Cardiac Biomarkers in Haemodialysis Patients: The Prognostic Value of Amino-Terminal Pro-B-Type Natriuretic Peptide and Cardiac Troponin T
Author(s) -
Claudia Sommerer,
Evangelos Giannitsis,
Vedat Schwenger,
Martin Zeier
Publication year - 2007
Publication title -
nephron clinical practice
Language(s) - English
Resource type - Journals
ISSN - 1660-2110
DOI - 10.1159/000108647
Subject(s) - medicine , natriuretic peptide , cardiology , troponin t , amino terminal , nephrology , troponin , troponin i , hemodialysis , heart failure , myocardial infarction , peptide sequence , biochemistry , chemistry , gene
Cardiac biomarkers such as amino-terminal pro-B-type natriuretic peptide (NT-proBNP) and cardiac troponin T (cTNT) provide information on cardiovascular morbidity and mortality in patients with normal renal function. In a considerable number of chronic haemodialysis patients, both biomarkers - NT-proBNP and cTNT - are elevated despite the absence of cardiac ischaemia. The elevation of cardiac biomarkers in chronic haemodialysis patients is of prognostic value with respect to cardiovascular morbidity and mortality. They provide a useful rationale for the screening of occult cardiac disease and optimization of the dialysis procedure with respect to volume control.
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