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J Am Coll Cardiol, 2007; 50:1973-1980, doi:10.1016/j.jacc.2007.08.012 (Published online 29 October 2007).
© 2007 by the American College of Cardiology Foundation
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Comparison of Midregional Pro-Atrial Natriuretic Peptide With N-Terminal Pro-B-Type Natriuretic Peptide in Predicting Survival in Patients With Chronic Heart Failure

Stephan von Haehling, MD*,{dagger},*, Ewa A. Jankowska, MD{ddagger}, Nils G. Morgenthaler, MD§, Corrado Vassanelli, MD||, Luisa Zanolla, MD||, Piotr Rozentryt, MD, Gerasimos S. Filippatos, MD#, Wolfram Doehner, MD, PhD*, Friedrich Koehler, MD**, Jana Papassotiriou, PhD§, Dimitrios T. Kremastinos, MD, PhD#, Waldemar Banasiak, MD{ddagger}, Joachim Struck, PhD§, Piotr Ponikowski, MD, PhD{ddagger}, Andreas Bergmann, PhD§ and Stefan D. Anker, MD, PhD*{dagger}

* Applied Cachexia Research, Department of Cardiology, Charité Medical School, Berlin, Germany
{dagger} Department of Clinical Cardiology, National Heart and Lung Institute, Imperial College School of Medicine, London, United Kingdom
{ddagger} Cardiology Department, Military Hospital, Wroclaw, Poland
§ Research Department, B.R.A.H.M.S Aktiengesellschaft, Biotechnology Centre, Hennigsdorf/Berlin, Germany
|| Department of Biomedical and Surgical Sciences, Section of Cardiology, University of Verona, Verona, Italy
Third Department of Cardiology, Silesian Center for Heart Disease, Zabrze, Poland
# Second University Department of Cardiology, Atticon University Hospital, Athens, Greece
** Charité Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany


Figure 1
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Figure 1 MR-proANP and NT-proBNP in the Derivation Cohort

Midregional pro-atrial natriuretic peptide (MR-proANP) (left) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) (right) levels according to New York Heart Association (NYHA) functional class in 525 patients with chronic heart failure in the derivation cohort.

 

Figure 2
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Figure 2 Survival During Follow-Up

Kaplan-Meier survival curves subgrouped according to ascending quartiles of MR-proANP (left) or NT-proBNP (right). Abbreviations as in Figure 1.

 

Figure 3
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Figure 3 Sensitivity and Specificity for 24-Month Survival

Receiver operating curves for 24-month survival for MR-proANP (blue solid line) and NT-proBNP (red dashed line). Abbreviations as in Figure 1.

 

Figure 4
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Figure 4 Detection of MR-proANP

Sequence of pro-atrial natriuretic peptide (proANP) used for the detection of MR-proANP and principle of the test, making use of a primary antibody that is coated on a polystyrene tube and a secondary signaling antibody. Abbreviations as in Figure 1.

 




 
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