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Determinants of plasma brain natriuretic peptide levels in untreated hypertensive patients

Background Plasma brain natriuretic peptide (BNP) level is elevated in patients with left ventricular (LV) hypertrophy reflecting not only altered LV geometry but LV systolic and/or diastolic dysfunction. However, the values and limitations of BNP measurements are unclear in patients with untreated...

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Published in:Journal of echocardiography 2011-09, Vol.9 (3), p.103-108
Main Authors: Goda, Akiko, Nakao, Shinji, Tsujino, Takeshi, Yuba, Masao, Otsuka, Misato, Matsumoto, Mika, Yoshida, Chikako, Naito, Yoshiro, Lee-Kawabata, Masaaki, Ohyanagi, Mitsumasa, Masuyama, Tohru
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cited_by cdi_FETCH-LOGICAL-c471t-e230f222e99686f5aebbd79354602ae3fed1a6277202a96c64e3522f2b2c92503
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container_start_page 103
container_title Journal of echocardiography
container_volume 9
creator Goda, Akiko
Nakao, Shinji
Tsujino, Takeshi
Yuba, Masao
Otsuka, Misato
Matsumoto, Mika
Yoshida, Chikako
Naito, Yoshiro
Lee-Kawabata, Masaaki
Ohyanagi, Mitsumasa
Masuyama, Tohru
description Background Plasma brain natriuretic peptide (BNP) level is elevated in patients with left ventricular (LV) hypertrophy reflecting not only altered LV geometry but LV systolic and/or diastolic dysfunction. However, the values and limitations of BNP measurements are unclear in patients with untreated hypertension. In this study, plasma BNP level was compared with LV geometric and functional characteristics in patients with untreated hypertension. Methods Plasma BNP level was measured in 115 patients with untreated hypertension (72 males, 43 females, aged 60 ± 12 years). Routine echo parameters of LV geometry and LV systolic and diastolic performance were also determined. Results LV ejection fraction was 67 ± 6% and plasma BNP level was 32 ± 30 pg/ml. Plasma BNP levels correlated with age, LV mass index (LVMI), and mitral E velocity, respectively ( r  = 0.46, p  
doi_str_mv 10.1007/s12574-011-0086-9
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However, the values and limitations of BNP measurements are unclear in patients with untreated hypertension. In this study, plasma BNP level was compared with LV geometric and functional characteristics in patients with untreated hypertension. Methods Plasma BNP level was measured in 115 patients with untreated hypertension (72 males, 43 females, aged 60 ± 12 years). Routine echo parameters of LV geometry and LV systolic and diastolic performance were also determined. Results LV ejection fraction was 67 ± 6% and plasma BNP level was 32 ± 30 pg/ml. Plasma BNP levels correlated with age, LV mass index (LVMI), and mitral E velocity, respectively ( r  = 0.46, p  &lt; 0.05; r  = 0.21, p  &lt; 0.05; r  = 0.29, p  &lt; 0.05, respectively), but not with systolic blood pressure or relative wall thickness ( r  = 0.01; r  = −0.02). Plasma BNP level correlated with E / E′ ratio ( r  = 0.27, p  &lt; 0.05, n  = 77). When a stepwise multivariate analysis was performed, E velocity was selected in addition to age and LVMI as significant correlates of plasma BNP level. Conclusions LVMI and E velocity were independent determinants of plasma BNP level in patients with untreated hypertension. Plasma BNP level is substantially useful for the screening of abnormalities of LV geometry and/or function in patients with untreated hypertension. Additional echocardiography is useful to assess the mechanism of the elevation of plasma BNP level in untreated hypertensive patients.