Натрийуретические пептиды - маркеры и факторы прогноза при хронической сердечной недостаточности
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Научный центр сердечно-сосудистой хирургии им. А. Н. Бакулева
(дир. – академик РАМН Л. А. Бокерия) РАМН, Москва
Тип статьи: Сердечная недостаточность
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Аннотация
В большинстве эпидемиологических исследований диагноз хронической сердечной недостаточности (ХСН) выставляется на основании субъективных данных, что не позволяет с высокой достоверностью судить об истинной распространенности данного синдрома. Кроме того, диагностика ХСН на ранних стадиях заболевания сопряжена с определенными трудностями. В настоящее время объективным методом диагностики ХСН может быть определение концентрации натрийуретических пептидов, особенно мозгового натрийуретического пептида (brain natriuretic peptide, BNP), синтезируемого в кардиомиоцитах желудочков. BNP обладает высокими показателями чувствительности, специфичности и положительной прогностической ценности в отношении ХСН; по динамике концентрации данного гормона можно судить об эффективности проводимой терапии и титровать дозу лекарственных препаратов.Литература
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