Assessing cardiovascular risk in children with chronic kidney disease. B-type natriuretic peptide: a potential new marker |
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Authors: | Gema Ariceta Ellen R Brooks Craig B Langman |
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Institution: | (1) Division of Kidney Diseases, Childrens Memorial Hospital, 2300 Childrens Plaza 37, Chicago, IL 60614, USA;(2) Division of Pediatric Kidney Diseases and Childrens Memorial Hospital, Feinberg Medical School, Northwestern University, Chicago, Illinois, USA |
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Abstract: | Elevated plasma B-type natriuretic peptide (BNP) level is a hallmark of altered left ventricular (LV) structure and function. Measurement of circulating BNP has proved to be a sensitive and specific diagnostic test for congestive heart failure (CHF) and coronary syndrome in adults. Further, BNP levels constitute a strong predictive marker for future cardiovascular (CV) events. In high CV risk populations, such as adults with hypertension or chronic kidney disease (CKD), increased BNP predicts CV morbidity and mortality in symptomatic or asymptomatic patients. However, caution is needed in interpreting plasma BNP levels, as they increase with both age and decreased renal function. Despite increasing evidence of the value of BNP in the medical literature in adults, data in children are limited to those with congenital heart disease. It is appropriate to analyze the potential application of this tool in children with CKD, a well-known factor for CV disease. |
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Keywords: | Left ventricular hypertrophy Hypertension Cardiac dysfunction Congestive heart failure Dialysis Kidney transplant |
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