</description><identifier>ISSN: 1349-0222</identifier><identifier>EISSN: 1880-344X</identifier><identifier>DOI: 10.1007/s12574-011-0086-9</identifier><identifier>PMID: 27277177</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Brain natriuretic peptide ; Cardiology ; Echocardiography ; Heart ; Hypertension ; Hypertrophy ; Imaging ; Medicine ; Medicine &amp; Public Health ; Original Investigation ; Radiology ; Ultrasound ; Ventricle</subject><ispartof>Journal of echocardiography, 2011-09, Vol.9 (3), p.103-108</ispartof><rights>Japanese Society of Echocardiography 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-e230f222e99686f5aebbd79354602ae3fed1a6277202a96c64e3522f2b2c92503</citedby><cites>FETCH-LOGICAL-c471t-e230f222e99686f5aebbd79354602ae3fed1a6277202a96c64e3522f2b2c92503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27277177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goda, Akiko</creatorcontrib><creatorcontrib>Nakao, Shinji</creatorcontrib><creatorcontrib>Tsujino, Takeshi</creatorcontrib><creatorcontrib>Yuba, Masao</creatorcontrib><creatorcontrib>Otsuka, Misato</creatorcontrib><creatorcontrib>Matsumoto, Mika</creatorcontrib><creatorcontrib>Yoshida, Chikako</creatorcontrib><creatorcontrib>Naito, Yoshiro</creatorcontrib><creatorcontrib>Lee-Kawabata, Masaaki</creatorcontrib><creatorcontrib>Ohyanagi, Mitsumasa</creatorcontrib><creatorcontrib>Masuyama, Tohru</creatorcontrib><title>Determinants of plasma brain natriuretic peptide levels in untreated hypertensive patients</title><title>Journal of echocardiography</title><addtitle>J Echocardiogr</addtitle><addtitle>J Echocardiogr</addtitle><description>Background Plasma brain natriuretic peptide (BNP) level is elevated in patients with left ventricular (LV) hypertrophy reflecting not only altered LV geometry but LV systolic and/or diastolic dysfunction. However, the values and limitations of BNP measurements are unclear in patients with untreated hypertension. In this study, plasma BNP level was compared with LV geometric and functional characteristics in patients with untreated hypertension. Methods Plasma BNP level was measured in 115 patients with untreated hypertension (72 males, 43 females, aged 60 ± 12 years). Routine echo parameters of LV geometry and LV systolic and diastolic performance were also determined. Results LV ejection fraction was 67 ± 6% and plasma BNP level was 32 ± 30 pg/ml. Plasma BNP levels correlated with age, LV mass index (LVMI), and mitral E velocity, respectively ( r  = 0.46, p  &lt; 0.05; r  = 0.21, p  &lt; 0.05; r  = 0.29, p  &lt; 0.05, respectively), but not with systolic blood pressure or relative wall thickness ( r  = 0.01; r  = −0.02). Plasma BNP level correlated with E / E′ ratio ( r  = 0.27, p  &lt; 0.05, n  = 77). When a stepwise multivariate analysis was performed, E velocity was selected in addition to age and LVMI as significant correlates of plasma BNP level. Conclusions LVMI and E velocity were independent determinants of plasma BNP level in patients with untreated hypertension. Plasma BNP level is substantially useful for the screening of abnormalities of LV geometry and/or function in patients with untreated hypertension. Additional echocardiography is useful to assess the mechanism of the elevation of plasma BNP level in untreated hypertensive patients.</description><subject>Brain natriuretic peptide</subject><subject>Cardiology</subject><subject>Echocardiography</subject><subject>Heart</subject><subject>Hypertension</subject><subject>Hypertrophy</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Investigation</subject><subject>Radiology</subject><subject>Ultrasound</subject><subject>Ventricle</subject><issn>1349-0222</issn><issn>1880-344X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9kE1P3DAQQK2qVdlu-wO4IN_KJcUeJ3Z8RAv9kJC4FAlxsZxkAkaJE2wHaf89XgU4crKteX4aPUKOOfvFGVNnkUOlyoJxXjBWy0J_Ihte16wQZXn7Od9FqQsGAEfkW4yPjFVSg_pKjkCBUlypDbm7wIRhdN76FOnU03mwcbS0CdZ56m0KbgmYXEtnnJPrkA74jEOkebr4FNAm7OjDfsaQ0Ef3jHS2yWG2fSdfejtE_PF6bsnN78v_u7_F1fWff7vzq6ItFU8FgmB93hG1lrXsK4tN0yktqlIysCh67LiVeV_ITy1bWaKoAHpooNVQMbElP1fvHKanBWMyo4stDoP1OC3RaAZCKVHpTJ5-SHKlq1rWtSgzyle0DVOMAXszBzfasDecmUN8s8Y3Ob45xDcH_cmrfmlG7N5_vNXOAKxAzCN_j8E8TkvwOc4H1hc3_JAL</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Goda, Akiko</creator><creator>Nakao, Shinji</creator><creator>Tsujino, Takeshi</creator><creator>Yuba, Masao</creator><creator>Otsuka, Misato</creator><creator>Matsumoto, Mika</creator><creator>Yoshida, Chikako</creator><creator>Naito, Yoshiro</creator><creator>Lee-Kawabata, Masaaki</creator><creator>Ohyanagi, Mitsumasa</creator><creator>Masuyama, Tohru</creator><general>Springer Japan</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20110901</creationdate><title>Determinants of plasma brain natriuretic peptide levels in untreated hypertensive