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Ogawa M, Hori Y, Kanno N, Iwasa N, Toyofuku T, Isayama N, Yoshikawa A, Akabane R, Sakatani A, Miyakawa H, Hsu HH, Miyagawa Y, Takemura N. Comparison of N-terminal pro-atrial natriuretic peptide and three cardiac biomarkers for discriminatory ability of clinical stage in dogs with myxomatous mitral valve disease. J Vet Med Sci 2021; 83:705-715. [PMID: 33551383 PMCID: PMC8111352 DOI: 10.1292/jvms.20-0629] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Plasma N-terminal pro-atrial natriuretic peptide (NT-proANP) concentration increases with
progression of myxomatous mitral valve disease (MMVD) in dogs. This multicentre,
prospective study compared plasma NT-proANP, N-terminal pro-brain natriuretic peptide
(NT-proBNP), ANP, and cardiac troponin I (cTnI) concentrations in dogs with MMVD for their
characteristics and discriminatory ability to detect cardiac dilatation and congestive
heart failure (CHF). Thirty-six healthy dogs and 69 dogs with MMVD were included. Clinical
variables were obtained via physical examination, thoracic radiography, and
echocardiography. The discriminatory ability of each cardiac biomarker (CB) to determine
the presence or absence of cardiac dilatation (event 1) and CHF (event 2) was evaluated
using the receiver operating characteristic curves. Plasma NT-proANP, NT-proBNP, and ANP
concentrations showed a significant association with the left atrium/aorta ratio
(P<0.01). The area under the curve of plasma NT-proANP and NT-proBNP
concentrations were 0.72 and 0.75, respectively in event1 and 0.72 and 0.76, respectively
in event2. Plasma NT-proANP and NT-proBNP concentrations showed sensitivity 80.0 and
80.0%; specificity 67.6 and 64.7% in event1 (cutoff value; 8,497.81 pg/ml and 1,453.00
pmol/l, respectively) and sensitivity 85.7 and 81.0%; specificity 60.4 and 64.6% in event2
(cutoff value; 8,684.33 pg/ml and 1,772.00 pmol/l, respectively). In dogs with MMVD,
plasma NT-proANP, NT-proBNP, and ANP concentrations increase with left atrial enlargement.
Particularly, plasma NT-proANP and NT-proBNP concentrations appeared to be equally useful
in the discriminatory ability to detect cardiac dilatation and CHF.
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Affiliation(s)
- Mizuki Ogawa
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Yasutomo Hori
- Otsuka-Ekimae Animal Hospital, 1-20-7 Kitaotsuka, Toshima-ku, Tokyo 170-0004, Japan
| | - Nobuyuki Kanno
- Saitama Animal Medical Centre, 2-2-15 Sayamadai Iruma-shi, Saitama 358-0033, Japan
| | - Naoki Iwasa
- Hashima Animal Hospital, 2-17 Asahira, Fukujyu-cho, Hashima, Gifu 501-6255, Japan
| | - Takeshi Toyofuku
- Nishigahara Rose Animal Hospital, 1-25-32 Nishigahara, Kita-ku, Tokyo 114-0024, Japan
| | - Noriko Isayama
- Uenonomori Animal Clinic, 1-5-11 Yanaka Taito-ku, Tokyo 114-0024, Japan
| | - Akane Yoshikawa
- Meguro Animal Medical Center, 3-9-3-104 Meguro, Meguro-ku, Tokyo 153-0063, Japan
| | - Ryota Akabane
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Atsushi Sakatani
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Hirosumi Miyakawa
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Huai-Hsun Hsu
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Yuichi Miyagawa
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Naoyuki Takemura
- Laboratory of Veterinary Internal Medicine II, School of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
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Hezzell MJ. What can changes in serial measurements tell us about prognosis in myxomatous mitral valve disease? Vet Rec 2020; 185:340-342. [PMID: 31541051 DOI: 10.1136/vr.l5651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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