NT-pro-B-type natriuretic peptide in infants and children: reference values based on combined data from four studies
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NT-pro-B-type natriuretic peptide in infants and children: reference values based on combined data from four studies. / Nir, Amiram; Lindinger, Angelika; Rauh, Manfred; Bar-Oz, Benjamin; Laer, Stephanie; Schwachtgen, Lynn; Koch, Andreas; Falkenberg, Jan; Mir, Thomas S.
in: PEDIATR CARDIOL, Jahrgang 30, Nr. 1, 01.2009, S. 3-8.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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T1 - NT-pro-B-type natriuretic peptide in infants and children: reference values based on combined data from four studies
AU - Nir, Amiram
AU - Lindinger, Angelika
AU - Rauh, Manfred
AU - Bar-Oz, Benjamin
AU - Laer, Stephanie
AU - Schwachtgen, Lynn
AU - Koch, Andreas
AU - Falkenberg, Jan
AU - Mir, Thomas S
PY - 2009/1
Y1 - 2009/1
N2 - In cardiology, B-type natriuretic peptide and the amino terminal segment of its prohormone (NT-proBNP) are important biomarkers. The importance of these peptides as markers for heart disease in pediatric cardiology is reviewed. The peptide levels are dependent on age, assay, and possibly gender. The normal value range and upper limits for infants and children are needed. To determine reference values, data were combined from four studies that measured NT-proBNP levels in normal infants and children using the same electrochemiluminescence assay. The age intervals for the upper limits of normal were chosen for intervals in which no age-dependent change was observed. Statistical analysis was performed on log-transformed data. A total of 690 subjects (47% males) ages birth to 18 years were included in the review. The levels of NT-proBNP were highest in the first days of life, then showed a marked decline in the first week or weeks. The peptide levels continued to decline gradually with age (r = 0.43; p < 0.001). Male and female levels differed only for children ages 10 to 14 years. However, the upper limit of normal did not differ between the boys and girls in any age group. The findings lead to the conclusion that B-type natriuretic peptide (BNP) and NT-proBNP are important markers for heart disease in pediatric cardiology. The levels of NT-proBNP are highest in the first days of life and decrease drastically thereafter. A mild gradual decline occurs with age throughout childhood. Girls have somewhat higher levels of NT-proBNP during puberty.
AB - In cardiology, B-type natriuretic peptide and the amino terminal segment of its prohormone (NT-proBNP) are important biomarkers. The importance of these peptides as markers for heart disease in pediatric cardiology is reviewed. The peptide levels are dependent on age, assay, and possibly gender. The normal value range and upper limits for infants and children are needed. To determine reference values, data were combined from four studies that measured NT-proBNP levels in normal infants and children using the same electrochemiluminescence assay. The age intervals for the upper limits of normal were chosen for intervals in which no age-dependent change was observed. Statistical analysis was performed on log-transformed data. A total of 690 subjects (47% males) ages birth to 18 years were included in the review. The levels of NT-proBNP were highest in the first days of life, then showed a marked decline in the first week or weeks. The peptide levels continued to decline gradually with age (r = 0.43; p < 0.001). Male and female levels differed only for children ages 10 to 14 years. However, the upper limit of normal did not differ between the boys and girls in any age group. The findings lead to the conclusion that B-type natriuretic peptide (BNP) and NT-proBNP are important markers for heart disease in pediatric cardiology. The levels of NT-proBNP are highest in the first days of life and decrease drastically thereafter. A mild gradual decline occurs with age throughout childhood. Girls have somewhat higher levels of NT-proBNP during puberty.
KW - Adolescent
KW - Age Factors
KW - Biomarkers/blood
KW - Child
KW - Child, Preschool
KW - Electrochemical Techniques
KW - Female
KW - Heart Diseases/blood
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Luminescence
KW - Male
KW - Natriuretic Peptide, Brain/blood
KW - Peptide Fragments/blood
KW - Reference Values
KW - Sex Factors
U2 - 10.1007/s00246-008-9258-4
DO - 10.1007/s00246-008-9258-4
M3 - SCORING: Review article
C2 - 18600369
VL - 30
SP - 3
EP - 8
JO - PEDIATR CARDIOL
JF - PEDIATR CARDIOL
SN - 0172-0643
IS - 1
ER -