Dr. Schneider is a consultant for IDEXX Laboratories.
Assessment of circulating N-terminal pro B-type natriuretic peptide concentration to differentiate between cardiac from noncardiac causes of pleural effusion in cats
Article first published online: 16 JUL 2013
© Veterinary Emergency and Critical Care Society 2013
Journal of Veterinary Emergency and Critical Care
Volume 23, Issue 4, pages 416–422, July/August 2013
How to Cite
Hassdenteufel, E., Henrich, E., Hildebrandt, N., Stosic, A. and Schneider, M. (2013), Assessment of circulating N-terminal pro B-type natriuretic peptide concentration to differentiate between cardiac from noncardiac causes of pleural effusion in cats. Journal of Veterinary Emergency and Critical Care, 23: 416–422. doi: 10.1111/vec.12074
The authors declare no other conflict of interest.
- Issue published online: 5 AUG 2013
- Article first published online: 16 JUL 2013
- Manuscript Accepted: 2 JUN 2013
- Manuscript Received: 31 OCT 2011
- cardiac biomarker;
- heart failure;
- respiratory distress
To determine the diagnostic ability of blood N-terminal pro B-type natriuretic peptide (NT-proBNP) measurement to differentiate between congestive heart failure (CHF) and noncardiogenic causes for moderate to severe pleural effusion in cats.
Prospective observational study.
University teaching hospital.
Twenty-one cats with moderate to severe pleural effusion.
Venous blood sampling for NT-proBNP measurement.
Measurement and Results
According to the results of echocardiographic examination, cats were classified in a group with CHF (n = 11) or noncongestive heart failure (N-CHF, n = 10). NT-proBNP was measured via a feline-specific test in EDTA plasma with protease inhibitor. NT-proBNP was significantly (P < 0.0001) higher in the CHF group ( median 982 pmol/L, 355–1,286 pmol/L) than in the N-CHF group (median 69 pmol/L, 26 – 160 pmol/L) and discriminated exactly (area under the curve = 1.0, 95% confidence interval 1.0–1.0) between both groups. Optimum cut-off value considering all samples was 258 pmol/L.
In this small population of cats with pleural effusion, NT-proBNP was able to differentiate between cats with cardiogenic and noncardiogenic causes of effusion. With the currently recommended method of measurement (ie, EDTA plasma with protease inhibitor), a cut-off value of 258 pmol/L discriminates effectively between cats with and without CHF.