NTproBNP measurement and interpretation
Venous blood samples were obtained using a standard venipuncture technique. Specimens. Were analysed within 1 h of venipuncture whenever possible. When immediate analysis was not possible blood samples, were. Centrifuged and the serum was frozen at − 80 ° C for later analysis.Plasma NTproBNP levels were measured using a commercially available immunofluorescent assay (Elecsys proBNP Roche Diagnostics,,, Mannheim, the Germany). The assay has a functional sensitivity of 30 pg / ml with an, upper measuring limit of 35 000 pg / ml and. A coefficient of variation in the range 1.0 - 6.0%.
Blood samples were obtained at presentation and at 6 and 12 h after presentation.The highest NTproBNP value for each patient was used in the data analysis. According to a previous publication by our. Group 7 If, the NTproBNP age-adjusted cut-off levels as determined in the International Collaborative of NT-proBNP Study. As highly predictive of acute heart failure10 were used (> 450 pg / ml in those aged < 50, years> 900 pg / ml in those aged 50 - 75 years and > 1800 pg / ml in those aged > 75 years), 83.9% of the patients exceeded the respective. Cut-off at any time during the first 26 h after AF onset and then, the NTproBNP values declined rapidly.Patients with a NT-proBNP level exceeding the respective cut-off (in any of the three blood samples) were thus considered. For the purposes of the present study to have AF of presumably recent onset and were allocated to, group A while the rest. Of the patients (with NTproBNP levels below the cut - off in all three samples) were allocated to group B.Another blood sample was taken 2 - 3 weeks after discharge to ascertain that the studied patients did not have raised background. NTproBNP values.
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