Brain Natriuretic Peptide Levels Predict Perioperative Events in Cardiac Patients Undergoing Noncardiac Surgery: A Prospective Study
Authors:
- David LeibowitzDLDavid Leibowitz
- David PlanerDPDavid Planer
- David RottDRDavid Rott
- Yair ElitzurYEYair Elitzur
- Tova Chajek-ShaulTCTova Chajek-Shaul
- A. Teddy WeissAWA. Teddy Weiss
- 12 December 2007
- journal article
- Published by S. Karger AG in Cardiology
- Vol. 110 (4) , 266-270
Abstract
Objectives: Brain natriuretic peptide (BNP) levels correlate with prognosis in patients with cardiac disease and may be useful in the risk stratification of cardiac patients undergoing noncardiac surgery (NCS). The objective of this study was to examine whether BNP levels predict perioperative events in cardiac patients undergoing NCS. Methods: Patients undergoing NCS with at least 1 of the following criteria were included: a clinical history of congestive heart failure (CHF), ejection fraction 165 pg/ml (100% sensitivity, 70% specificity). Conclusions: BNP levels may predict perioperative complications in cardiac patients undergoing NCS, and the measurement of BNP should be considered to assess the preoperative cardiac risk.Keywords
This publication has 28 references indexed in Scilit:
- Assessing and Reducing the Cardiac Risk of Noncardiac SurgeryCirculation, 2006
- Vascular surgery patients: perioperative and long-term risk according to the ACC/AHA guidelines, the additive role of post-operative troponin elevationEuropean Heart Journal, 2005
- Cocaine-Related Aortic Dissection in PerspectiveCirculation, 2002
- Assessment of cardiac risk before nonvascular surgeryJACC, 2000
- Derivation and Prospective Validation of a Simple Index for Prediction of Cardiac Risk of Major Noncardiac SurgeryCirculation, 1999
- Preoperative Assessment of Patients with Known or Suspected Coronary DiseaseNew England Journal of Medicine, 1995
- Preoperative Cardiac Risk Assessment for Patients Having Peripheral Vascular SurgeryAnnals of Internal Medicine, 1992
- Combining Clinical and Thallium Data Optimizes Preoperative Assessment of Cardiac Risk before Major Vascular SurgeryAnnals of Internal Medicine, 1989
- Cardiac assessment for patients undergoing noncardiac surgery. A multifactorial clinical risk indexArchives of internal medicine (1960), 1986
- Multifactorial Index of Cardiac Risk in Noncardiac Surgical ProceduresNew England Journal of Medicine, 1977