Value of N-Terminal Pro B-Type Natriuretic Peptide, High-Sensitivity C-Reactive Protein, and Homocysteine Levels in Predicting Cardiovascular Events in Chronic Heart Failure Patients After Discharge

Qianqian Yu, Linya Zhao, Yinyin Chen, Qing Zhao
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Abstract

Objective: To investigate the value of N-terminal pro B-type natriuretic peptide (NT-proBNP), high-sensitivity C-reactive protein (hs-CRP), and homocysteine (Hcy) levels in predicting cardiovascular events (CV) in patients with chronic heart failure (CHF). Methods: A total of 63 patients with CHF admitted to our hospital between June 2019 and July 2021 were selected. Their NT-proBNP, hs-CRP, and Hcy levels were detected at discharge, and a 12-month follow-up was done after their discharge to collect clinical data. The collected data were inclusive of data from 21 CHF patients with cardiovascular disease and 42 CHF patients without cardiovascular disease. The effect of NT-proBNP, hs-CRP, and Hcy levels on the occurrence of CV was analyzed. Results: The levels of NT-proBNP, hs-CRP, and Hcy in the group with cardiovascular disease were significantly higher than those in the group without cardiovascular disease (P < 0.05); the levels of serum NT-proBNP, hs-CRP, and Hcy at discharge had certain value in predicting short-term CV in CHF patients (P < 0.05). Conclusion: NT-proBNP, hs-CRP, and Hcy levels can be used to predict CV in CHF patients, thus having clinical application value.
N-末端前B型利钠肽、高敏C反应蛋白和同型半胱氨酸水平在预测慢性心力衰竭患者出院后心血管事件中的价值
目的:探讨N-末端B型钠尿肽原(NT-proBNP)、高敏C反应蛋白(hs-CRP)和同型半胱氨酸(Hcy)水平在预测慢性心力衰竭(CHF)患者心血管事件(CV)中的价值。方法:选择2019年6月至2021年7月期间入住我院的63例CHF患者。出院时检测他们的NT-proBNP、hs-CRP和Hcy水平,出院后进行12个月的随访以收集临床数据。收集的数据包括21名患有心血管疾病的CHF患者和42名没有心血管疾病的心衰患者的数据。分析NT-proBNP、hs-CRP和Hcy水平对CV发生的影响。结果:有心血管疾病组NT-proBNP、hs-CRP和Hcy水平明显高于无心血管疾病组(P<0.05);出院时血清NT-proBNP、hs-CRP和Hcy水平对CHF患者的短期CV有一定的预测价值(P<0.05)。
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