Increased natriuretic peptides not associated with heart failure

Natriuretic peptides (NPs) are key diagnostic and prognostic biomarkers for patients with heart failure (HF). The main mechanism for increasing serum NP levels, which is characteristic of heart failure, is secretion in response to myocardial wall distention. At the same time, according to Russian an...

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Main Authors: A. M. Chaulin, D. V. Duplyakov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2021-01-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/4140
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author A. M. Chaulin
D. V. Duplyakov
author_facet A. M. Chaulin
D. V. Duplyakov
author_sort A. M. Chaulin
collection DOAJ
description Natriuretic peptides (NPs) are key diagnostic and prognostic biomarkers for patients with heart failure (HF). The main mechanism for increasing serum NP levels, which is characteristic of heart failure, is secretion in response to myocardial wall distention. At the same time, according to Russian and foreign literature, an increase in NPs is reported in a number of many other conditions that are not associated with HF. The study of these causes and mechanisms is necessary to improve the differential diagnosis of HF.This article discusses the mechanisms of increasing NPs and their diagnostic value in heart failure, as well as a number of other conditions, such as acute coronary syndrome and coronary artery disease, atrial fibrillation, exercise, kidney failure, taking cardiotoxic drugs (chemotherapy) and sacubitril/valsartan. The article also provides data on identifying NPs in non-invasively obtained biological fluids (urine and oral fluid).
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spelling doaj.art-e0c7607765aa438b91f01421ed6deb562023-03-29T21:23:36Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-01-01254S10.15829/1560-4071-2020-41403085Increased natriuretic peptides not associated with heart failureA. M. Chaulin0D. V. Duplyakov1Samara Regional Clinical Cardiology Dispensary; Samara State Medical UniversitySamara Regional Clinical Cardiology Dispensary; Samara State Medical UniversityNatriuretic peptides (NPs) are key diagnostic and prognostic biomarkers for patients with heart failure (HF). The main mechanism for increasing serum NP levels, which is characteristic of heart failure, is secretion in response to myocardial wall distention. At the same time, according to Russian and foreign literature, an increase in NPs is reported in a number of many other conditions that are not associated with HF. The study of these causes and mechanisms is necessary to improve the differential diagnosis of HF.This article discusses the mechanisms of increasing NPs and their diagnostic value in heart failure, as well as a number of other conditions, such as acute coronary syndrome and coronary artery disease, atrial fibrillation, exercise, kidney failure, taking cardiotoxic drugs (chemotherapy) and sacubitril/valsartan. The article also provides data on identifying NPs in non-invasively obtained biological fluids (urine and oral fluid).https://russjcardiol.elpub.ru/jour/article/view/4140natriuretic peptidesheart failureexerciserenal failureatrial fibrillationsacubitril/valsartanfalse positive causes of elevation
spellingShingle A. M. Chaulin
D. V. Duplyakov
Increased natriuretic peptides not associated with heart failure
Российский кардиологический журнал
natriuretic peptides
heart failure
exercise
renal failure
atrial fibrillation
sacubitril/valsartan
false positive causes of elevation
title Increased natriuretic peptides not associated with heart failure
title_full Increased natriuretic peptides not associated with heart failure
title_fullStr Increased natriuretic peptides not associated with heart failure
title_full_unstemmed Increased natriuretic peptides not associated with heart failure
title_short Increased natriuretic peptides not associated with heart failure
title_sort increased natriuretic peptides not associated with heart failure
topic natriuretic peptides
heart failure
exercise
renal failure
atrial fibrillation
sacubitril/valsartan
false positive causes of elevation
url https://russjcardiol.elpub.ru/jour/article/view/4140
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