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Associations of N-Terminal Pro-Brain Natriuretic Peptide with Incident Chronic Kidney Disease and All-Cause Mortality in Patients with No History of Heart Failure and Diabetes

Title: Associations of N-Terminal Pro-Brain Natriuretic Peptide with Incident Chronic Kidney Disease and All-Cause Mortality in Patients with No History of Heart Failure and Diabetes
Authors: Kuo, YN; Lin, CH; Wang, JS
Source: Nigerian Journal of Clinical Practice ; volume 28, issue 12, page 1470-1477 ; ISSN 1119-3077 2229-7731
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2025
Description: Background: N-terminal pro-brain natriuretic peptide (NT-proBNP) is associated with morbidity and mortality due to heart failure and cardiovascular disease. Aim: We aimed to examine the association of NT-proBNP with incident chronic kidney disease (CKD) in patients with no history of heart failure and diabetes. Methods: We prospectively enrolled patients with no history of diabetes who underwent an oral glucose tolerance test to screen for diabetes between 2011 and 2013. Patients with a diagnosis of heart failure, and those who had an estimated glomerular filtration rate (eGFR) 125 vs. ≤125 pg/mL) with incident CKD (defined as an eGFR 125 vs. ≤125 pg/mL) at baseline were associated with a higher risk of incident CKD and all-cause mortality (hazard ratio [HR] 2.54, 95% CI 1.34 to 4.82, P = 0.004). This risk remained significant after multivariate adjustment (adjusted HR 2.23, 95% CI 1.10 to 4.52, P = 0.026). Conclusion: A higher NT-proBNP (>125 vs. ≤125 pg/mL) was independently associated with risk of incident CKD and all-cause mortality in patients with no history of heart failure and diabetes.
Document Type: article in journal/newspaper
Language: English
DOI: 10.4103/njcp.njcp_567_25
Availability: https://doi.org/10.4103/njcp.njcp_567_25; https://journals.lww.com/10.4103/njcp.njcp_567_25
Rights: https://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.597B8DC4
Database: BASE