ProANP and proBNP in plasma as biomarkers of heart failure

Biomark Med. 2019 Sep;13(13):1129-1135. doi: 10.2217/bmm-2019-0158. Epub 2019 Aug 30.

Abstract

Aim: To compare the measurement of proANP and proBNP in plasma for the diagnosis of heart failure. Methods: In the PubMed search, a process of combining subject headings and terms regarding comparison of natriuretic peptides (proANP and proBNP) was performed. Results: 21 abstracts from research articles were screened with 14 articles assessed for eligibility. 11 papers were included for final analysis. We report comparable diagnostic accuracies of N-terminal proBNP and mid-regional proANP. Older methods for proANP measurement seem obsolete. Conclusion: Similar diagnostic performance of proANP and proBNP measurement for the diagnosis of heart failure was identified. Consequently, mid-regional proANP can be used when considering a diagnosis of heart failure.

Keywords: ANP; BNP; MR-proANP; NT-proBNP; biomarkers; heart failure; natriuretic peptide.

Publication types

  • Systematic Review

MeSH terms

  • Area Under Curve
  • Atrial Natriuretic Factor / blood*
  • Biomarkers / blood*
  • Databases, Factual
  • Heart Failure / blood
  • Heart Failure / diagnosis*
  • Humans
  • Natriuretic Peptide, Brain / blood*
  • Peptide Fragments / blood*
  • ROC Curve

Substances

  • Biomarkers
  • Peptide Fragments
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain
  • Atrial Natriuretic Factor