PMID- 12392300 OWN - NLM STAT- MEDLINE DCOM- 20030710 LR - 20161018 IS - 1434-6621 (Print) IS - 1434-6621 (Linking) VI - 40 IP - 8 DP - 2002 Aug TI - Comparative measurement of N-terminal pro-brain natriuretic peptide and brain natriuretic peptide in ambulatory patients with heart failure. PG - 761-3 AB - It is not clear whether brain natriuretic peptide (BNP) or N-terminal proBNP (NT-proBNP) is superior as a diagnostic and prognostic indicator in cardiac diseases. Here, we compare the clinical correlations of both peptides in a population of 92 ambulatory patients with heart failure, using a well-established immunoradiometric assay (IRMA) for BNP and an automated electrochemiluminescence immunoassay for NT-proBNP. The analytical correlation between the two peptides was satisfactory over a wide range of concentrations (1-686 pM for BNP) with the equation: NT-proBNP = 3.48 x BNP -19 and a correlation coefficient r2=0.94. In addition, the concentration of both peptides increased in a similar fashion according to the severity of the disease New York Heart Association (NYHA) functional class, left ventricular ejection fraction, etiology) and age; for instance, the ratios between median levels measured in NYHA class III vs. class II patients were comparable for BNP (383 vs. 16 pM, ratio 24) and NT-proBNP (1306 vs. 57 pM, ratio 23). We conclude that N-terminal proBNP, as assayed in the present study, correlates equally to BNP with clinical variables in patients with heart failure. FAU - Masson, Serge AU - Masson S AD - Department of Cardiovascular Research, Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy. FAU - Vago, Tarcisio AU - Vago T FAU - Baldi, Gabriella AU - Baldi G FAU - Salio, Monica AU - Salio M FAU - De Angelis, Noeleen AU - De Angelis N FAU - Nicolis, Enrico AU - Nicolis E FAU - Maggioni, Aldo P AU - Maggioni AP FAU - Latini, Roberto AU - Latini R FAU - Norbiato, Guido AU - Norbiato G FAU - Bevilacqua, Maurizio AU - Bevilacqua M LA - eng PT - Comparative Study PT - Journal Article PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Biomarkers) RN - 0 (Nerve Tissue Proteins) RN - 0 (Peptide Fragments) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Heart Failure/blood/*diagnosis MH - Humans MH - Immunoradiometric Assay MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Nerve Tissue Proteins/*blood MH - Peptide Fragments/*blood MH - Prognosis MH - Reproducibility of Results MH - Sensitivity and Specificity EDAT- 2002/10/24 04:00 MHDA- 2003/07/11 05:00 CRDT- 2002/10/24 04:00 PHST- 2002/10/24 04:00 [pubmed] PHST- 2003/07/11 05:00 [medline] PHST- 2002/10/24 04:00 [entrez] AID - 10.1515/CCLM.2002.130 [doi] PST - ppublish SO - Clin Chem Lab Med. 2002 Aug;40(8):761-3. doi: 10.1515/CCLM.2002.130.