title: Brain natriuretic peptide and acute coronary syndrome.
abstract: The natriuretic peptide system (atrial natriuretic peptide, brain natriuretic peptide, BNP, and C natriuretic peptide) is an important marker of cardiac failure. These peptides are synthesized in atrial or ventricular myocytes in response to wall tension. In several studies the correlation between high BNP levels and mortality, in patients with acute coronary syndrome and heart failure, has been demonstrated. On the other hand, plasma levels of BNP could be considered as independent predictors of mortality in patients with heart failure. BNP could be used, for instance, as an early diagnostic marker for the differential diagnosis between cardiogenic and non cardiogenic dyspnea. In the Emergency Department its use will be important in the diagnosis of thoracic pain origin since it may help in the diagnostic and therapeutic course of this patient and to define the modality of hospitalization. Moreover, it can be used as a marker of heart failure severity and as an important negative prognostic factor. Some studies have confirmed that plasma BNP reflects the degree of left ventricular dysfunction and the prognostic significance after acute myocardial infarction and chronic heart failure.
authors.affiliation: Department of Emergency and Admission A. Gemelli, University Hospital, UCSC, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Mazzone
authors.forename: P
authors.initials: P
authors.lastname: Forte
authors.forename: G
authors.initials: G
authors.lastname: Portale
authors.forename: F
authors.initials: F
authors.lastname: Mancini
authors.forename: S
authors.initials: S
authors.lastname: Ursella
authors.forename: M
authors.initials: M
authors.lastname: La Sala
authors.forename: A
authors.initials: A
authors.lastname: Testa
authors.forename: M
authors.initials: M
authors.lastname: Covino
authors.forename: G
authors.initials: G
authors.lastname: Pignataro
authors.forename: N
authors.initials: N
authors.lastname: Gentiloni Silveri
mesh_terms: D000789:Angina, Unstable / Q000097:blood* / Q000175:diagnosis / Q000401:mortality; D009320:Atrial Natriuretic Factor / Q000097:blood; D015415:Biomarkers / Q000097:blood*; D003937:Diagnosis, Differential; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood* / Q000175:diagnosis / Q000401:mortality; D020097:Natriuretic Peptide, Brain / Q000097:blood*; D011379:Prognosis; D011498:Protein Precursors / Q000097:blood; D013577:Syndrome; D018487:Ventricular Dysfunction, Left / Q000097:blood* / Q000175:diagnosis / Q000401:mortality
chemical_list: D015415:Biomarkers; D011498:Protein Precursors; D020097:Natriuretic Peptide, Brain; D009320:Atrial Natriuretic Factor