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N-Terminal pro-B-Type Natriuretic Peptide

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Cardiac Markers

Part of the book series: Pathology and Laboratory Medicine ((PLM))

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Abstract

The demonstration of specific granules in atrial muscle cells (1) and of the potent natriuretic, diuretic, and hypotensive response elicited by intravenous injection of atrial myocardial extract in rats (2) represent seminal, landmark findings in the era of cardiac natriuretic peptide research. During the past 20 yr remarkable scientific progress has been made, and by 2002 measurement of natriuretic peptides has been established as a valuable diagnostic and prognostic tool in clinical cardiology. Atrial or A-type natriuretic peptide (ANP) was purified, sequenced, and synthesized in the early 1980s (3,4), and the first report showing a natriuretic, diuretic, and vasodilatory effect of infusion of synthetic ANP in humans was published in 1985 (5). Within a short period of time several research groups reported that elevated plasma concentrations of ANP were found in patients with congestive heart failure (CHF) (6, 7). Moreover, a positive correlation between circulating ANP concentrations and atrial pressures was observed (8,9).

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Omland, T., Hall, C. (2003). N-Terminal pro-B-Type Natriuretic Peptide. In: Wu, A.H.B. (eds) Cardiac Markers. Pathology and Laboratory Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-385-9_26

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  • DOI: https://doi.org/10.1007/978-1-59259-385-9_26

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-319-0

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