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NT-proBNP——伴有心血管危险因素和SARS-CoV-2感染的孕妇可能的预后标志物。

NT-proBNP-Possible Prognostic Marker in Pregnant Patients with Associated Cardiovascular Risk Factors and SARS-CoV-2 Infection.

作者信息

Marta Carmen-Ioana, Maghiari Anca Laura, Bernad Elena, Stelea Lavinia, Bernad Brenda, Boscu Lioara, Neamtu Radu, Gluhovschi Adrian, Diaconu Mircea, Dumitru Catalin, Sorop Bogdan, Babes Katalin

机构信息

Faculty of Medicine and Pharmacy of Oradea, University of Oradea, 410087 Oradea, Romania.

Clinic of Obstetrics and Gynecology, "Pius Brinzeu" County Clinical Emergency Hospital, 300723 Timisoara, Romania.

出版信息

Diagnostics (Basel). 2023 Sep 23;13(19):3032. doi: 10.3390/diagnostics13193032.

DOI:10.3390/diagnostics13193032
PMID:37835775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10572047/
Abstract

BACKGROUND

N-terminal pro brain-type natriuretic peptide (NT-proBNP) is a practical biomarker in the clinical pathologies where the ventricle is under stress and particularly stretched in the general population. The study aims to compare the value of NT-proBNP and its importance in the prognosis and severity of the cases involving pregnant patients with SARS-CoV-2 infection and cardiovascular risk factors to those of low-risk pregnant patients, mainly by analysing their symptoms, administered medication, days of hospitalization and severity of the viral disease.

METHODS

The study included a total of eighty-three pregnant patients who underwent natural birth or caesarean section at out hospital. NT-proBNP levels were analyzed at hospital admission as a potential cardiovascular marker. A comparative analysis was performed between pregnant patients with cardiovascular risk factors and pregnant patients without cardiovascular risk factors regarding NT-proBNP values.

RESULTS

Pregnant patients with SARS-CoV-2 infection and cardiovascular risk factors had higher values of NT-proBNP in comparison to pregnant patients without cardiovascular risk factors.

CONCLUSIONS

NT-proBNP testing in pregnant patients with SARS-CoV-2 infection can be a relatively important marker to be taken into consideration when it comes to the management, treatment and outcome of the cases, especially when it comes to women with associated cardiovascular risk factors.

摘要

背景

N端前脑钠肽(NT-proBNP)是一种实用的生物标志物,适用于心室承受压力尤其是在普通人群中出现心室扩张的临床病理情况。本研究旨在比较NT-proBNP的价值及其在感染SARS-CoV-2且有心血管危险因素的孕妇病例与低风险孕妇病例的预后和严重程度方面的重要性,主要通过分析她们的症状、用药情况、住院天数和病毒性疾病的严重程度来进行比较。

方法

本研究共纳入了83例在我院自然分娩或剖宫产的孕妇。入院时分析NT-proBNP水平,将其作为潜在的心血管标志物。对有心血管危险因素的孕妇和无心血管危险因素的孕妇的NT-proBNP值进行了对比分析。

结果

与无心血管危险因素的孕妇相比,感染SARS-CoV-2且有心血管危险因素的孕妇NT-proBNP值更高。

结论

对于感染SARS-CoV-2的孕妇,NT-proBNP检测在病例的管理、治疗和预后方面可能是一个需要考虑的相对重要的标志物,尤其是对于伴有心血管危险因素的女性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/10572047/ec4e690a7a63/diagnostics-13-03032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/10572047/ec4e690a7a63/diagnostics-13-03032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da04/10572047/ec4e690a7a63/diagnostics-13-03032-g001.jpg

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Association of N-Terminal Pro-Brain Natriuretic Peptide Concentration in Early Pregnancy With Development of Hypertensive Disorders of Pregnancy and Future Hypertension.早孕期 N 端脑利钠肽前体浓度与妊娠高血压疾病及未来高血压的发生有关。
JAMA Cardiol. 2022 Mar 1;7(3):268-276. doi: 10.1001/jamacardio.2021.5617.
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