PMID- 18174755 OWN - NLM STAT- MEDLINE DCOM- 20080319 LR - 20220408 IS - 1076-7460 (Print) IS - 1076-7460 (Linking) VI - 17 IP - 1 DP - 2008 Jan-Feb TI - High NT-proBNP is a strong predictor of outcome in elderly heart failure patients. PG - 13-20 AB - All patients older than 65 years (184 men; mean age, 78+/-0.8 years/181 women; mean age, 82+/-0.6 years) seeking medical attention at the Lund University Hospital Emergency Clinic during a 2-year period who had an N-terminal prohormone brain natriuretic peptide (NT-proBNP) value >2000 pg/mL were followed up for survival. Mortality in the entire population was 21% after 3 months, 35% after 1 year, and 40% after 2 years. Multivariate analysis indicated that the NT-proBNP level and the New York Heart Association (NYHA) functional class were stronger predictors of mortality than were echocardiographic estimation of left ventricular ejection fraction or chest radiography. Patients who survived the first year were younger, had higher systolic blood pressure, had lower plasma creatinine, had lower inflammatory activity, and were treated with lower doses of furosemide. The results indicate that in this population, NT-proBNP level together with assessment of NYHA class gives the best prognostic information of 1-year mortality. FAU - Andersson, Sven E AU - Andersson SE AD - Department of Emergency Medicine, Institute of Clinical Science, Lund University Hospital, Lund, Sweden. sven.ea@telia.com FAU - Edvinsson, Marie-Louise AU - Edvinsson ML FAU - Bjork, Jonas AU - Bjork J FAU - Edvinsson, Lars AU - Edvinsson L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Geriatr Cardiol JT - The American journal of geriatric cardiology JID - 9215283 RN - 0 (Peptide Fragments) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 7LXU5N7ZO5 (Furosemide) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Aging/physiology MH - Female MH - Furosemide/therapeutic use MH - Health Status MH - Health Status Indicators MH - Heart Failure/drug therapy/mortality/*physiopathology MH - Humans MH - Male MH - *Natriuretic Peptide, Brain MH - *Peptide Fragments MH - Prognosis MH - Prospective Studies MH - Sickness Impact Profile MH - *Treatment Outcome EDAT- 2008/01/05 09:00 MHDA- 2008/03/20 09:00 CRDT- 2008/01/05 09:00 PHST- 2008/01/05 09:00 [pubmed] PHST- 2008/03/20 09:00 [medline] PHST- 2008/01/05 09:00 [entrez] AID - 10.1111/j.1076-7460.2007.06674.x [doi] PST - ppublish SO - Am J Geriatr Cardiol. 2008 Jan-Feb;17(1):13-20. doi: 10.1111/j.1076-7460.2007.06674.x.