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Evid Based Med 10:148 doi:10.1136/ebm.10.5.148
  • Diagnosis

BNP and amino terminal proBNP assays did not differ for detecting congestive heart failure in the emergency department

Diagnostic characteristics of B type natriuretic peptide (BNP) and amino terminal proBNP (NT-proBNT) concentrations for detecting congestive heart failure in patients with dyspnoea*

Assay Cutpoints (ng/l) Sensitivity (95% CI) Specificity (CI) +LR −LR
*Diagnostic terms defined in glossary; LRs calculated from data in article. †Approved cutpoint for the AxSYM BNP assay (100 ng/l) and Elecsys NT-proBNP assay (125 ng/l for patients <75 years of age and 450 ng/l for those ⩾75 years of age).
BNP 100† 96% (92 to 99) 61% (52 to 70) 2.46 0.07
118 95% (90 to 98) 64% (55 to 73) 2.64 0.08
160 90% (84 to 95) 73% (64 to 81) 3.33 0.14
295 80% (73 to 87) 86% (78 to 92) 5.71 0.23
NT–proBNP 292 95% (90 to 98) 53% (43 to 62) 2.02 0.09
125/450† 94% (89 to 97) 46% (37 to 56) 1.74 0.13
476 90% (84 to 95) 65% (55 to 74) 2.57 0.15
825 87% (80 to 92) 81% (72 to 88) 4.58 0.16

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