• Cerebrovascular diseases · Jan 2006

    Serial measurements of N-terminal pro-brain natriuretic peptide after acute ischemic stroke.

    • J K Jensen, H Mickley, S Bak, L Korsholm, and S R Kristensen.
    • Department of Cardiology, Odense University Hospital, Odense, Denmark. jesperkjensen@dadlnet.dk
    • Cerebrovasc. Dis. 2006 Jan 1; 22 (5-6): 439-44.

    BackgroundThe exact time-course of N-terminal pro-brain natriuretic peptide (NT-proBNP) and the prognostic importance in the immediate phase of ischemic stroke have not been established.MethodsNT-proBNP was measured daily from admission to day 5 and again at 6-month follow-up in 250 consecutive patients with acute ischemic stroke.ResultsNT-proBNP peaked the day after onset of symptoms (p = 0.007) followed by a decrease until day 5 (p = 0.001, ANOVA). At 6-month follow-up the difference in the level of NT-proBNP was unchanged compared to day 5 (p = 0.42). NT-proBNP levels > or =615 pg/ml at day 2 after onset of symptoms was associated with 6-month mortality.ConclusionNT-proBNP peaks the day after onset of symptoms in patients with acute ischemic stroke. A single measurement of NT-proBNP appears to be an indicator of 6-month mortality.Copyright (c) 2006 S. Karger AG, Basel.

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