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Brain natriuretic peptide and the athlete's heart: a pilot study.

TitleBrain natriuretic peptide and the athlete's heart: a pilot study.
Publication TypeJournal Article
Year of Publication2010
AuthorsPagourelias, E. D., Giannoglou G., Kouidi E., Efthimiadis G. K., Zorou P., Tziomalos K., Karagiannis A., Athyros V. G., Geleris P., & Mikhailidis D. P.
JournalInt J Clin Pract
Volume64
Issue4
Pagination511-7
Date Published2010 Mar
ISSN1742-1241
KeywordsAdult, Biological Markers, Cardiomyopathy, Hypertrophic, Echocardiography, Humans, Male, Natriuretic Peptide, Brain, Pilot Projects, Sports, Young Adult
Abstract

BACKGROUND: The role of brain natriuretic peptide (BNP) in differentiating the athlete's heart from maladaptive cardiac hypertrophy is unclear.METHODS: To address this issue, an integrated M mode, two-dimensional B mode and Doppler echocardiographical study were performed and plasma BNP levels were measured in 25 strength athletes, 25 patients with established hypertrophic cardiomyopathy (HCM) and 25 healthy volunteers.RESULTS: Among athletes, BNP levels correlated negatively with the total training time (r = -0.79, p = 0.002) and positively with ejection fraction (r = 0.58, p = 0.049) and fractional shortening (r = 0.57, p = 0.049). A BNP cut-off value of 11.8 pg/ml had 88% specificity and 74% negative predictive value for the exclusion of HCM.CONCLUSIONS: Brain natriuretic peptide might be useful as a preparticipation screening test in athletes.

DOI10.1111/j.1742-1241.2009.02184.x
Alternate JournalInt. J. Clin. Pract.
PubMed ID20456196

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