Template:BNP value: Difference between revisions

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*100-500: Consider differential diagnosis and pre-test probability
*100-500: Consider differential diagnosis and pre-test probability
*> 500 Positive ([[CHF]] Sp 87%, PPV 90%)  
*> 500 Positive ([[CHF]] Sp 87%, PPV 90%)  
*Elevated in:
 
**Elderly, kidney failure, PE
==== Differential Diagnosis (Elevated)====
*Decreased in:
* [[CHF]]/[[AMI]]
**Obese
* [[PE]]
* [[Pulmonary Hypertension]]
* [[Renal Failure]]
 
''May have false negatives with obesity and diastolic dysfunction''

Revision as of 14:11, 1 June 2015

Brain natriuretic peptide (BNP)

  • <100 CHF ruled out (Sn 90%, NPV 89%)
  • 100-500: Consider differential diagnosis and pre-test probability
  • > 500 Positive (CHF Sp 87%, PPV 90%)

Differential Diagnosis (Elevated)

May have false negatives with obesity and diastolic dysfunction