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- W2337642731 abstract "Objective To evaluate the role of N-Terminal Pro-Brain Natriuretic Peptide(NT-proBNP) in clinical diagnosis and management options of early heart failure in obstetric patients with acute dyspnea.Methods NT-proBNP and clinical manifestation of 42 patients between Jan 2009 to Dec 2009 in our hospital were analyzed.Eighteen patients had preeclampsia,7 had cardiac and/or pulmonary disease,5 patients with twin pregnancy had preterm labor tocolysis,2 patients with triplet pregnancy,4 had hyperthyroidism and 1 had postpartum hemorrhage.Each of these patients was presented with signs and symptoms consistent with acute dyspnea.Results The levels of NT-proBNP of 12 patients(5 twins had preterm labor tocolysis,1 was triplet,5 had ovarian hyperstimulation syndrome,1 had hyperthyroidism) were no more than 500 pg /ml.They were not found to have significant left ventricular dysfunction.The levels of NTproBNP of others 30 cases(18 patients had preeclampsia,7 had cardiac and /or pulmonary disease,1 was triplet,3 had hyperthyroidism,1 had postpartum hemorrhage) were more than 500 pg /ml.They were found to have significant left ventricular dysfunction that was respond to standard clinical evaluation.Seven of them the levels of NT-proBNP were more than 3 000 pg /ml and had more serious cardiac dysfunction,and one was dead.Twenty-one of them the levels of NT-proBNP were 1 000～3 000 pg /ml and were difficult to manage.Two of them the levels of NT-proBNP were 500～1 000 pg /ml and were regularly managed.The changing of levels of NT-proBNP in 3 cases could predict the outcome,one was worse,while two were improved.Conclusion N-terminal pro-BNP can be used in the clinical evaluation and management of obstetric patients with acute dyspnea,especially for the patients with a level of NTproBNP more than 500 pg /ml." @default.
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- W2337642731 date "2010-01-01" @default.
- W2337642731 modified "2023-09-25" @default.
- W2337642731 title "Diagnostic Value of N-Terminal Pro-Brain Natriuretic Peptide in the Evaluation of Ventricular Function in Obstetric Patients" @default.
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