
THE ROLE OF BRAIN NATRIURETIC PEPTIDE IN THE DIAGNOSIS OF CHRONIC HEART FAILURE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS
Yusupova Sh.K. , Docent Ph.D., Head Of Department Of Hospital Therapy And Endocrinology Andijan State Medical Institute, UzbekistanAbstract
The aim of the study was to study the role of brain sodium uretic peptide in the diagnosis of chronic heart failure in patients with type 2 diabetes mellitus. For the period 2019-2021, we identified and selected 185 patients as an object of research based on the materials of their appeal to medical institutions in Andijan aged 30 and older. The patients underwent general clinical, biochemical, hormonal, genetic blood tests, as well as ECG, Echo-ECG and other instrumental studies. The mean values of NT proBNP significantly differed in all groups and, at the same time, they were significantly higher in the group of patients with diabetes mellitus + CHF compared to those in patients with isolated CHF. We selected median NT-proBNP levels in increasing NT-proBNP tertiles in the range from 125 to 250 pg / ml, from 250 to 500 pg / ml, and above 500 pg / ml. The dynamics of their concentration, mainly NT-proBNP, can help in assessing the effectiveness of the therapy and the need for dose titration of drugs.
Keywords
Type 2 Diabetes Mellitus, Chronic Heart Failure, Hormones
References
Gromova OI Noninvasive electrophysiological and neuro- humoral markers of arrhythmic events and zhizneugro- zhayuschih states in patients with coronary disease of the heart. Diss. on competition of a scientific degree of Cand. honey. sciences. Moscow. 2014; 172.
Gromova O.I. Noninvasive electrophysiological and neurohumoral markers of arrhythmic events and life-threatening conditions in pa- tients with coronary heart disease.Dis.on competition of a scientific degree Cand. of medical Sciences. Moscow. 2014; 172 [in Russian].
Edvinsson M., Ahnstedt H. et al. Characterization of Relaxant Responses to Natriuretic Peptides in the Human Microcirculation In Vitro and In Vivo. Microcirculation. 2016; 23 (6): 438-446.
Wong LL, Wee AS, Lim JY, Ng JY et al. Natriuretic peptide receptor 3 (NPR3) is regulated by microRNA-100. J. Mol. Cell Cardiol. 2015; (82): 13-21.
Working group on the diagnosis and treatment of acute and chronic heart failure of the European society of cardiology (ESC) with the Participation of the Association of heart failure (ACH) in the ESC. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2016. Russian cardiology journal. 2017; 1 (141): 7-81 [in Russian].
De Vito P .. Atrial natriuretic peptide: an old hormone or a new cytokine. Peptides. 2014; (58): 108-116.
Moghtadaei M., Polina I., Rose R.A. Electrophysiological effects of natriuretic peptides in the heart are mediated by multiple receptor subtypes. Prog Biophys Mol Biol. 2016; 120 (1-3): 37-49.
Yandle T.G., Richards A.M. B-type natriuretic peptide circulating forms: analytical and bioactivity issues. Clin Chim Acta. 2015; 448: 195-205.
Richards A.M. The relationship of plasma NT-proBNP to age and outcomes in heart failure. JACC Heart Fail. 2016; 4 (9): 746-748.
Koegelenberg A.S., Smith W. et al. IGF-1 and NT-proBNP in a black and white population: the SABPA Study. Eur J Clin Invest 2016; 46 (9): 795-803.
Osipova O.A., Vlasenko O.A., Humoral mechanisms of chronic heart failure in patients with postinfarction cardiosclerosis. Scientific statements of the Belgorod state University. Series: Medicine.Pharmacy. 2011; 14 (10): 77-80 [in Russian].
Morwani J. G., McAlfine H. et al. Plasma brain natriuretic peptide as an indicator for angiotensin-conver-ting-enzyme inhibition after myocardial infarction. Lancet. 1993; 341 (8853): 1109-1113.
Davidson N.C., Naas A.A., Hanson J.K. et al. Comparison of atrial natriuretic peptide, B-type natriuretic peptide, and N-terminal proatrial natriuretic peptide as indicators of left ventricular systolic dysfunction. Am J Cardiol. 1996; 77 (10): 828-831.
Abdel Fattah EM, Girgis HY, El Khashab K. et al. B-type natriuretic peptide as an index of symptoms and severity of chronic rheumatic mitral regurgitation. Heart Views. 2016; 17 (1): 7-12.
Alieva AM, Nikitin IG, Starodubova AV et al. Diagnostic and prognostic significance of natriuretic peptides in cardiac patients. Therapeutics. 2016; 3: 78-84 [in Russian].
Wang X, Wang P, Li HF et al. The correlation between brain natriuretic peptide and invasive hemodynamic parameters and their value in prognosis of patients with noncardiac shock.
Goreva L.A. Acute myocardial infarction in patients with diabetes mellitus type 2: efficacy and safety of zofenopril and perindopril, including the effect on condition of oxidative stress and endothelial function: Dis the candidate of medical Sciences. M. 2012; 104 [in Russian].
Daniels L.B., Maisel A.S. Natriuretic peptides. J Am Coll Cardiol. 2007; 50 (25): 2357-2368.
Patton KK, Sotoodehnia N., De Filippi C., Siscovick DS, Gottdiener J.S., Kronmal R.A. N-terminal pro-B-type natriuretic peptide is associated with sudden cardiac death risk: the Cardiovascular Health Study. Heart Rhythm. 2011; 8 (2): 228-233.