• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Perioperative levels of BNP associated with postoperative atrial fibrillation risk after noncardiac surgery

byKathleen LauandAlex Chan
December 14, 2020
in Cardiology, Surgery
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

Evidence Rating Level: 2 (Good)

1. Preoperative levels of brain-type natriuretic peptide were independently associated with postoperative atrial fibrillation risk after noncardiac surgery.

Postoperative atrial fibrillation (POAF) after noncardiac surgery has been associated with prolonged hospital stays and an increased risk of stroke and death. As an established marker in heart failure management and diagnosis, levels of brain-type natriuretic peptide (BNP) are used to predict cardiovascular morbidity and mortality, including new onset AF. However, its ability to predict POAF after non-cardiac surgery remains unknown. From VISION (Vascular events In non-cardiac Surgery patients cOhort evaluatioN), a prospective international cohort study, 37 760 patients were included in the analysis. Patients were phoned to gather data on whether they experienced clinically important POAF within the 30 days following their procedure, while blood samples were collected from 9 789 patients (26%) to measure pre-operative N-terminal pro-BNP levels. Results showed that the incidence of clinically important POAF following noncardiac surgery was 1.0% (95% CI 0.9-1.1), which was at its highest after major thoracic surgery (3.2%, 95% CI 2.3-4.4). Using logistic regression models and an NT-proBNP level of 100 ng/L as a reference value, increasing preoperative NT-proBNP levels of 200, 1500, and 300 ng/L were associated with adjusted ORs for POAF of 1.31 (95% CI 1.15-1.49), 2.07 (95% CI 1.27-3.36), and 2.39 (95% CI 1.26-4.51) respectively. Compared to other potential predictors in their model, NT-proBNP provided 16% more information over other prognostic factors. However, shorter, mostly asymptomatic episodes of POAF were likely not captured through their survey methods, as no extended holter monitoring was used. Given this predictive value of NT-proBNP in POAF, further studies should explore whether there is an underlying causal relationship with different cardiovascular diseases, which may lead to cardiac stress elevating these BNP levels.

Click to read the study in CMAJ

Image: PD

©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

RELATED REPORTS

Medbridge turns any phone into a motion-capture coach for at-home rehab

Cerebral embolic protection does not decrease stroke incidence in TAVI patients

Ablation may reduce stroke risk, death, heart failure hospitalization in patients with atrial fibrillation

Tags: atrial fibrillationSurgery
Previous Post

2 Minute Medicine Rewind December 9, 2020

Next Post

Elevated LDL cholesterol associated with increased risk of myocardial infarction and ASCVD in individuals aged 70-100 years

RelatedReports

Active sexting among teens related to sexual activity
AI Roundup

Medbridge turns any phone into a motion-capture coach for at-home rehab

July 10, 2025
Cerebral protection device effective in patients undergoing transcatheter aortic valve implantation
Cardiology

Cerebral embolic protection does not decrease stroke incidence in TAVI patients

July 8, 2025
Atrial fibrillation-specific management increases days alive and out of hospital
Cardiology

Ablation may reduce stroke risk, death, heart failure hospitalization in patients with atrial fibrillation

July 4, 2025
All Specialties

Minimally invasive surgery is beneficial for epithelial ovarian cancer 

July 4, 2025
Next Post
PCI not superior to medical therapy alone in stable coronary disease: The COURAGE study

Elevated LDL cholesterol associated with increased risk of myocardial infarction and ASCVD in individuals aged 70-100 years

No association found between length of storage for transfused red blood cells and patient mortality

Fixed low dose of erythropoeitin associated with similar efficacy outcomes as as titration-based dosing

Probiotics improve colic, reduce GI disorders in infants

Meta-analysis highlights health benefits of probiotics and prebiotics in premature infants

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • St. Louis hospital-based violence intervention program did not significantly affect reinjury outcomes
  • Glucagon-like peptide-1 receptor agonists may increase risk of reflux in patients with type 2 diabetes
  • Vaporized nicotine products may be effective for smoking cessation among people with social disadvantage
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.