浙江医学2011，Vol.33Issue(10)：1466-1467,1471,3.
血BNP在急诊呼吸困难原因鉴别及心力衰竭危险分层中的作用
The diagnostic value of B-type natriuretic peptide in the patients with dyspean and effection of rish stratification with congestive heart failure
张卓一 1黄小民 1何煜舟 1周晶晶 1吴丽娟1
作者信息
摘要
Abstract
Objective To evaluate the diagnostic value of B- type natriuretic peptide in the patients with dyspean and effection ofrish stratification of B-type natriuretic peptide for patients with congestive heart failure.Methods Plasma BNP were measured with rapid assay in 204 patients with dyspnea.The clinical diagnosis was adjudicated by two cardiologists, who were blinded to the results of the BNP assay.The level of BNP were compared between Cardie dyspnea group and pulmonary dyspnea group. The level of BNP and LVEF were determined in the different NYHA functional class of Cardic dyspnea group.The BNP were compared between patients with left heart failure and patients right heart failure. Results The level of BNP was significantly higher in the Cardie dyspnea group than pulmonary dyspnea group. The level of BNP relates with the NYHA heart function class and LVEF of patient. The BNP increased significantly in patients with left heart failure or with right heart failure.But The variaty value of BNP is different. The increasing level of BNP was significantly higher in the left heart failure group. Conclusion The BNP is very important in distinguishing the reason of dyspnea caused by Cardie disease or pulmonary disease. The variation of BNP levelrelates with the NYHAheart function class of patient.关键词
BNP/呼吸困难鉴别/心力衰竭/危险分层/LVEFKey words
BNP/Dyspean distinguish/Congestive heart failure/Rish stratification/LVEF引用本文复制引用
张卓一,黄小民,何煜舟,周晶晶,吴丽娟..血BNP在急诊呼吸困难原因鉴别及心力衰竭危险分层中的作用[J].浙江医学,2011,33(10):1466-1467,1471,3.
