ISSN: 1859 - 2872
The role of plasma NT-proBNP level in the diagnosis of postoperative acute heart failure of patients undergoing coronary artery bypass graft surgery
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Abstract
Objective: This study aimed to evaluate the role of plasma N-terminal pro-B-type natriuretic peptide (NT-proBNP) level in the diagnosis of postoperative acute heart failure of patients undergoing coronary artery bypass graft surgery. Subject and method: Prospective study in 107 patient undergoing coronary artery bypass graft surgery at Ho Chi Minh Heart Hospital from October 2012 to June 2014. Result: Patients with EuroScore over 5 was 71%. 25 patients diagnosed postoperative acute heart failure. In patients with isolated CABG, receiver operating characteristics (ROC) analysis showed an area under the curve (AUC) 0.87 for acute heart failure respectively with the best cut-off for NT-proBNP of 951.5pg/mL at postoperative day 1 (POD 1). The sensitivity, specificity and Youden index were 92.3%, 78.7% and 0.71. Conclusion: Plasma N-terminal pro-B-type natriuretic peptide was valuable in the diagnosis of postoperative acute heart failure of patients undergoing coronary artery bypass graft surgery with the best cut-off for NT-proBNP of 951.5pg/mL at postoperative day 1.
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2. Thạch N (2001) Phẫu thuật bắc cầu nối động mạch vành, áp dụng khuyến cáo của ACC/AHA nhằm giảm tỷ lệ tử vong, biến chứng và thời gian nằm viện. Một số vấn đề cập nhật trong chẩn đoán và điều trị bệnh tim mạch, 2001. Nhà xuất bản Y Học, tr. 94.
3. Cerrahoglu M et al (2007) N-terminal ProBNP levels can predict cardiac failure after cardiac surgery. Circulation Journal 71(1): 79-83.
4. Chakko S et al (1991) Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: Conflicting results may lead to inappropriate care. The American journal of medicine 90(3): 353-359.
5. Dickstein K et al (2008) ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008‡: The task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the heart failure association of the ESC (HFA) and endorsed by the european society of intensive care medicine (ESICM). European journal of heart failure 10(10): 933-989.
6. Holm J et al (2013) Preoperative NT-proBNP independently predicts outcome in patients with acute coronary syndrome undergoing CABG. Scandinavian Cardiovascular Journal 47(1): 28-35.
7. Holm J et al (2014) EuroSCORE II and N-terminal pro-B-type natriuretic peptide for risk evaluation: An observational longitudinal study in patients undergoing coronary artery bypass graft surgery. Br J Anaesth 113(1): 75-82.
8. Islamoglu F et al (2008) Diagnostic accuracy of N-terminal pro-brain natriuretic peptide in the evaluation of postoperative left ventricular diastolic dysfunction. Texas Heart Institute Journal 35(2): 111.
9. Jiang H et al (2018) Impact of underlying heart disease per se on the utility of preoperative NT-proBNP in adult cardiac surgery. PloS one 13(2): 0192503.
10. Jiang H et al (2019) NT-proBNP and postoperative heart failure in surgery for aortic stenosis. Open heart 6(1): 001063.
11. Krzych ŁJ et al (2011) Diagnostic accuracy of pre- operative NT-proBNP level in predicting short- term outcomes in coronary surgery: A pilot study. Kardiologia Polska (Polish Heart Journal) 69(11): 1121-1127.
12. Lehot J et al (1995) Ischémie myocardique et anesthésie. In Annales françaises d'anesthésie et de réanimation. Elsevier.
13. Roger VL et al (2011) Heart disease and stroke statistics 2011 update: A report from the American Heart Association. Circulation 123(4): 18-209.
14. Rozec B et al (2005) Evaluation of NT-proBNP in coronary artery bypass surgery: OFF-pump versus ON-pump: A-166. European Journal of Anaesthesiology (EJA) 22: 45-46.
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