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Treatment of chronic heart failure guided by plasma natriuretic peptide levels

机译:血浆利钠肽水平引导的慢性心力衰竭治疗

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The hypothesis under which treatment of patients with chronic heart failure guided by monitoring natriuretic peptides levels could have better clinical outcomes than conventional therapy guided by the patients' clinical status (symptoms) is an attractive one. This hypothesis has been tested in several randomized clinical trials (STARS-BNP, TIME-CHF, PRIMA) with controversial results. In our OPTIMA clinical trial, 52 patients with chronic heart failure were randomized to either brain natriuretic peptide (BNP)-guided therapy or clinical status-guided therapy. There were more changes in "evidence-based" drugs as well as their daily doses in patients treated according to BNP levels. There was also a trend to lower the rate of heart failure worsening events in patients whose treatment was guided by plasma BNP levels.
机译:通过监测利钠肽水平引导的慢性心力衰竭患者的假设可以具有比患者临床状况(症状)为指导的常规治疗的更好的临床结果。该假设已经在几种随机临床试验(星BNP,Time-CHF,Prima)中进行了有争议的结果测试。在我们的Optima临床试验中,52例慢性心力衰竭患者随机化为脑钠尿肽(BNP) - 导致治疗或临床状态引导治疗。根据BNP水平治疗的患者的“基于证据”药物以及他们的日常剂量有更多的变化。还有一种趋势,以降低治疗血浆BNP水平的患者的心力衰竭恶化率。

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