ANP/BNP Flashcards
Where is ANP secreted?
secreted mainly from myocytes of right atrium and ventricle in response to increased blood volume
(It is also secreted from the left)
ANP degraded by
endopeptidases
Actions of ANP?
promotes excretion of sodium
lowers BP
antagonises actions of angiotensin II, aldosterone
Actions of BNP ?
Vasodilation
And natriuresis
suppresses both sympathetic tone and the renin-angiotensin-aldosterone system
Which drugs stops the degradation of ANP and BNP
neprilysin inhibitor, sacubitril, in combination with the angiotensin II receptor blocker, valsartan
B-type natriuretic peptide (BNP) is a hormone produced mainly by the?
left ventricular myocardium in response to strain
false positive pro-bnp?
chronic kidney disease.
Causes of Low BNP
Obesity
Diuretics
ACE inhibitors
Beta-blockers
Angiotensin 2 receptor blockers
is BNP a good prognostic factor ?
yes
which predictive value for pro-BNP can we rely on ?
NRGATIVE PREDICTIVE VALUE