PMID- 22048047 OWN - NLM STAT- MEDLINE DCOM- 20120327 LR - 20211020 IS - 1097-6833 (Electronic) IS - 0022-3476 (Print) IS - 0022-3476 (Linking) VI - 160 IP - 3 DP - 2012 Mar TI - Correlation of N-terminal fragment of B-type natriuretic peptide levels with clinical, laboratory, and echocardiographic abnormalities in children with sickle cell disease. PG - 428-433.e1 LID - 10.1016/j.jpeds.2011.09.015 [doi] AB - OBJECTIVE: To determine whether the N-terminal fragment of B-type natriuretic peptide (NTproBNP) was a biomarker of clinical, laboratory, and echocardiographic abnormalities in children with homozygous sickle cell disease. STUDY DESIGN: We conducted a single-center retrospective study that consisted of analysis of data from November 2007 to December 2010. We correlated serum NTproBNP with clinical and laboratory findings, echocardiographic data, and New York Heart Association (NYHA) functional class. RESULTS: NTproBNP levels from 42 children (median age, 9 years; 52% female) had significant correlations with hemoglobin (r = -0.63, P < .05), and echocardiographic measurements including tricuspid regurgitant velocity (r = 0.46, P < .05), lateral E' (r = -0.52, P < .05), and lateral E/E' ratio (r = 0.60, P < .05), suggesting diastolic dysfunction. In addition, NTproBNP levels increased from NYHA functional class I to class III and had a significant linear correlation with the NYHA functional class (r = 0.69, P < .05). CONCLUSIONS: NTproBNP correlated with low hemoglobin and tissue Doppler data as indicators of diastolic dysfunction. Elevated NTproBNP may be a prognostic biomarker for the presence of diastolic dysfunction related to anemia in children with sickle cell disease. CI - Copyright A(c) 2012 Mosby, Inc. All rights reserved. FAU - Takatsuki, Shinichi AU - Takatsuki S AD - Department of Pediatrics, Section of Pediatric Cardiology, University of Colorado Denver School of Medicine, Children's Hospital of Colorado, Aurora, CO 80045, USA. tekeshin0621@msn.com FAU - Ivy, David Dunbar AU - Ivy DD FAU - Nuss, Rachelle AU - Nuss R LA - eng GR - UL1 RR025780/RR/NCRR NIH HHS/United States GR - M01 RR000069/RR/NCRR NIH HHS/United States GR - UL1 RR025780-04/RR/NCRR NIH HHS/United States GR - M01 RR000069-45/RR/NCRR NIH HHS/United States GR - M01-RR00069/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111101 PL - United States TA - J Pediatr JT - The Journal of pediatrics JID - 0375410 RN - 0 (Biomarkers) RN - 0 (Hemoglobins) RN - 0 (Peptide Fragments) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM EIN - J Pediatr. 2012 Mar;160(3):533 MH - Adolescent MH - Anemia, Sickle Cell/blood/complications/*diagnosis/physiopathology MH - Biomarkers/blood MH - Blood Flow Velocity MH - Child MH - Child, Preschool MH - *Echocardiography MH - Female MH - Hemoglobins/analysis MH - Humans MH - Male MH - Natriuretic Peptide, Brain/*blood MH - Peptide Fragments/*blood MH - Prognosis MH - Tricuspid Valve Insufficiency/complications/diagnostic imaging/physiopathology MH - Young Adult PMC - PMC3274616 MID - NIHMS324397 COIS- The authors declare no conflicts of interest. EDAT- 2011/11/04 06:00 MHDA- 2012/03/28 06:00 PMCR- 2013/03/01 CRDT- 2011/11/04 06:00 PHST- 2011/03/25 00:00 [received] PHST- 2011/07/26 00:00 [revised] PHST- 2011/09/07 00:00 [accepted] PHST- 2011/11/04 06:00 [entrez] PHST- 2011/11/04 06:00 [pubmed] PHST- 2012/03/28 06:00 [medline] PHST- 2013/03/01 00:00 [pmc-release] AID - S0022-3476(11)00929-2 [pii] AID - 10.1016/j.jpeds.2011.09.015 [doi] PST - ppublish SO - J Pediatr. 2012 Mar;160(3):428-433.e1. doi: 10.1016/j.jpeds.2011.09.015. Epub 2011 Nov 1.