Hormone can predict future congestive heart failure

February 01, 2002

A new study reveals high levels of a particular hormone excreted by the heart's ventricles--found in patients seeking emergency care for dyspnea (shortness of breath)--is a strong indicator of whether a patient will experience congestive heart failure in the proceeding six months. (B-Type Natriuretic Peptide Predicts Future Cardiac Events in Patients Presenting to the Emergency Department with Dyspnea)

In 325 patients who sought emergency care for dyspnea, researchers tested their level of B-Type Natriuretic Peptide (BNP)--a neurohormone secreted by the heart's ventricles when they expand from increased volume and are overloaded with pressure. In this study, patients with BNP levels that were four times the normal value had a 51 percent chance in the six months following their emergency department visit of either being admitted to the hospital with congestive heart failure or dying.

"The signs and symptoms of congestive heart failure are not easily discernible, which makes the diagnosis difficult," said Alan Maisel, MD, of the Veterans Affairs Medical Center in San Diego, Calif. "This study supports emergency physicians' use of BNP testing as another tool in their arsenal for diagnosing patients at risk of this disease."

About 4.7 million people in the United States have congestive heart failure, and 550,000 new cases are diagnosed each year. Congestive heart failure is the most frequent cause of hospitalization in the elderly, with 900,000 hospitalizations and 250,000 deaths each year.
-end-


American College of Emergency Physicians

Related Emergency Department Articles from Brightsurf:

Deep learning in the emergency department
Harnessing the power of deep learning leads to better predictions of patient admissions and flow in emergency departments

Checklist for emergency department team's COVID-19 surge
After reviewing the literature on COVID-19 scientific publications the authors developed a checklist to guide emergency departments.

Why is appendicitis not always diagnosed in the emergency department?
A new study examines the factors associated with a potentially missed diagnosis of appendicitis in children and adults in the emergency department.

Providing contraceptive care in the pediatric emergency department
A new study found that two-thirds of female adolescents ages 16-21 seen in a pediatric Emergency Department (ED) were interested in discussing contraception, despite having a high rate of recent visits to a primary care provider.

Low back pain accounts for a third of new emergency department imaging in the US
The use of imaging for the initial evaluation of patients with low back pain in the emergency department (ED) continues to occur at a high rate -- one in three new emergency visits for low back pain in the United States -- according to the American Journal of Roentgenology (AJR).

Emergency department admissions of children for sexual abuse
This study analyzed emergency department admissions of children for sexual abuse between 2010 and 2016 using a nationwide database of emergency visits and US Census Bureau data.

30-day death rates after emergency department visits
Researchers used Medicare data from 2009 to 2016 to see how 30-day death rates associated with emergency department visits have changed.

Preventing smoking -- evidence from urban emergency department patients
A new study from the Prevention Research Center of the Pacific Institute for Research and Evaluation offers a more in-depth understanding of smoking among patients in an urban emergency department.

When a freestanding emergency department comes to town, costs go up
Rather than functioning as substitutes for hospital-based emergency departments, freestanding emergency departments have increased local market spending on emergency care in three of four states' markets where they have entered, according to a new paper by experts at Rice University.

Emoji buttons gauge emergency department sentiments in real time
Simple button terminals stationed around emergency departments featuring 'emoji' reflecting a range of emotions are effective in monitoring doctor and patient sentiments in real time.

Read More: Emergency Department News and Emergency Department Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.