upper two lines) the median level for the group. For both peptides, the separation of survival curves was highly significant (p < 0.001). CHF = congestive heart failure.

 





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