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The Use of NT-proBNP and BNP as Biomarkers of Acute Heart Failure

The Use of NT-proBNP and BNP as Biomarkers of Acute Heart Failure

The Use of NT-proBNP and BNP as Biomarkers of Acute Heart Failure

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Study Endpoints<br />

•1 endpoint<br />

•Total cardiov<strong>as</strong>cular<br />

events*<br />

• Worsening HF †<br />

• HF hospitalization<br />

• ACS<br />

• Ventricular arrhythmia<br />

• Cerebral ischemia<br />

• Cardiov<strong>as</strong>cular death<br />

•2 endpoints<br />

•Quality <strong>of</strong> life<br />

•Changes in echo<br />

parameters<br />

• LV ejection fraction<br />

• LVESVi<br />

• LVEDVi<br />

*Assessed using generalized estimating equations<br />

†<br />

Requiring at le<strong>as</strong>t 2 from the following: symptoms <strong>of</strong> congestion or falling cardiac output,<br />

signs <strong>of</strong> new congestion on exam, use <strong>of</strong> “bail out” decongestive therapy, or rising <strong>NT</strong>-<strong>pro<strong>BNP</strong></strong><br />

in the un-blinded arm<br />

Source: Januzzi et al. clinicaltrialresults.org/Slides/PROTECT%20Presentation%20FINAL.ppt, accessed March 27, 2012<br />

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