• Disease-a-month : DM · Oct 2024

    The prognostic significance of pro-BNP and heart failure in acute pulmonary embolism: A systematic review.

    • Gurmehar Singh, Hyma Bamba, Pugazhendi Inban, Sai Harini Chandrasekaran, Vemparala Priyatha, Jobby John, and Priyadarshi Prajjwal.
    • Government Medical College and Hospital, Chandigarh, India.
    • Dis Mon. 2024 Oct 1; 70 (10): 101783101783.

    AbstractPulmonary embolism (PE) is the third most common type of cardiovascular disease and carries a high mortality rate of 30% if left untreated. Although it is commonly known that individuals who suffer heart failure (HF) are more likely to experience a pulmonary embolism, little is known concerning the prognostic relationship between acute PE and HF. This study aims to evaluate the prognostic usefulness of heart failure and pro-BNP in pulmonary embolism cases. A scientific literature search, including PubMed, Medline, and Cochrane reviews, was used to assess and evaluate the most pertinent research that has been published. The findings showed that increased N-terminal brain natriuretic peptide (NT-proBNP) levels could potentially identify pulmonary embolism patients with worse immediate prognoses and were highly predictive of all-cause death. Important prognostic information can be obtained from NT-proBNP and Heart-type Fatty Acid Binding Proteins (H-FABP) when examining individuals with PE. The heart, distal tubular cells of the renal system, and skeletal muscle are where H-FABP is primarily found, with myocardial cells having the highest concentration. Recent studies have indicated that these biomarkers may also help assess the severity of PE and its long-term risk.Copyright © 2024 Elsevier Inc. All rights reserved.

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