N-terminal pro B type natriuretic peptide in high cardiovascular-risk patients for noncardiac surgery: What is the current prognostic evidence?

Anita Malhotra, Harish Ramakrishna

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

As millions of surgical procedures are performed worldwide on an aging population with multiple comorbidities, accurate and simple perioperative risk stratification is critical. The cardiac biomarker, brain natriuretic peptide (BNP), has generated considerable interest as it is easy to obtain and appears to have powerful predictive and prognostic capabilities. BNP is currently being used to guide medical therapy for heart failure and has been added to several algorithms for perioperative risk stratification. This review examines the current evidence for the use of BNP in the perioperative period in patients who are at high.cardiovascular risk for noncardiac surgery. In addition, we examined the use of BNP in patients with pulmonary embolism and left ventricular assist devices. The available data strongly suggest that the addition of BNP to perioperative risk calculators is beneficial; however, whether this determination of risk will impact outcomes, remains to be seen.

Original languageEnglish (US)
Pages (from-to)314-320
Number of pages7
JournalAnnals of cardiac anaesthesia
Volume19
Issue number2
DOIs
StatePublished - Apr 1 2016

Keywords

  • Brain natriuretic peptide
  • Noncardiac surgery
  • Perioperative risk

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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