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- W2000235180 abstract "Atrial fibrillation (AF) is the most common sustained arrhythmia in the general population and is associated with substantial morbidity and mortality. Lone AF is a subtype of AF that occurs in young patients <60 years of age without known established risk factors for AF such as hypertension, diabetes and structural heart disease [ 1 Potpara T.S. Lip G.Y. Lone atrial fibrillation — an overview. Int. J. Clin. Pract. 2014; 68: 418-433 Crossref PubMed Scopus (23) Google Scholar , 2 Fuster V. Ryden L.E. Cannom D.S. et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation). J. Am. Coll. Cardiol. 2006; 48: 854-906 Abstract Full Text Full Text PDF PubMed Scopus (958) Google Scholar ]. The pathophysiology underlying lone AF is not well understood. Atrial natriuretic peptide (ANP) and B-type natriuretic peptide (BNP) are cardiac natriuretic circulating hormones with bioactivity promoting pressure and volume homeostasis. Having been derived from common precursors of BNP and ANP, respectively, N-terminal pro-BNP (NTproBNP) and N-terminal pro-ANP (NTproANP) are co-secreted with longer half-lives [ 3 Daniels L.B. Maisel A.S. Natriuretic peptides. J. Am. Coll. Cardiol. 2007; 50: 2357-2368 Abstract Full Text Full Text PDF PubMed Scopus (824) Google Scholar , 4 Morgenthaler N.G. Struck J. Thomas B. Bergmann A. Immunoluminometric assay for the midregion of pro-atrial natriuretic peptide in human plasma. Clin. Chem. 2004; 50: 234-236 Crossref PubMed Scopus (284) Google Scholar ]. An immunoassay has been developed to the mid-regional sequence of NTproANP (MRproANP) and plasma levels are reported to perform similarly to BNP and NTproBNP as a heart failure biomarker [ [4] Morgenthaler N.G. Struck J. Thomas B. Bergmann A. Immunoluminometric assay for the midregion of pro-atrial natriuretic peptide in human plasma. Clin. Chem. 2004; 50: 234-236 Crossref PubMed Scopus (284) Google Scholar ]. Both NTproBNP and MRproANP have been found to be elevated in common AF (AF associated with aging and risk factors such as hypertension) [ 5 Patton K.K. Heckbert S.R. Alonso A. et al. N-terminal pro-B-type natriuretic peptide as a predictor of incident atrial fibrillation in the Multi-Ethnic Study of Atherosclerosis: the effects of age, sex and ethnicity. Heart. 2013; 99: 1832-1836 Crossref PubMed Scopus (92) Google Scholar , 6 Meune C. Vermillet A. Wahbi K. et al. Mid-regional pro atrial natriuretic peptide allows the accurate identification of patients with atrial fibrillation of short time of onset: a pilot study. Clin. Biochem. 2011; 44: 1315-1319 Crossref PubMed Scopus (8) Google Scholar ], but thus far, there has been no study describing MRproANP levels in patients with lone AF. In this well-characterized retrospective case–control study of patients with lone AF, we hypothesized that [ [1] Potpara T.S. Lip G.Y. Lone atrial fibrillation — an overview. Int. J. Clin. Pract. 2014; 68: 418-433 Crossref PubMed Scopus (23) Google Scholar ] similar to common AF, MRproANP is also associated with lone AF, and [ [2] Fuster V. Ryden L.E. Cannom D.S. et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation). J. Am. Coll. Cardiol. 2006; 48: 854-906 Abstract Full Text Full Text PDF PubMed Scopus (958) Google Scholar ] MRproANP and NTproBNP will improve our ability to discriminate between the presence and absence of lone AF, and between paroxysmal and persistent lone AF." @default.
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- W2000235180 date "2015-06-01" @default.
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- W2000235180 title "Plasma mid-regional pro-atrial natriuretic peptide and N-terminal pro-brain natriuretic peptide improve discrimination of lone atrial fibrillation" @default.
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- W2000235180 doi "https://doi.org/10.1016/j.ijcard.2015.03.415" @default.
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