Urinary and plasma CNP have prognostic value in Aute Decopensated HF: Study

The results of the study are as follows:

· There was no significant correlation between urinary and plasma CNP in both cohorts.

· Urinary and plasma CNP were significantly elevated in patients with ADHF, and both increased with disease severity and were positively correlated with plasma N-terminal pro–B-type natriuretic peptide (NT-proBNP).

· Of the patients with ADHF, 23% had elevations in both urinary and plasma CNP, whereas 24% had normal CNP levels.

· During a median follow-up of 3 years, patients with elevated urinary and plasma CNP had a significantly higher risk of rehospitalization and/or death (HR: 1.79; P = 0.03) and rehospitalization (HR: 2.16; P = 0.01) after adjusting for age, sex, left ventricular ejection fraction, renal function, and plasma NT-proBNP.

· The C-statistic and integrated discrimination analyses further supported that the addition of urinary and plasma CNP to established risk models improved the prediction of adverse outcomes in patients with ADHF.

Thus, the researchers concluded that urinary and plasma CNP are differentially regulated in ADHF, and elevations in both provided independent prognostic value for predicting adverse outcomes.

References:

Prognostic Value of Urinary and Plasma CNP in Acute Decompensated HF by Ma X et. al published in the JACC: Heart Failure.

https://www.jacc.org/doi/10.1016/j.jchf.2021.04.013