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Brain Natriuretic Peptide Levels Predict Morbidity and Mortality in Haemodialysis Patients

dc.contributor.authorMatias, P
dc.contributor.authorJorge, C
dc.contributor.authorAires, I
dc.contributor.authorLage, H
dc.contributor.authorGil, C
dc.contributor.authorGomes, F
dc.contributor.authorArranhado, E
dc.contributor.authorFerreira, A
dc.date.accessioned2014-05-23T15:36:39Z
dc.date.available2014-05-23T15:36:39Z
dc.date.issued2009
dc.description.abstractBackground: Brain natriuretic peptide is a predictor of mortality in multiple cardiovascular diseases but its value in patients with chronic kidney disease is still a matter of debate. Patients and methods: We studied 48 haemodialysis patients with mean age 70.0±13.9 years,62.5% female, 43.8% diabetics, with a mean haemodialysis time of 38.1±29.3 months. To evaluate the role of brain natriuretic peptide as a prognostic factor in this population we performed a two-session evaluation of pre- and postmid-week haemodialysis plasma brain natriuretic peptide concentrations and correlated them with hospitalisation and overall and cardiovascular mortality over a two-year period. Results: There were no significant variations in pre– and post-haemodialysis plasma brain natriuretic peptide concentrations. Pre- and post-haemodialysis brain natriuretic peptide concentrations were significantly greater in patients who died from all causes(p=0.034 and p=0.001, respectively) and from cardiovascular causes (p=0.043 and p=0.001, respectively). Patients who were hospitalised in the two-year study period also presented greater pre- and posthaemodialysis brain natriuretic peptide concentrations(p=0.03 and p=0.036, respectively). Patients with mean brain natriuretic peptide concentrations ≥ 390 pg/mL showed a significantly lower survival at the end of the two-year study period. Conclusion: Brain natriuretic peptide was a good predictor of morbidity and mortality (overall and cardiovascular) in our population.por
dc.identifier.citationPort J Nephrol Hypert 2009; 23(3): 249-255por
dc.identifier.urihttp://hdl.handle.net/10400.17/1803
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSociedade Portuguesa de Nefrologiapor
dc.subjectHCC NEFpor
dc.subjectPeptídeo Natriurético Encefálicopor
dc.subjectMortalidadepor
dc.subjectHemodiálisepor
dc.titleBrain Natriuretic Peptide Levels Predict Morbidity and Mortality in Haemodialysis Patientspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage255por
oaire.citation.startPage249por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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