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@article{838323,
author = {Radvan, Martin and Svoboda, Petr and Radvanova, Jana and Stumar, Josef and Scheer, Peter and Svoboda, Petr and Radvanová, Jana and Štumar, Josef and Scheer, Peter},
article_number = {89},
keywords = {Brain natriuretic; peptides; cirrhosis; ascites; cardiomyopathy},
language = {eng},
issn = {0172-6390},
journal = {Hepato-gastroenterology},
title = {Brain Natriuretic Peptide in Decompensation of Liver Cirrhosis in Non-cardiac Patients},
volume = {56},
year = {2009}
}
TY - JOUR
ID - 838323
AU - Radvan, Martin - Svoboda, Petr - Radvanova, Jana - Stumar, Josef - Scheer, Peter - Svoboda, Petr - Radvanová, Jana - Štumar, Josef - Scheer, Peter
PY - 2009
TI - Brain Natriuretic Peptide in Decompensation of Liver Cirrhosis in Non-cardiac Patients
JF - Hepato-gastroenterology
VL - 56
IS - 89
SP - 181-185
EP - 181-185
SN - 01726390
KW - Brain natriuretic
KW - peptides
KW - cirrhosis
KW - ascites
KW - cardiomyopathy
N2 - Brain natriuretic peptide is recently widely used as a diagnostic and prognostic marker of heart failure. Plasma levels of this peptide are elevated in other, non-cardiac conditions as well, among others in liver cirrhosis, especially presenting with fluid retention and, - ascites. Methods: Circulating levels of BNP was determined in 25 non-cardiac patients, 20 men, 5 women admitted at our medicine department from March 2006 to September 2007 with decompensate ascitic liver cirrhosis. Severity of disease was measured by Child and MELD (Model of End Stage of Liver Disease) score. Results: Plasma BNP was increased in our patients (range 21-1078pg/ml) and significantly correlated with the severity of liver failure assigned as Child's classification (r=0.51; p=0.009) and MELD score (r=0.56; p=0.003) as well as with the glomerular filtration rate (r=-0.62; p=0.0009). Four patients with initial BNP >600 ng/L died, while all 21 patients with BNP <600 ng/L survived (p=0.0019). Conclusion: B-type natriuretic peptide in plasma correlated significantly with the severity of liver disease in cirrhotic patients. High plasma BNP seems to be a good negative prognostic factor of the death in cirrhosis.
ER -
RADVAN, Martin, Petr SVOBODA, Jana RADVANOVA, Josef STUMAR a Peter SCHEER. Brain Natriuretic Peptide in Decompensation of Liver Cirrhosis in Non-cardiac Patients. \textit{Hepato-gastroenterology}. 2009, roč.~56, č.~89, s.~181-185. ISSN~0172-6390.
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