Article ; Online: Diagnostic Role of NT-proBNP in Patients with Cardiac Amyloidosis Involvement: A Meta-Analysis.
Arquivos brasileiros de cardiologia
2022 Volume 119, Issue 2, Page(s) 212–222
Abstract: Background: Amyloidosis is defined as a disorder characterized by the deposition of extracellular protein material of amyloid in tissues.: Objectives: N-terminal pro-B-type natriuretic peptide (NT-proBNP) is used to predict the cardiac amyloidosis ( ... ...
Title translation | Papel Diagnóstico do NT-proBNP em Pacientes com Comprometimento por Amiloidose Cardíaca: Uma Metanálise. |
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Abstract | Background: Amyloidosis is defined as a disorder characterized by the deposition of extracellular protein material of amyloid in tissues. Objectives: N-terminal pro-B-type natriuretic peptide (NT-proBNP) is used to predict the cardiac amyloidosis (CA), but its diagnostic effect on CA involvement remains unclear, especially in terms of specificity and sensitivity. Methods: A search for literature was conducted in the Pubmed, Embase, and Cochrane library databases, and QUADAS 2 was used for quality assessment. Midas command in Stata 12.0 was used to analyze the subject indicators. Cochran's Q and I2were to test for heterogeneity, and the significant heterogeneity was set at p < 0.05 and/or I2> 50%. Spearman correlation analysis was used to evaluate the threshold effect, and the publication bias was assessed using the asymmetry test. The statistical significance was set at p < 0.05. Results: As results, 10 sets of data from 7 studies were included for analysis, showing high methodological quality and minimal confounding bias. The sensitivity and specificity of NT-proBNP in the diagnosis of cardiac involvement for patients with amyloidosis were 0.93 and 0.84, respectively. ROC curves also suggested a high diagnostic validity of NT-proBNP with an AUC of 0.95. A Fagan's nomogram plot showed probabilities for NT-proBNP positive and negative in developing CA involvement were 90% and 8%, respectively. The Deek's funnel plot suggested no significant publication bias across included studies, and the results were stable and reliable. Conclusions: NT-proBNP plays the positive role in the early diagnosis of CA involvement with high sensitivity and specificity. |
MeSH term(s) | Amyloidosis/diagnosis ; Biomarkers ; Humans ; Natriuretic Peptide, Brain ; Peptide Fragments ; ROC Curve |
Chemical Substances | Biomarkers ; Peptide Fragments ; pro-brain natriuretic peptide (1-76) ; Natriuretic Peptide, Brain (114471-18-0) |
Language | Portuguese |
Publishing date | 2022-05-11 |
Publishing country | Brazil |
Document type | Journal Article ; Meta-Analysis |
ZDB-ID | 730261-7 |
ISSN | 1678-4170 ; 0066-782X |
ISSN (online) | 1678-4170 |
ISSN | 0066-782X |
DOI | 10.36660/abc.20210486 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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