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Dtsch. Med. Wochenschr. · Apr 2020
[Sequential Natriuretic Peptide Measurements to Monitor Treatment and Prognosis During Heart Failure Therapy].
- Marc Ulrich Becher.
- Herzzentrum Bonn, Universitätsklinikum Bonn.
- Dtsch. Med. Wochenschr. 2020 Apr 1; 145 (7): 458-463.
AbstractNatriuretic peptide serum levels (NP) are the most robust predictors of heart failure (HF) diagnosis and prognosis. Therefore, international HF guidelines give highest evidence and recommendation on their clinical usage, particular in patients with dyspnea. Key message of this review is to inform about the concept of sequential NP measurements as quantifiable plasma biomarker to objectify sodium-water-dynamics and clinical therapy response during recompensation of HF patients. Essentially, three clinical scenarios result of sequential NP measurements and might have a valuable role in HF risk stratification, prognosis and need of therapy optimization of in- and outpatient care.© Georg Thieme Verlag KG Stuttgart · New York.
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