Preoperative <i>N</i>-Terminal Pro–B-Type Natriuretic Peptide and Cardiovascular Events After Noncardiac Surgery
Authors: Nisha Bhudia, Ameet Bakhai, Rachel Baumber
Journal: Annals of Internal Medicine (2020)

Letters16 June 2020Preoperative N-Terminal Pro–B-Type Natriuretic Peptide and Cardiovascular Events After Noncardiac SurgeryNisha Bhudia, MBChB, Ameet Bakhai, MBBS, MD, FRCP, and Rachel BaumberNisha Bhudia, MBChBNational Health Service, Wembley, United Kingdom (N.B.)Search for more papers by this author, Ameet Bakhai, MBBS, MD, FRCPNational Health Service, London, United Kingdom (A.B.)Search for more papers by this author, and Rachel BaumberRoyal National Orthopaedic Hospital, London, United Kingdom (R.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L20-0268 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We are encouraged by Duceppe and colleagues' (1) finding that preoperative NT-proBNP levels may predict cardiovascular events after noncardiac surgery. We also note the importance of externally validating these data and biomarker thresholds.Our institution is a single-specialty center providing orthopedic surgery. Because we have no routine onsite support from other subspecialties, our patients must be worked up carefully before surgery. As part of our preassessment several weeks before surgery, we routinely measure NT-proBNP levels in patients with a history of cardiovascular disease. We discuss the results in patients with levels greater than 400 ng/L with our ...Reference1. Duceppe E, Patel A, Chan MTV, et al. Preoperative N-terminal pro–B-type natriuretic peptide and cardiovascular events after noncardiac surgery. A cohort study. Ann Intern Med. 2020;172:96-104. [PMID: 31869834]. doi:10.7326/M19-2501 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: National Health Service, Wembley, United Kingdom (N.B.)National Health Service, London, United Kingdom (A.B.)Royal National Orthopaedic Hospital, London, United Kingdom (R.B.)Note: The authors obtained written consent from the patient to share his anonymized data in a medical publication.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L20-0268. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPreoperative N-Terminal Pro–B-Type Natriuretic Peptide and Cardiovascular Events After Noncardiac Surgery Emmanuelle Duceppe , Ameen Patel , Matthew T.V. Chan , Otavio Berwanger , Gareth Ackland , Peter A. Kavsak , Reitze Rodseth , Bruce Biccard , Clara K. Chow , Flavia K. Borges , Gordon Guyatt , Rupert Pearse , Daniel I. Sessler , Diane Heels-Ansdell , Andrea Kurz , Chew Yin Wang , Wojciech Szczeklik , Sadeesh Srinathan , Amit X. Garg , Shirley Pettit , Erin N. Sloan , James L. Januzzi Jr. , Matthew McQueen , Giovanna Lurati Buse , Nicholas L. Mills , Lin Zhang , Robert Sapsford , Guillaume Paré , Michael Walsh , Richard Whitlock , Andre Lamy , Stephen Hill , Lehana Thabane , Salim Yusuf , and P.J. Devereaux Preoperative N-Terminal Pro–B-Type Natriuretic Peptide and Cardiovascular Events After Noncardiac Surgery Emmanuelle Duceppe , Diane Heels-Ansdell , and P.J. Devereaux Preoperative N-Terminal Pro–B-Type Natriuretic Peptide and Cardiovascular Events After Noncardiac Surgery Neelesh Gupta , Rajkumar Doshi , and Vineet Meghrajani Metrics 16 June 2020Volume 172, Issue 12Page: 842-843KeywordsDisclosureElectrocardiographyN terminal pro brain natriuretic peptidesNatriuretic peptidesOrthopedic surgeryRight ventricular outflow tractSpineStable coronary artery diseaseSurgeryType 2 diabetes ePublished: 16 June 2020 Issue Published: 16 June 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...