Review Article

Natriuretic Peptides as Biomarkers for Congestive States: The Cardiorenal Divergence

Table 1

Changes in natriuretic peptides in patients treated for acute heart failure.

First author (year)Number of UF patientsAge (years)Male gender (%)Decrease in weight (Kg)Fluid removed (liters)Change in BNP
(pg/ml)
Change in Scr
(mg/dL)

Costanzo (2005) [29]2074.57568.65−442 at dischargeNo significant change (+0.08 at discharge)
Costanzo (2007) [30]100627054.6NA (baseline 1256; similarly improved in both groups)No significant change (+0.3 at 72 hours)
Giglioli (2011) [31]1572.4875.439.3−3266 at 36 hours (NT-proBNP)No significant change (−0.55) at 36 hours
Hanna (2012) [32]196084.24.75.2−2291 at 48 hours (NT-proBNP)No significant change (+0.2) at 48 hours
Bart (2012) [33]9469 (median)785.77.44−814 at 96 hours (NT-proBNP)+0.23 at 96 hours
Jefferies (2013) [34]87 (HFLEF) 97(HFPEF)65 (HFLEF) 67 (HFPEF)64 (HFLEF) 46 (HFPEF)7.57 (HFLEF) 6.39 (HFPEF)11.14 (HFLEF) 10.6 (HFPEF)−211 (HFLEF)
−88 (HFPEF) at discharge
+0.22 (HFLEF)
no significant change in HFPEF group (+0.9) at discharge
Costanzo (2016) [35]1106769.110.7 at 72 hours18.7−250 at discharge+0.12 at discharge

+ and − before a number indicate “increase by” and “decrease by,” respectively. Scr: serum creatinine; NA: not available; HFLEF: heart failure with low ejection fraction; HFPEF: heart failure with preserved ejection fraction; UF: ultrafiltration.