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A "heart failure profile" of serum and plasma markers?

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Presentation title: A "heart failure profile" of serum and plasma markers?
Author(s): M. Cowie (London, GB)
Date: 31 August 2003
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Data for the clinician

‘Conventional’ blood tests

Blood ‘biomarkers’

What the laboratory wants

Candidates

Natriuretic peptides

BNP is raised in heart failure

BNP is raised in damaged hearts

The clinic setting

ROC curve for the natriuretic peptides

NPs as ‘rule out’ tests for HF comparing diagnostic value of NPs when negative predictive value is 98%

UK Natriuretic Peptide Study


Diagnostic utility

‘NPs in the Community’ Study Abstracts presented at ESC 2002

‘NPs in the Community’ Study ESC 2002

Diagnosis Patients in the Emergency Room



FREQUENCY HISTOGRAM

Clarification of Diagnosis by BNP

DECISION STATISTICS

Cautions!


Testing is now straightforward

Conclusions
 
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