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B-Type natriuretic peptide as a predictor of short-term mortality in on-pump coronary artery bypass grafting
Murad Junior, Jamil Alli; Machado, Maurício Nassau; Fernandes, Marcio Pimentel; Soares, Marcelo José Ferreira; Grigolo, Ingrid Helen; Singulane, Cristiane Carvalho; Godoy, Moacir Fernandes de.
  • Murad Junior, Jamil Alli; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
  • Machado, Maurício Nassau; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
  • Fernandes, Marcio Pimentel; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
  • Soares, Marcelo José Ferreira; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
  • Grigolo, Ingrid Helen; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
  • Singulane, Cristiane Carvalho; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
  • Godoy, Moacir Fernandes de; Faculdade de Medicina de São José do Rio Preto (FAMERP). São José do Rio Preto. BR
Rev. bras. cir. cardiovasc ; 32(6): 462-467, Nov.-Dec. 2017. tab, graf
Article in English | LILACS | ID: biblio-897954
ABSTRACT
Abstract

Objective:

The present study refers to a determination of the preoperative B-type natriuretic peptide is a predictor of short-term all-cause mortality in patients undergoing on-pump coronary artery bypass graft surgeries.

Methods:

Two hundred and twenty-one patients undergoing on-pump coronary artery bypass graft surgeries were evaluated prospectively during a 30-day postoperative follow-up period. Serum B-type natriuretic peptide concentration was measured without a 24-hour period prior to the surgical procedure and the value obtained was correlated with a short-term all-cause mortality.

Results:

Data analysis showed that all-cause mortality rates were equal to 9.5% in 30 days. Accuracy analysis by the receiver operating characteristic curve found an ideal cut-off value of B-type natriuretic peptide equal to 150 pg/mL in relation to mortality (AUC=0.82, 95% CI=0.71-0.87, P<0.001). Multivariate analysis showed that B-type natriuretic peptide value greater than or equal to 150 pg/mL (P=0.030, HR=3.99, 95% CI=1.14-13.98) was an independent predictor of all-cause mortality in a 30-day follow-up period.

Conclusion:

Preoperative serum B-type natriuretic peptide concentration is an independent predictor of short-term all-cause mortality in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Coronary Artery Bypass / Natriuretic Peptide, Brain Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina de São José do Rio Preto (FAMERP)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Coronary Artery Bypass / Natriuretic Peptide, Brain Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina de São José do Rio Preto (FAMERP)/BR