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Serum levels of N-terminal fragment of precursor protein brain-type natriuretic peptide (NT-proBNP) in twin pregnancy
| Title: | Serum levels of N-terminal fragment of precursor protein brain-type natriuretic peptide (NT-proBNP) in twin pregnancy |
| Authors: | Yamada, Takashi Browse this author →KAKEN DB | | Koyama, Takahiro Browse this author | | Furuta, Itsuko Browse this author →KAKEN DB | | Takeda, Masamitsu Browse this author | | Nishida, Ryutaro Browse this author | | Yamada, Takahiro Browse this author →KAKEN DB | | Morikawa, Mamoru Browse this author →KAKEN DB | | Minakami, Hisanori Browse this author →KAKEN DB |
| Keywords: | NT-proBNP | | Volume expansion in pregnancy | | Twin pregnancy |
| Issue Date: | 16-Jan-2013 |
| Publisher: | Elsevier |
| Journal Title: | Clinica Chimica Acta |
| Volume: | 415 |
| Start Page: | 41 |
| End Page: | 44 |
| Publisher DOI: | 10.1016/j.cca.2012.08.019 |
| PMID: | 22959924 |
| Abstract: | Twin pregnancy differs considerably from singleton pregnancy in many aspects and it is unknown how serum NT-proBNP level behaves in women with twin regnancies. Serum NT-proBNP levels were determined longitudinally at gestational weeks (GW) 24 and 35 in normotensive women with 13 twin and 99 singleton pregnancies. The effects of maternal demographic characteristics on NT-proBNP levels were also analyzed. The serum NT-proBNP levels (pg/ml) in twin pregnancies, which were not different from those in singleton pregnancies at 24 GW (26±15 vs. 40±27, respectively, P=0.0718), increased significantly (P=0.0038) and were significantly higher than those in singleton pregnancies at 35 GW (72±49 vs. 34±24, Pb0.0001). In the analysis including women with singleton pregnancies, the serum levels of NT-proBNP at 35 GW were significantly inversely correlated with pre-pregnancy body mass index (BMI, kg/m2) and were significantly higher in nulliparous than multiparous women. Thus, women with twin pregnancy were likely to exhibit an increase in serum NT-proBNP levels in the late stage of pregnancy, especially in lean and nulliparous women. The relative greater blood volume expansion occurring in twin than in singleton pregnancies was considered to be responsible for this phenomenon. |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/53257 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 水上 尚典
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