AUTHOR=An Zhixia , Gao Zhichun , Wang Luyu , Hou Changchun , Zhang Liying , Gong Siming , Rao Rongsheng , Li Chun , Qin Zhexue 

TITLE=Prognostic Significance of B-Type Natriuretic Peptide in Patients With Left Ventricular Thrombus

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2021.667908

DOI=10.3389/fcvm.2021.667908

ISSN=2297-055X

ABSTRACT=<p><bold>Background and Aims:</bold> There is sparse information on the prognostic value of B-type natriuretic peptide (BNP) for the outcomes in patients with left ventricular thrombus (LVT).</p><p><bold>Methods:</bold> Patients diagnosed with LVT by transthoracic echocardiography between November 2009 to July 2020 at our institution were included. The endpoints were all-cause mortality and systemic embolism.</p><p><bold>Results:</bold> Ninety-two subjects were finally included in the study. The mean age of the cohort was 56.73 ± 14.12, and 80.4% of the patients were male. The median BNP (1st quartile−3rd quartile) was 437.5 (112.74–1317.5). The total all-cause mortality rate was 30.44% (28/92), and the 1-year, 2-year, and 3-year cumulative survival rates were 85.4, 75.5, and 66.5%, respectively. Systemic embolism was identified in 10 subjects. COX multivariate analysis showed that Log BNP (HR, 4.16; 95%CI, 1.81–9.56; <italic>P</italic> = 0.001) and BMI (HR, 0.86; 95%CI, 0.73–0.99; <italic>P</italic> = 0.048) were significantly associated with all-cause mortality. In addition, patients with BNP levels in the upper median (≥ 437.5 pg/ml) had significantly higher all-cause mortality rate compared to those with lower median BNP (&lt;437.5 pg/ml; <italic>P</italic> = 0.004). The area under the receiver operating characteristic curve for BNP and all-cause mortality was 0.71. In the linear trend test, BNP quartiles were significantly related to all-cause mortality in all models, and the <italic>P</italic>-values for trend in models 1, 2, and 3 were 0.005, 0.006, and 0.048, respectively.</p><p><bold>Conclusion:</bold> BNP level is a prognostic factor for all-cause mortality in LVT patients, and elevated BNP is indicative of a higher risk of LVT.</p>