C-type natriuretic peptide and its relation to non-invasive indices of left ventricular function in patients with chronic heart failure.

Abstract:

:C-type natriuretic peptide (CNP) significantly increases in chronic heart failure (CHF) patients as a function of clinical severity. Aim of this study was to evaluate in CHF patients the relationship between circulating CNP concentrations and echo-Doppler conventional indices of left ventricular (LV) function as well as less load independent parameters as dP/dt. LV ejection fraction (EF), left ventricular end-diastolic dimension (LVEDD) and LV dP/dt were evaluated together with plasma CNP levels in 38 patients with CHF and in 63 controls. CNP levels resulted significantly higher in CHF patients than in controls (7.19+/-0.59 pg/ml vs. 2.52+/-0.12 pg/ml, p<0.0001). A significant correlation between dP/dt and CNP levels (r=-0.61, p<0.0001) was observed. A good correlation with EF (r=-0.55, p<0.001) and a less significant relation with LVEDD (r=0.316, p<0.05) were also reported. When patients were divided according to dP/dt values a very significant difference in CNP levels was observed: Group I (<600, n=25) vs. Group II (>600, n=13): 8.46+/-0.69 and 4.75+/-0.75 pg/ml, respectively, p<0.001. This is the first study that reports a correlation between CNP and dP/dt in CHF patients, thus suggesting a possible role on cardiac contractility.

journal_name

Peptides

journal_title

Peptides

authors

Del Ry S,Maltinti M,Cabiati M,Emdin M,Giannessi D,Morales MA

doi

10.1016/j.peptides.2007.10.022

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

79-82

issue

1

eissn

0196-9781

issn

1873-5169

pii

S0196-9781(07)00437-8

journal_volume

29

pub_type

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