title: Natriuretic peptides in acute coronary syndromes: prognostic value and clinical implications.
abstract: Levels of natriuretic peptides, including B-type natriuretic peptide and N-terminal prohormone brain natriuretic peptide, are strong independent predictors of prognosis in acute coronary syndrome (ACS). They are associated with short- and long-term mortality and with the risk of new-onset heart failure, above and beyond the conventional risk factors. Myocardial ischemia and ventricular wall stress are triggers for the release of natriuretic peptides, and although the latter are associated with the severity of the underlying coronary artery disease, they fail to predict recurrent nonfatal ACS. In conclusion, natriuretic peptide values may improve risk stratification in ACS when used in addition to troponin levels and other prognostic markers, but more data are needed to define their role in ACS therapy.
authors.affiliation: Second Department of Cardiology, Athens University Medical School, "Attikon" University Hospital, Athens, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Farmakis
authors.forename: Gerasimos
authors.initials: G
authors.lastname: Filippatos
authors.forename: Marco
authors.initials: M
authors.lastname: Tubaro
authors.forename: W Frank
authors.initials: WF
authors.lastname: Peacock
authors.forename: Salvatore
authors.initials: S
authors.lastname: Disomma
authors.forename: Christian
authors.initials: C
authors.lastname: Mueller
authors.forename: Dimitrios Th
authors.initials: DT
authors.lastname: Kremastinos
authors.forename: Alan S
authors.initials: AS
authors.lastname: Maisel
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000503:physiopathology; D003657:Decision Making; D003937:Diagnosis, Differential; D018450:Disease Progression; D006801:Humans; D020097:Natriuretic Peptide, Brain; D011379:Prognosis
chemical_list: D020097:Natriuretic Peptide, Brain