patients</title><author>Goda, Akiko ; Nakao, Shinji ; Tsujino, Takeshi ; Yuba, Masao ; Otsuka, Misato ; Matsumoto, Mika ; Yoshida, Chikako ; Naito, Yoshiro ; Lee-Kawabata, Masaaki ; Ohyanagi, Mitsumasa ; Masuyama, Tohru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-e230f222e99686f5aebbd79354602ae3fed1a6277202a96c64e3522f2b2c92503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Brain natriuretic peptide</topic><topic>Cardiology</topic><topic>Echocardiography</topic><topic>Heart</topic><topic>Hypertension</topic><topic>Hypertrophy</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Original Investigation</topic><topic>Radiology</topic><topic>Ultrasound</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goda, Akiko</creatorcontrib><creatorcontrib>Nakao, Shinji</creatorcontrib><creatorcontrib>Tsujino, Takeshi</creatorcontrib><creatorcontrib>Yuba, Masao</creatorcontrib><creatorcontrib>Otsuka, Misato</creatorcontrib><creatorcontrib>Matsumoto, Mika</creatorcontrib><creatorcontrib>Yoshida, Chikako</creatorcontrib><creatorcontrib>Naito, Yoshiro</creatorcontrib><creatorcontrib>Lee-Kawabata, Masaaki</creatorcontrib><creatorcontrib>Ohyanagi, Mitsumasa</creatorcontrib><creatorcontrib>Masuyama, Tohru</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Journal of echocardiography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goda, Akiko</au><au>Nakao, Shinji</au><au>Tsujino, Takeshi</au><au>Yuba, Masao</au><au>Otsuka, Misato</au><au>Matsumoto, Mika</au><au>Yoshida, Chikako</au><au>Naito, Yoshiro</au><au>Lee-Kawabata, Masaaki</au><au>Ohyanagi, Mitsumasa</au><au>Masuyama, Tohru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of plasma brain natriuretic peptide levels in untreated hypertensive patients</atitle><jtitle>Journal of echocardiography</jtitle><stitle>J Echocardiogr</stitle><addtitle>J Echocardiogr</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>9</volume><issue>3</issue><spage>103</spage><epage>108</epage><pages>103-108</pages><issn>1349-0222</issn><eissn>1880-344X</eissn><abstract>Background Plasma brain natriuretic peptide (BNP) level is elevated in patients with left ventricular (LV) hypertrophy reflecting not only altered LV geometry but LV systolic and/or diastolic dysfunction. However, the values and limitations of BNP measurements are unclear in patients with untreated hypertension. In this study, plasma BNP level was compared with LV geometric and functional characteristics in patients with untreated hypertension. Methods Plasma BNP level was measured in 115 patients with untreated hypertension (72 males, 43 females, aged 60 ± 12 years). Routine echo parameters of LV geometry and LV systolic and diastolic performance were also determined. Results LV ejection fraction was 67 ± 6% and plasma BNP level was 32 ± 30 pg/ml. Plasma BNP levels correlated with age, LV mass index (LVMI), and mitral E velocity, respectively ( r  = 0.46, p  &lt; 0.05; r  = 0.21, p  &lt; 0.05; r  = 0.29, p  &lt; 0.05, respectively), but not with systolic blood pressure or relative wall thickness ( r  = 0.01; r  = −0.02). Plasma BNP level correlated with E / E′ ratio ( r  = 0.27, p  &lt; 0.05, n  = 77). When a stepwise multivariate analysis was performed, E velocity was selected in addition to age and LVMI as significant correlates of plasma BNP level. Conclusions LVMI and E velocity were independent determinants of plasma BNP level in patients with untreated hypertension. Plasma BNP level is substantially useful for the screening of abnormalities of LV geometry and/or function in patients with untreated hypertension. Additional echocardiography is useful to assess the mechanism of the elevation of plasma BNP level in untreated hypertensive patients.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>27277177</pmid><doi>10.1007/s12574-011-0086-9</doi><tpages>6</tpages></addata></record>
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subjects Brain natriuretic peptide
Cardiology
Echocardiography
Heart
Hypertension
Hypertrophy
Imaging
Medicine
Medicine & Public Health
Original Investigation
Radiology
Ultrasound
Ventricle
title Determinants of plasma brain natriuretic peptide levels in untreated hypertensive patients
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