Plasma concentrations of N-terminal pro-brain natriuretic peptide in control children from the neonatal to adolescent period and in children with congestive heart failure
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Plasma concentrations of N-terminal pro-brain natriuretic peptide in control children from the neonatal to adolescent period and in children with congestive heart failure. / Mir, Thomas S; Marohn, Sönke; Läer, Stephanie; Eiselt, Michele; Grollmus, Oswin; Weil, Jochen.
In: PEDIATRICS, Vol. 110, No. 6, 12.2002, p. e76.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Plasma concentrations of N-terminal pro-brain natriuretic peptide in control children from the neonatal to adolescent period and in children with congestive heart failure
AU - Mir, Thomas S
AU - Marohn, Sönke
AU - Läer, Stephanie
AU - Eiselt, Michele
AU - Grollmus, Oswin
AU - Weil, Jochen
PY - 2002/12
Y1 - 2002/12
N2 - OBJECTIVE: To determine plasma levels of N-terminal pro-brain natriuretic peptide (N-BNP) in control children to establish a normal age-dependent range from the neonatal period to adulthood. In addition, plasma concentrations of N-BNP were measured in children with congestive heart failure (CHF) and correlated with ejection fraction and clinical symptoms of heart failure.METHODS: For establishing a normal age-dependent range of plasma N-BNP, venous blood samples were taken in 133 control patients from the neonatal period to adulthood (10 days-32 years) and in 31 children with CHF. Plasma N-BNP levels were determined by an enzyme immunoassay. In children (1 month-14 years) with CHF, plasma N-BNP levels were correlated to ejection fraction measured by echocardiography and clinical symptoms of heart failure using the Ross Score.RESULTS: N-BNP levels in control children, adolescents, and adults did not show a significant age-related difference. In control children, the normal range was established between 150 (10th percentile) and 430 fmol/mL (90th percentile). Mean plasma N-BNP in control children was 311 fmol/mL (range: 74-654 fmol/mL). In 31 children with CHF, the plasma N-BNP levels were significantly higher (mean: 846; range: 219-2718) than in control children. N-BNP levels showed a negative correlation with the ejection fraction (r = -0.53) and a positive correlation with the clinical heart failure score (r = 0.74).CONCLUSIONS: Plasma N-BNP levels reflect the severity of symptoms of heart failure and the impairment of cardiac function in children with CHF. In the future, determination of plasma N-BNP levels may be used as a helpful adjunct to monitor the effect of various treatments for CHF in children.
AB - OBJECTIVE: To determine plasma levels of N-terminal pro-brain natriuretic peptide (N-BNP) in control children to establish a normal age-dependent range from the neonatal period to adulthood. In addition, plasma concentrations of N-BNP were measured in children with congestive heart failure (CHF) and correlated with ejection fraction and clinical symptoms of heart failure.METHODS: For establishing a normal age-dependent range of plasma N-BNP, venous blood samples were taken in 133 control patients from the neonatal period to adulthood (10 days-32 years) and in 31 children with CHF. Plasma N-BNP levels were determined by an enzyme immunoassay. In children (1 month-14 years) with CHF, plasma N-BNP levels were correlated to ejection fraction measured by echocardiography and clinical symptoms of heart failure using the Ross Score.RESULTS: N-BNP levels in control children, adolescents, and adults did not show a significant age-related difference. In control children, the normal range was established between 150 (10th percentile) and 430 fmol/mL (90th percentile). Mean plasma N-BNP in control children was 311 fmol/mL (range: 74-654 fmol/mL). In 31 children with CHF, the plasma N-BNP levels were significantly higher (mean: 846; range: 219-2718) than in control children. N-BNP levels showed a negative correlation with the ejection fraction (r = -0.53) and a positive correlation with the clinical heart failure score (r = 0.74).CONCLUSIONS: Plasma N-BNP levels reflect the severity of symptoms of heart failure and the impairment of cardiac function in children with CHF. In the future, determination of plasma N-BNP levels may be used as a helpful adjunct to monitor the effect of various treatments for CHF in children.
KW - Adolescent
KW - Adult
KW - Angiotensin-Converting Enzyme Inhibitors/therapeutic use
KW - Child
KW - Child, Preschool
KW - Digoxin/therapeutic use
KW - Diuretics/therapeutic use
KW - Echocardiography
KW - Heart Failure/blood
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Natriuretic Peptide, Brain
KW - Nerve Tissue Proteins/blood
KW - Peptide Fragments/blood
KW - Protein Precursors/blood
KW - Reference Values
KW - Severity of Illness Index
KW - Stroke Volume
U2 - 10.1542/peds.110.6.e76
DO - 10.1542/peds.110.6.e76
M3 - SCORING: Journal article
C2 - 12456943
VL - 110
SP - e76
JO - PEDIATRICS
JF - PEDIATRICS
SN - 0031-4005
IS - 6
ER -