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Emergency department perspectives on B-type natriuretic peptide utility

Peacock, W. Frank and Mueller, Christian and Disomma, Salvatore and Maisel, Alan. (2008) Emergency department perspectives on B-type natriuretic peptide utility. Congestive heart failure, Vol. 14, H. 4, Suppl. 1. pp. 17-20.

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Official URL: http://edoc.unibas.ch/dok/A6007265

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Abstract

In the emergency department (ED), patients do not present with a diagnosis. Rather they manifest a symptom for which the physician must determine the most probable cause. It is the sorting of possibly acutely fatal diagnoses that is unique to the practice of emergency medicine. Unfortunately, the historically available rapid diagnostic tools lack both sensitivity and specificity. This creates risk for the acutely ill patient in whom either a delayed or erroneous diagnosis can be associated with a startling increase in mortality. B-type natriuretic peptide (BNP) assessment in the ED is a valuable adjunct for increasing the accuracy of the initial clinical impression. This allows early outcome-improving interventions to proceed with greater certainty. Finally, as a prognostic marker indicative of illness severity, knowledge of BNP levels can improve the accuracy of disposition decisions.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Stationäre innere Medizin (Schifferli)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Stationäre innere Medizin (Schifferli)
UniBasel Contributors:Müller, Christian
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Bibsysno:Link to catalogue
Publisher:Blackwell
ISSN:1527-5299
Note:Publication type according to Uni Basel Research Database: Journal item
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Last Modified:20 Jun 2014 07:55
Deposited On:20 Jun 2014 07:55

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