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Cardiovascular Risk Stratification in Older Patients
Role of Brain Natriuretic Peptide, C-Reactive Protein, and Urinary Albumin Levels
Martin Schillinger, MD
JAMA. 2005;293:1667-1669.
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Cardiovascular risk prediction by noninvasive laboratory testing in the general population is becoming increasingly recognized as an important health care issue. During the last decade, a variety of novel potentially powerful prognostic biomarkers emerged, which may yield prognostic information even in individuals without evidence of prevalent disease. Among the panel of promising parameters, the role of natriuretic peptides and inflammatory markers has been extensively studied in various populations and clinical settings. Natriuretic peptides have been shown to predict outcome of patients with heart failure, coronary artery, and valvular heart disease.1-4 However, unlike studies examining C-reactive protein (CRP),5-7 investigations of natriuretic peptides in predicting future cardiovascular events have not been conducted in population-based samples, and comparative analyses including a variety of prognostic biomarkers are scarce.5, 8
In this issue of JAMA, Kistorp and colleagues9 assessed the ability of N-amino terminal fragment of the prohormone brain natriuretic peptide (NT-proBNP) to . . . [Full Text of this Article]
Author Affiliation: Department of Internal Medicine, University of Vienna, Medical School, Vienna, Austria.
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