PMID- 20627038 OWN - NLM STAT- MEDLINE DCOM- 20100902 LR - 20140226 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 49 IP - 4 DP - 2010 Apr TI - [The association study of serum total bilirubin, plasma N-terminal proBNP and invasive hemodynamic parameters in patients with heart failure]. PG - 313-5 AB - OBJECTIVE: To explore the correlation among serum total bilirubin (TBil), invasive hemodynamic parameters, plasma N-terminal proBNP (NT-proBNP) and C reactive protein (CRP) in patients with heart failure. METHODS: Invasive hemodynamic parameters derived from Swan-Ganz catheter, TBil, plasma NT-proBNP and CRP within 12 hours after hospital admission were analyzed in 130 patients with chronic heart failure [New York Heart Association (NYHA) class II-IV]. RESULTS: Compared with those in non-hyperbilirubinemia group, pulmonary capillary wedge pressure (PCWP), NT-proBNP and left ventriculus ejection fraction were different significantly in total hyperbilirubinemia group [(26.09 vs 16.00) mm Hg (1 mm Hg = 0.133 kPa), (3.36 vs 2.91) pmol/L, (34.12 vs 28.92)%, P < 0.05]. The serum TBil increased significantly in higher PCWP, right atrial pressure and NT-proBNP groups than those in lower level groups [(32.22 vs 24.17), (37.52 vs 24.19), (32.14 vs 16.74) pmol/L, P < 0.05]. Partial correlation analysis showed serum TBil was associated with PCWP, right atrial pressure, pulmonary vascular resistance index and NT-proBNP respectively (r = 0.21, P = 0.02; r = 0.33, P < 0.01; r = 0.20, P = 0.04; r = 0.37, P < 0.01, respectively). Multiple linear regression analysis showed both right atrial pressure and NT-proBNP correlated independently with serum TBil (beta = 0.39, P < 0.01; beta = 0.29, P = 0.01, respectively). CONCLUSION: For patients with heart failure, serum TBil correlated well with right atrial pressure, PCWP and NT-proBNP; it is a reliable indicator for exact clinical evaluation of heart failure. FAU - Zhang, Yu-hui AU - Zhang YH AD - Department of Cardiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China. FAU - Zhang, Jian AU - Zhang J FAU - Wang, Dong AU - Wang D FAU - Lu, Rong AU - Lu R FAU - Wei, Bing-qi AU - Wei BQ FAU - Kang, Lian-ming AU - Kang LM LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 0 (Peptide Fragments) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - RFM9X3LJ49 (Bilirubin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Bilirubin/*blood MH - Female MH - Heart Failure/*blood/*physiopathology MH - *Hemodynamics MH - Humans MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Peptide Fragments/*blood MH - Young Adult EDAT- 2010/07/16 06:00 MHDA- 2010/09/03 06:00 CRDT- 2010/07/15 06:00 PHST- 2010/07/15 06:00 [entrez] PHST- 2010/07/16 06:00 [pubmed] PHST- 2010/09/03 06:00 [medline] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2010 Apr;49(4):313-5.