Plasma brain natriuretic peptide in acute respiratory problems in differential diagnosis.doc

 PAGE \* MERGEFORMAT 3 Plasma brain natriuretic peptide in acute respiratory problems in differential diagnosis [Keywords:] brain natriuretic peptide Brain Natriuretic Peptide in the last century, 80 years was first proposed by Japanese scholars is determined by ventricular synthesis and secretion of a neuropeptide hormone, in the ventricular volume and (or) pressure load increased synthesis, secretion increased. Many recent studies have shown that brain natriuretic peptide in congestive heart failure (CHF) diagnosis, differential diagnosis and evaluation of cardiac function has more important clinical significance. According to the Court of 65 cases by difficulty in breathing in patients with plasma brain natriuretic peptide (BNP) levels in further explore cardiac and non-cardiac dyspnea in the diagnosis and differential diagnosis of clinical significance. 1 Data and methods 1.1 General Information Select from May 2005 to July 2007 because of breathing difficulties, cough and other symptoms of 65 hospitalized patients, its center dyspnea group of 35 patients were 20 males and 15 females; aged 56 to 82 years, an average of 74 years of age. 20 patients with hypertensive heart disease, coronary heart disease in 13 cases, dilated cardiomyopathy in 2 cases; non-cardiac dyspnea group of 30 cases, male 18 cases, 12 females; aged 36 to 84 years, an average of 72 years. Chronic bronchitis (breather type) 24 cases of bronchial asthma in 6 cases. Inclusion criteria: Recently Tugan shortness of breath, wheezing, chest tightness, and sat breathing or similar symptoms before the recent increase persons, and to exclude pulmonary heart disease, pneumothorax, pulmonary embolism, airway foreign body, liver and kidney dysfunction. Of cardiac function according to NYHA classification: 20 cases of cardiac function grade Ⅳ , Ⅲ grade 25 cases, Ⅱ grade 20 cases. 1.2 Methods All patients hospitalized in peripheral venous blood collected immediately after the EDTA tube was imm