59 y male
MI Sept 2012 (takasubo cardiomyopathy)
BMI of 24.
Light exercise most days. (I walked 10 minutes on recent treadmill stress test)
95% vegetarian since MI
Here are recent 2D echo/Doppler results (with cardiologists impressions) and some blood results:
LVEF 45-50%. last year was 45% +- using transthoracic echo
Mild left systolic dysfunction (Compared to prior year it seems slightly improved)
Mean pulmonary artery pressure 30 mm (consistent with moderate PH)
Tricuspid Doppler shows elevated right heart pressure of 55 mm (considering patient age is markedly abnormal)
Mitral valve Doppler consistent with diastolic dysfunction, grade 2
Cardiologist says I have stiffening in parts of my left ventricle (hypokinesis) but no hypertrophy. This is consistent with initial echo which showed mild hypokinesis in 5 LV segments.
Mildly dilated left ventricular cavity and left atrium.
My question relates to the BNP results.
Does the recent BNP value of 16 pg/ml shed any light on my condition/outlook?
Could BNP be skewed artificially lower by the drugs I am taking so that it might be misleading?
Your BNP is low/normal, suggesting your heart is not overloaded with fluid and the intracardiac pressures are not too high. Your medications may relieve some of the pressure in your heart causing the BNP to be within normal limits, but they will not falsely lower it.
I do know that BNP results are a positive indicator for CHF, but the numbers don't always equate to patient's severity of CHF symptoms. I think a BNP number of 100 is an indicator for heart failure, but for a number of years I worked out daily and lived pretty routinely with BNP numbers between 150 - 200. My blood is tested about every 90 days. However, last year my heart bypasses failed and my BNP registered as high as 3150, and I didn't need a BNP test to know I had CHF as I would gain as much as 12 pounds overnight and couldn't lay down to sleep without about drowning. I learned my BNP results today at the doctor's office, it was 365 and my lungs were clear. My doctor told me today he has patients with BNP levels as high as 500 who get along pretty well and others with BNP of 100 who can hardly function, so I wonder if BNP levels are simply an indication, not a diagnosis of longevity.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.