Prognostic value of increased B type natriuretic peptide in cases with acute pancreatitis

European Journal of Internal Medicine
Mehmet Sait BugdaciAyhan Tufan

Abstract

Acute pancreatitis (AP) is a systemic disease with a rising incidence. Cardiac dysfunction may occur as an early complication of AP. B type natriuretic factor (BNP) is a diagnostic and prognostic indicator of cardiac disorders. Therefore, in this study we aimed to assess the relationship between serum BNP concentrations and severity of AP. Patients with AP who were admitted to gastroenterology clinic of our center, were included in this study. BNP measurements were performed twice, once on admission to the hospital and another after clinical and laboratory remission of the disease. All patients underwent echocardiography, abdominal ultrasonography and/or computed tomography chest X-ray and routine biochemical assays. Disease severity was determined by Ranson, Balthazar and Glasgow scoring systems. A total of 55 patients with AP (33 male, 60%) were enrolled in the study. Causes of AP were biliary in 32 patients (58%), alcoholic in 10 (18%), idiopathic in 8 (15%), hyperlipidemic in 4 (7%) and ERCP related in one patient (2%), respectively. Serum BNP levels in first 2 days of admission and after the clinical and laboratory remission of disease were 444 ± 295.9 and 124 ± 109.5 pg/ml, respectively (p<0.001). Increased serum BNP leve...Continue Reading

References

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Citations

Sep 12, 2015·Clinical Drug Investigation·Shih-Wei LaiKuan-Fu Liao
Jun 11, 2015·European Journal of Internal Medicine·Shih-Wei LaiChun-Hung Tseng
Apr 15, 2015·Pancreas·Alessandra BarassiGianvico Melzi d'Eril

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