Title of article
Comparative assessment of N-terminal pro-B-type natriuretic peptide, nitric oxide and echocardiography for diagnosis of dilated cardiomyopathy in dogs
Author/Authors
كومار، آخيلش نويسنده Ph.D. Student, Laboratory of Comparative System of Medicine, Division of Medicine, Indian Veterinary Research Institute, Izatnagar, Bareilly, UP-243122, India Kumar, A , دي، صاحادب نويسنده Laboratory of Comparative System of Medicine, Division of Medicine, Indian Veterinary Research Institute, Izatnagar, Bareilly, UP-243122, India Dey, S , ماهندران، كارونانيتي نويسنده Division of Medicine, Indian Veterinary Research Institute, Izatnagar, Bareilly, UP-243122, India Mahendran, K , دان، آنانيا نويسنده Laboratory of Comparative System of Medicine, Division of Medicine, Indian Veterinary Research Institute, Izatnagar, Bareilly, UP-243122, India Dan, A , ماهاجان، سوميت نويسنده Ph.D. Student, Laboratory of Comparative System of Medicine, Division of Medicine, Indian Veterinary Research Institute, Izatnagar, Bareilly, UP-243122, India Mahajan, S , ساكسنا، آبهيشك نويسنده Division of Surgery, Indian Veterinary Research Institute, Izatnagar, Bareilly, UP-243122, India Saxena, A
Issue Information
فصلنامه با شماره پیاپی 48 سال 2014
Pages
5
From page
233
To page
237
Abstract
هدف از اين تحقيق ارزيابي اهميت باليني ناتريوريك پپتيد (NT-Pro BNP)، نيتريك اكسايد (NO) و اكوكارديوگرافي (تست تشخيصي طلايي) در تشخيص كارديوميوپتي سگها ميباشد. از 374 مورد ارجاعي، 82 بيمار مبتلا به اختلال قلبي عروقي تشخيص داده شد كه 16 بيمار مبتلا به كارديوميوپتي جهت ارزيابي و استاندارد كردن بيوماركرها انتخاب شدند. افزايش معنيداري (P<0.01) در NT-Pro BNP سگهاي مبتلا به كارديوميوپتي مشاهده گرديد. غلظت پلاسمايي NO نسبت به سگهاي سالم افزايش معنيدار نشان نداد. حساسيت NT-Pro BNP و NO به ترتيب 20/72% و 50/62% و ويژگي آنها به ترتيب 90/93% و 40/89% در مقايسه با اكوكارديوگرافي تشخيص داده شد. همبستگي بين اكوكارديورافي و NT-Pro BNP، 30/89% با ميزان كاپاي 675/0 بود كه نشان از هماهنگي زياد بين اين دو روش دارد. ارزش پيش گويانه مثبت و منفي به ترتيب 765/0 و 925/0 تخمين زده شد. نتيجه گرفته ميشود که احتمالاً ميتوان از NT-Pro BNP و NO در نبود امكانات اكوكارديوگرافي، به عنوان ابزار تشخيصي جايگزين براي تشخيص كارديوميوپتي استفاده کرد.
Abstract
The aim of the study was to evaluate the clinical usefulness of N-terminal pro-brain natriuretic peptide (NT-Pro BNP) and nitric oxide (NO) with echocardiography (gold standard test) in diagnosis of canine cardiomyopathy. Out of 374 cases, 82 cases showing cardiovascular abnormalities including 16 cases of cardiomyopathy were further selected for standardization of biomarkers. Significant (P<0.01) increase in plasma NT-Pro BNP was found in dogs with cardiomyopathies. The plasma concentration of NO showed non-significant increase in comparison to healthy dogs. The sensitivity of NT-Pro BNP and NO was 72.20% and 62.50%, with specificity 93.90% and 89.40%, respectively when compared with echocardiography. The correlation between echocardiography and NT-Pro BNP was 89.30% with kappa value of 0.675 suggesting substantial agreement between the two tests. The positive and negative predictive value was estimated at 0.765 and 0.925, respectively. It is concluded that NT-Pro BNP and NO may be an alternate diagnostic tool for diagnosis of cardiomyopathy where the facility of echocardiography is not available.
Journal title
Iranian Journal of Veterinary Research (IJVR)
Serial Year
2014
Journal title
Iranian Journal of Veterinary Research (IJVR)
Record number
1987103
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