Utility of measuring plasma N-terminal pro-brain natriuretic peptide in detecting hypertrophic cardiomyopathy and differentiating grades of severity in cats

©2011 American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - 40(2011), 2 vom: 08. Juni, Seite 237-44
1. Verfasser: Wess, Gerhard (VerfasserIn)
Weitere Verfasser: Daisenberger, Patricia, Mahling, Monia, Hirschberger, Johannes, Hartmann, Katrin
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2011
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Journal Article Peptide Fragments pro-brain natriuretic peptide (1-76) Natriuretic Peptide, Brain 114471-18-0
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245 1 0 |a Utility of measuring plasma N-terminal pro-brain natriuretic peptide in detecting hypertrophic cardiomyopathy and differentiating grades of severity in cats 
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500 |a Date Revised 20.10.2016 
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500 |a Citation Status MEDLINE 
520 |a ©2011 American Society for Veterinary Clinical Pathology. 
520 |a BACKGROUND: Cats with hypertrophic cardiomyopathy (HCM) often have no clinical signs or subtle signs. Measurement of N-terminal pro-brain natriuretic peptide (NT-proBNP) has been demonstrated in people to be highly specific for heart disease and also correlates with severity of HCM. NT-proBNP may also be valuable in detecting and grading HCM in cats, but results to date have been equivocal 
520 |a OBJECTIVES: The aims of this study were to evaluate NT-proBNP as a screening test for diagnosis of HCM in cats and determine an appropriate cut-off value and to determine if NT-proBNP concentrations correlated with severity of HCM in cats 
520 |a METHODS: Plasma NT-proBNP concentrations were measured in 201 cats using an ELISA designed for use in cats. Cats were classified using echocardiography as clinically healthy controls (n=99) or cats with equivocal (n=9), mild (n=15), moderate (n=17), or severe (n=61) HCM 
520 |a RESULTS: NT-proBNP concentrations (median; 25th-75th interquartile percentiles) in mildly (216.1; 87.6-392.5 pmol/L), moderately (282.7; 131.9-466.6 pmol/L), and severely (839.5; 655.3-1046.4 pmol/L) affected cats were significantly higher than those in healthy controls (18.9; 3.4-62.4 pmol/L). Concentrations in severely affected cats were significantly higher than in cats from other HCM groups. There was no significant difference between mild and moderate HCM. Cut-off values >49 pmol/L had a sensitivity of 97.8% and specificity of 66.7%; >100 pmol/L had a sensitivity of 92.4% and specificity of 93.9%; and >150 pmol/L had a sensitivity of 88% and a specificity of 100% 
520 |a CONCLUSIONS: NT-proBNP with a cut-off value of >100 pmol/L was useful in detecting even mild HCM. Cats with increased NT-proBNP concentrations should be examined by echocardiography 
650 4 |a Journal Article 
650 7 |a Peptide Fragments  |2 NLM 
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700 1 |a Daisenberger, Patricia  |e verfasserin  |4 aut 
700 1 |a Mahling, Monia  |e verfasserin  |4 aut 
700 1 |a Hirschberger, Johannes  |e verfasserin  |4 aut 
700 1 |a Hartmann, Katrin  |e verfasserin  |4 aut 
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