Does B-Type Natriuretic Peptide Testing Affect Outcome and Management of Patients With Acute Dyspnea?
Authors: Ajay Pachika
Journal: Annals of Internal Medicine (2009)

Letters18 August 2009Does B-Type Natriuretic Peptide Testing Affect Outcome and Management of Patients With Acute Dyspnea?Ajay Pachika, MD, Malek Numeir, MD, and Kiranmayi Adimoolam, MBBSAjay Pachika, MDFrom Crozer Chester Medical Center, Upland, PA 19013, and Siddhartha Medical College, Andhra Pradesh, India 520008.Search for more papers by this author, Malek Numeir, MDFrom Crozer Chester Medical Center, Upland, PA 19013, and Siddhartha Medical College, Andhra Pradesh, India 520008.Search for more papers by this author, and Kiranmayi Adimoolam, MBBSFrom Crozer Chester Medical Center, Upland, PA 19013, and Siddhartha Medical College, Andhra Pradesh, India 520008.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-151-4-200908180-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Schneider and colleagues (1) reported on a well-conducted randomized trial on the impact of BNP testing on management of patients with dyspnea who present to the emergency department. They examined the impact of BNP measurement on clinical outcomes among patients with acute dyspnea. It is a well-powered study, given the large sample size.Schneider and colleagues noted that, within the BNP-tested group, patients with a final diagnosis of heart failure had markedly elevated BNP values compared with patients without heart failure and that BNP testing accurately discriminated between the groups. However, it is very important to know ...References1. Schneider HG, Lam L, Lokuge A, Krum H, Naughton MT, De Villiers Smit P, et al. B-type natriuretic peptide testing, clinical outcomes, and health services use in emergency department patients with dyspnea: a randomized trial. Ann Intern Med. 2009;150:365-71. [PMID: 19293069] LinkGoogle Scholar2. Maisel AS, Krishnaswamy P, Nowak RM, McCord J, Hollander JE, Duc P, et al; Breathing Not Properly Multinational Study Investigators. Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med. 2002;347:161-7. [PMID: 12124404] CrossrefMedlineGoogle Scholar3. McCullough PA, Nowak RM, McCord J, Hollander JE, Herrmann HC, Steg PG, et al. B-type natriuretic peptide and clinical judgment in emergency diagnosis of heart failure: analysis from Breathing Not Properly (BNP) Multinational Study. Circulation. 2002;106:416-22. [PMID: 12135939] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Crozer Chester Medical Center, Upland, PA 19013, and Siddhartha Medical College, Andhra Pradesh, India 520008.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoB-Type Natriuretic Peptide Testing, Clinical Outcomes, and Health Services Use in Emergency Department Patients With Dyspnea Hans-Gerhard Schneider , Louisa Lam , Amaali Lokuge , Henry Krum , Matthew T. Naughton , Pieter De Villiers Smit , Adam Bystrzycki , David Eccleston , Jacob Federman , Genevieve Flannery , and Peter Cameron Does B-Type Natriuretic Peptide Testing Affect Outcome and Management of Patients With Acute Dyspnea? Franca Dipaola , Francesca Perego , Monica Solbiati , Giovanni Casazza , and Does B-Type Natriuretic Peptide Testing Affect Outcome and Management of Patients With Acute Dyspnea? Hans-Gerhard Schneider , Louisa Lam , and Peter Cameron Does B-Type Natriuretic Peptide Testing Affect Outcome and Management of Patients With Acute Dyspnea? Mihály Tapolyai Metrics 18 August 2009Volume 151, Issue 4Page: 288-289KeywordsBrain natriuretic peptidesConflicts of interestDecision makingDyspneaHeart failureNatriuretic peptidesPathologists ePublished: 18 August 2009 Issue Published: 18 August 2009 CopyrightCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...