Bar Simona L, Sayeh Naser, Ignaszewski Andrew P
Vancouver Hospital and Health Sciences Centre, Vancouver, Canada.
Can J Cardiol. 2009 Apr;25(4):223-5. doi: 10.1016/s0828-282x(09)70066-2.
Increased levels of N-terminal pro-brain natriuretic peptide (NT pro- BNP) in infectious settings may not reflect myocardial depression. In addition to NT pro-BNP measurement, clinical assessment remains a valuable tool for diagnosis and prognosis of heart failure. A case of excessively increased NT pro-BNP level associated with Mycobacterium tuberculosis infection that was not indicative of myocardial dysfunction is described.
在感染情况下,N末端脑钠肽前体(NT-proBNP)水平升高可能并不反映心肌抑制。除了检测NT-proBNP外,临床评估仍是心力衰竭诊断和预后的重要工具。本文描述了一例NT-proBNP水平过度升高与结核分枝杆菌感染相关但并不提示心肌功能障碍的病例。