Prospective Validation of the Prognostic Usefulness of Brain Natriuretic Peptide in Asymptomatic Patients With Chronic Severe Mitral Regurgitation
Rodolfo Pizarro, MD,
Oscar O. Bazzino, MD,
Pablo F. Oberti, MD,
Mariano Falconi, MD,
Federico Achilli, MD,
Anibal Arias, MD,
Juan G. Krauss, MD and
Arturo M. Cagide, MD*
Cardiology Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

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Figure 1 Combined End Point According to BNP Values
Symptoms of congestive heart failure, left ventricular systolic dysfunction, or death (LVDSD) according to brain natriuretic peptide (BNP) values.
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Figure 3 Receiver-Operator Curve Analysis
Incremental value of BNP 105 pg/ml when added to echocardiographic variables for the prediction of LVDSD (A: derivation and B: validation set). AV = atrial volume; EROA = effective regurgitant orifice area; ESD/BSA = end-systolic diameter corrected by body surface area; other abbreviations as in Figures 1 and 2.
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