Rapid determination of blood-brain natriuretic peptide levels in the differential diagnosis of acute dyspnea in the value of.doc

 PAGE \* MERGEFORMAT 4 Rapid determination of blood-brain natriuretic peptide levels in the differential diagnosis of acute dyspnea in the value of [Keywords:] brain natriuretic peptide;, difficulty in breathing;, heart failure; congestive [Keywords:] brain natriuretic peptide; breathing difficulties; heart failure; congestive 0 Introduction Routine clinical use of echocardiography, chest X ray, radiation angiography identified by means of congestive heart failure (CHF) and lung-borne diseases caused by acute respiratory difficulties, but in emergency circumstances, the inspection means can not be achieved easily and timely request. blood-brain natriuretic peptide (brain natriuretic peptide, BNP) is a cardiac neurohormone, beware of wall tension increases, the release of secretion from the ventricle, its concentration and ventricular extent of the damage, neurological status of hormonal regulation and respiratory difficulty related to [1]. We have detected that in patients with acute respiratory difficulty BNP concentration in blood and explore its rapid detection in the identification of CHF and pulmonary diseases, acute respiratory difficulties caused by the value. An object and method 1.1 Object 200407/200507, to our hospital emergency department treatment of 136 patients with acute dyspnea, 10 patients because of significant chest wall trauma or acute lung injury, acute myocardial infarction, uremia, allergies and other specific causes of acute dyspnea without selected, so this study included a total of 126 cases of patients with acute respiratory difficulty, male 75 cases, female 51 cases, with an average age (56.8 ± 13.5) years. Of these 26 cases a history of hypertension, history of congestive heart failure, 19 cases, old a history of myocardial infarction in 8 cases, a history of chronic obstructive pulmonary disease in 9 cases. 1.2 Methods In patients with acute dyspnea to the hospital immediately after the blood 2mL, placed in a vacuum tube