Published online before print
September 13, 2006, 10.1183/09031936.00016006
Eur Respir J 2006; 28:1190-1194
Copyright ©ERS Journals Ltd 2006
NT-proBNP reflects right ventricular structure and function in pulmonary hypertension
C. T. Gan1,
G. P. McCann2,
J. T. Marcus3,
S. A. van Wolferen1,
J. W. Twisk4,
A. Boonstra1,
P. E. Postmus1 and
A. Vonk-Noordegraaf1
1 Depts of Pulmonary Diseases, 3 Physics and Medical Technology, and, 4 Clinical Epidemiology and Biostatistics, Institute for Cardiovascular Research ICaR-VU, VU University Medical Centre Amsterdam, The Netherlands, and 2 Dept of Cardiology, University Hospitals Leicester, NHS Trust, Leicester, UK.
CORRESPONDENCE: A. Vonk-Noordegraaf, Dept of Pulmonary diseases, VU University Medical Centre, De Boelelaan 1117, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands. Fax: 31 204444328. E-mail: a.vonk{at}vumc.nl
Keywords: Magnetic resonance imaging, N-terminal pro brain natriuretic peptide, pulmonary hypertension, right ventricle
Received: February 2, 2006
Accepted August 14, 2006
The aim of the current study was to investigate whether alterations in N-terminal pro brain natriuretic peptide (NT-proBNP) reflect changes in right ventricular structure and function in pulmonary hypertension patients during treatment.
The study consisted of 30 pulmonary hypertension patients; 15 newly diagnosed and 15 on long-term treatment. NT-proBNP, right heart catheterisation and cardiac magnetic resonance imaging measurements were performed, at baseline and follow-up.
There were no significant differences between newly diagnosed patients and those on treatment at baseline or follow-up with respect to NT-proBNP, haemodynamics and right ventricular parameters. Relative changes in NT-proBNP during treatment were correlated to the relative changes in right ventricular end-diastolic volume index (r = 0.59), right ventricular mass index (r = 0.62) and right ventricular ejection fraction (r = 0.81).
N-terminal pro brain natriuretic peptide measurements reflect changes in magnetic resonance imaging-measured right ventricular structure and function in pulmonary hypertension patients. An increase in N-terminal pro brain natriuretic peptide over time reflects right ventricular dilatation concomitant to hypertrophy and deterioration of systolic function.
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Copyright © 2006 by the European Respiratory Society.
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