Document Detail


The use of natriuretic peptides in the intensive care unit.
MedLine Citation:
PMID:  18787446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: B-type natriuretic peptides are quantitative markers of heart failure (and/or cardiac stress) that summarize the extent of systolic and diastolic left ventricular dysfunction, valvular dysfunction, and right ventricular dysfunction. Based on the observation that heart failure is common albeit difficult to diagnose in the ICU, several studies have begun to evaluate the potential use of B-type natriuretic peptides in various ICU settings. RECENT FINDINGS: Previous pilot studies have examined the use of B-type natriuretic peptide in the differential diagnosis of hypoxemic respiratory failure, to differentiate cardiogenic from noncardiogenic shocks or to predict fluid responsiveness, to assess myocardial dysfunction and prognosis in patients with severe sepsis, and to predict ventilatory weaning failure. SUMMARY: Although previous studies were small, they highlight the potential of using B-type natriuretic peptides as a noninvasive easily available tool to quantify cardiac stress.
Authors:
Romain Pirracchio; Damien Logeart; Markus Noveanu; Alexandre Mebazaa; Christian Mueller
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current opinion in critical care     Volume:  14     ISSN:  1531-7072     ISO Abbreviation:  Curr Opin Crit Care     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-12     Completed Date:  2008-12-17     Revised Date:  2009-03-11    
Medline Journal Info:
Nlm Unique ID:  9504454     Medline TA:  Curr Opin Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  536-42     Citation Subset:  IM    
Affiliation:
University Paris 7 Diderot, Department of Anesthesiology and Critical Care, Hôpital Lariboisière, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Biological Markers / analysis
Heart Failure / diagnosis
Humans
Intensive Care Units*
Natriuretic Peptide, Brain / analysis*
Chemical
Reg. No./Substance:
0/Biological Markers; 114471-18-0/Natriuretic Peptide, Brain
Comments/Corrections
Erratum In:
Curr Opin Crit Care. 2008 Dec;14(6):733

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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