Publications Scientifiques

[ Article ] N-terminal pro-brain natriuretic peptide in acute Kawasaki disease correlates with coronary artery involvement.

Date de soumission: 15-02-2018
Année de Publication: 2015
Entité/Laboratoire Unité de Soins d'Enseignement et de Recherche en Cardiologie (USERC)
Document type : Article
Discipline(s) : Système Cardiovasculaire et respiratoire
Titre N-terminal pro-brain natriuretic peptide in acute Kawasaki disease correlates with coronary artery involvement.
Auteurs ADJAGBA MAHOUNA PHILIPPE DOTOU [1], Desjardins Laurent [2], Fournier Anne [3], Spigelblatt Linda [4], Montigny Martine [5], Dahdah Nagib [6],
Journal: Cardiol Young
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 25
DOI: 10.1007/s00246-014-0909-3
Resume Background: We have lately documented the importance of N-terminal pro-brain natriuretic peptide in aiding the diagnosis of Kawasaki disease. Objectives: We sought to investigate the potential value of N-terminal pro-brain natriuretic peptide pertaining to the prediction of coronary artery dilatation (Z-score >2.5) and/or of resistance to intravenous immunoglobulin therapy. We hypothesised that increased serum N-terminal pro-brain natriuretic peptide level correlates with increased coronary artery dilatation and/or resistance to intravenous immunoglobulin. Methods: We carried out a prospective study involving newly diagnosed patients treated with 2 g/kg intravenous immunoglobulin within 5–10 days of onset of fever. Echocardiography was performed in all patients at onset, then weekly for 3 weeks, then at month 2, and month 3. Coronary arteries were measured at each visit, and coronary artery Z-score was calculated. All the patients had N-terminal pro-brain natriuretic peptide serum level measured at onset, and the Z-score calculated. Results: There were 109 patients enrolled at 6.58 ± 2.82 days of fever, age 3.79 ± 2.92 years. High N-terminal pro-brain natriuretic peptide level was associated with coronary artery dilatation at onset in 22.2 versus 5.6% for normal N-terminal pro-brain natriuretic peptide levels (odds ratio 4.8 [95% confidence interval 1.05–22.4]; p=0.031). This was predictive of cumulative coronary artery dilatation for the first 3 months (p =0.04–0.02), but not during convalescence at 2–3 months (odds ratio 1.28 [95% confidence interval 0.23–7.3]; p=non-significant). Elevated N-terminal pro-brain natriuretic peptide levels did not predict intravenous immunoglobulin resistance, 15.3 versus 13.5% (p =1). Conclusion: Elevated N-terminal pro-brain natriuretic peptide level correlates with acute coronary artery dilatation in treated Kawasaki disease, but not with intravenous immunoglobulin resistance.
Mots clés Kawasaki disease; prediction; coronary artery involvement; N-terminal pro-brain natriuretic peptide; predictive value
Pages 1311 - 1318
Fichier (PDF)

Publications par entité

  • Centre de Formation et de Recherche en matière de Population (CEFORP) (21)
  • Centre Interfacultaire de Formation et de Recherche en Environnement pour le Développement Durable (CIFRED) (20)
  • Chaire Internationale en Physique Mathématique et Applications (CIPMA-Chaire UNESCO) (45)
  • Ecole Doctorale Pluridisciplinaire <<Espaces, Culture et Développement>> (0)
  • Ecole Nationale d'Administration et de Magistrature (ENAM) (68)
  • Ecole Nationle d'Economie Appliquée et de Management (88)
  • Ecole Normale Supérieure (35)
  • Ecole Polytechnique d'Abomey-Calavi (EPAC) (1109)
  • Faculté de droit et de Science Politique (FADESP) (105)
  • Faculté des Lettres et Sciences Humaines (FLASH) (1367)
  • Faculté des Lettres, Langues, Arts et Communications (FLLAC) (0)
  • Faculté des Sciences Agronomiques (1886)
  • Faculté des Sciences de la Santé (FSS) (2201)
  • Faculté des Sciences Economiques et de Gestion (FASEG) (187)
  • Faculté des Sciences et Techniques (FAST) (1081)
  • Faculté des Sciences Humaines et Sociales (FASHS) (70)
  • Institut de Formation et de Recherche en Informatique (IFRI) (76)
  • Institut de Géographie de l'Aménagement du territoire et de l'Environnement (IGATE) (0)
  • Institut de Mathématiques et de Sciences Physiques (IMSP) (122)
  • Institut National de l'Eau (INE) (28)
  • INSTITUT NATIONAL DE LA JEUNESSE DE L’EDUCATION PHYSIQUE ET SPORT(INJEPS) (241)
  • Institut National des Métiers d'Art d'Archéologie et de la Culture (INMAAC) (11)
  • Institut National Médico Sanitaire ( INMeS) (0)
  • Institut Régional de Santé Publique (IRSP) (84)

Publications par sexe

  • Femme( 1389 )
  • Homme (