PMID- 19379453 OWN - NLM STAT- MEDLINE DCOM- 20090804 LR - 20161125 IS - 1751-7133 (Electronic) IS - 1527-5299 (Linking) VI - 15 IP - 2 DP - 2009 Mar-Apr TI - Prognostic value of natriuretic peptides in Chagas' disease: a head-to-head comparison of the 3 natriuretic peptides. PG - 75-81 LID - 10.1111/j.1751-7133.2009.00051.x [doi] AB - To determine the diagnostic and prognostic value of natriuretic peptides in patients with Chagas' disease (CD), the authors first measured atrial (ANP), B-type (BNP), and C-type natriuretic peptide (CNP) and compared their diagnostic and prognostic capacity with that in other dilated cardiomyopathies (DCM). The CD and DCM patients were subdivided according to their New York Heart Association (NYHA) classification. Circulating ANP and more pronounced BNP, but not CNP, were increased in CD and DCM patients in relation to NYHA class. Importantly, ANP and BNP were already significantly elevated in CD patients without systolic ventricular dysfunction. All 3 natriuretic peptides were correlated with echocardiographic parameters in CD patients. While ANP and BNP have high predictive value for mortality and necessity for heart transplant in CD, CNP can not predict them. Thus, ANP and BNP rather than CNP could be used as valuable molecular markers to identify asymptomatic CD patients for early therapy and predict clinical outcomes. FAU - Moreira, Maria da Consolacao V AU - Moreira Mda C AD - Department of Internal Medicine, UFMG, Belo Horizonte, Brazil. FAU - Wang, Yong AU - Wang Y FAU - Heringer-Walther, Silvia AU - Heringer-Walther S FAU - Wessel, Niels AU - Wessel N FAU - Walther, Thomas AU - Walther T LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Congest Heart Fail JT - Congestive heart failure (Greenwich, Conn.) JID - 9714174 RN - 0 (Biomarkers) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 127869-51-6 (Natriuretic Peptide, C-Type) RN - 85637-73-6 (Atrial Natriuretic Factor) SB - IM MH - Adult MH - Atrial Natriuretic Factor/*blood MH - Biomarkers/blood MH - Cardiomyopathy, Dilated/blood/diagnostic imaging/mortality MH - Chagas Cardiomyopathy/*blood/diagnostic imaging/mortality MH - Cohort Studies MH - Echocardiography MH - Female MH - Heart Failure/blood/diagnostic imaging MH - Heart Transplantation MH - Humans MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Natriuretic Peptide, C-Type/*blood MH - Prognosis MH - Prospective Studies MH - Statistics as Topic MH - Survival Rate MH - Ventricular Dysfunction, Left/blood/diagnostic imaging/mortality EDAT- 2009/04/22 09:00 MHDA- 2009/08/06 09:00 CRDT- 2009/04/22 09:00 PHST- 2009/04/22 09:00 [entrez] PHST- 2009/04/22 09:00 [pubmed] PHST- 2009/08/06 09:00 [medline] AID - CHF051 [pii] AID - 10.1111/j.1751-7133.2009.00051.x [doi] PST - ppublish SO - Congest Heart Fail. 2009 Mar-Apr;15(2):75-81. doi: 10.1111/j.1751-7133.2009.00051.x.