PMID- 32742368 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 20 IP - 2 DP - 2020 Aug TI - Application of blood pre-albumin and NT-pro BNP levels in evaluating prognosis of elderly chronic heart failure patients. PG - 1337-1342 LID - 10.3892/etm.2020.8865 [doi] AB - Levels of blood pre-albumin (PA) and N-terminal pro-B-type natriuretic peptide (NT-pro BNP) in elderly patients with chronic heart failure (CHF) and their clinical value in prognosis evaluation were explored. A total of 410 elderly patients aged >/=65 years hospitalized for CHF were enrolled. The concentrations of blood PA and NT-pro BNP, routine blood test and biochemistry indicators were determined and color Doppler echocardiography was performed. Additionally, the patients were followed up after discharge, and based on the occurrence of major adverse cardiac events (MACE), they were divided into MACE group and non-MACE group. MACE group had an older age and a higher level of plasma NT-pro BNP than non-MACE group (77.82+/-6.57) years vs. (76.39+/-6.18) years, and (8,864.52+/-9,718.36) pg/ml vs. (4,165.62+6,437.28) pg/ml (P<0.05), and the left ventricular ejection fraction and serum PA level in MACE group were lower than those in non-MACE group (P<0.05). According to the results of multivariate regression analysis, serum PA [odds ratio (OR)=0.242, 95% confidence interval (CI)=0.137-0.406, P<0.001] and plasma NT-pro BNP (OR=1.847, 95% CI=1.024-3.158, P=0.036) were independent risk factors for the occurrence of cardiac events during follow-up. Decline in PA level and elevation in NT-pro BNP level have a strong correlation with poor prognosis of elderly CHF patients, and they can be used for clinically evaluating disease conditions, guiding treatment and improving prognosis. CI - Copyright: (c) Shi et al. FAU - Shi, Linying AU - Shi L AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. FAU - Zhang, Yuan AU - Zhang Y AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. FAU - Zhang, Jing AU - Zhang J AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. FAU - Gao, Yuanfeng AU - Gao Y AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. FAU - Liu, Jiamei AU - Liu J AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. FAU - Chen, Mulei AU - Chen M AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. FAU - Yang, Xinchun AU - Yang X AD - Department of Cardiology, Beijing Chaoyang Hospital, Beijing 100020, P.R. China. LA - eng PT - Journal Article DEP - 20200610 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC7388205 OTO - NOTNLM OT - N-terminal pro-B-type natriuretic peptide OT - chronic heart failure OT - major adverse cardiac events OT - pre-albumin OT - prognosis OT - the elderly EDAT- 2020/08/04 06:00 MHDA- 2020/08/04 06:01 PMCR- 2020/06/10 CRDT- 2020/08/04 06:00 PHST- 2019/11/05 00:00 [received] PHST- 2020/03/03 00:00 [accepted] PHST- 2020/08/04 06:00 [entrez] PHST- 2020/08/04 06:00 [pubmed] PHST- 2020/08/04 06:01 [medline] PHST- 2020/06/10 00:00 [pmc-release] AID - ETM-0-0-8865 [pii] AID - 10.3892/etm.2020.8865 [doi] PST - ppublish SO - Exp Ther Med. 2020 Aug;20(2):1337-1342. doi: 10.3892/etm.2020.8865. Epub 2020 Jun 10.