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ACP Journal Club |20 April 2010

NT-proBNP–guided and clinically guided treatment reduced short-term but not long-term mortality in chronic HF

Sabesan Karuppiah, MD, DFM; Stephen A. Wilson, MD, MPH; Keiichiro Narumoto, MD

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Lainchbury JG, Troughton RW, Strangman KM, et al. N-terminal pro-B-type natriuretic peptide-guided treatment for chronic heart failure: results from the BATTLESCARRED (NT-proBNP-Assisted Treatment To Lessen Serial Cardiac Readmissions and Death) trial. J Am Coll Cardiol 2009;55:53-60. 20117364

Cardiology:

HF-related morbidity and mortality continue at a high level despite advances in diagnosis and treatment. NT-proBNP is a useful diagnostic tool in primary care, with high negative predictive values in symptomatic patients with higher baseline risk (e.g., hypertension or diabetes) (1). NT-proBNP testing has reduced costs in emergency departments related to unnecessary hospital admission and diagnostic testing, but not mortality (2)...
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Karuppiah S, Wilson SA, Narumoto K. NT-proBNP–guided and clinically guided treatment reduced short-term but not long-term mortality in chronic HF. Ann Intern Med. 2010;152:JC4–4. doi: 10.7326/0003-4819-152-8-201004200-02004

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Published: Ann Intern Med. 2010;152(8):JC4-4.

DOI: 10.7326/0003-4819-152-8-201004200-02004

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