{"id":10436,"date":"2008-01-14T12:11:14","date_gmt":"2008-01-14T09:11:14","guid":{"rendered":"https:\/\/www.synevo.ro\/afectiuni\/marker-insuficienta-cardiaca\/"},"modified":"2020-07-10T12:29:02","modified_gmt":"2020-07-10T09:29:02","slug":"marker-insuficienta-cardiaca","status":"publish","type":"synevo_diseases","link":"https:\/\/old.synevo.md\/ru\/afectiuni\/marker-insuficienta-cardiaca\/","title":{"rendered":"Marker insuficien\u0163\u0103 cardiac\u0103"},"content":{"rendered":"<p><span style=\"color: #000080;\"><strong>Insuficien\u0163a cardiac\u0103 cronic\u0103<\/strong><\/span> este un sindrom clinic produs prin alterarea func\u0163iei de pomp\u0103 a inimii. Inciden\u0163a sa este \u00een continu\u0103 cre\u015ftere at\u00e2t \u00een \u0163\u0103rile din Europa c\u00e2t \u015fi \u00een Statele Unite ale Americii, constituind cauza cea mai frecvent\u0103 de spitalizare a persoanelor v\u00e2rstnice.<br>Principalii factori etiologici ai disfunc\u0163iei ventriculare st\u00e2ngi sunt <strong>hipertensiunea arterial\u0103<\/strong> \u015fi <strong>boala coronarian\u0103<\/strong>.<\/p><!--more--><hr class=\"wp-block-separator\"\/><p><strong>Diagnosticul <\/strong>de insuficien\u0163\u0103 cardiac\u0103 \u00een stadiu precoce este greu de stabilit deoarece simptome cum ar fi <strong>dispneea<\/strong>, <strong>fatigabilitatea<\/strong> \u015fi <strong>edemele declive<\/strong> sunt destul de nespecifice. Diagnosticul devine \u015fi mai dificil la persoanele v\u00e2rstnice sau obeze.<\/p><p>Pentru <strong>stabilirea diagnosticului<\/strong> se recurge adesea la investiga\u0163ii imagistice, ecografia cardiac\u0103 fiind cea mai folosit\u0103 metod\u0103. \u0162in\u00e2nd cont de faptul c\u0103 este o boal\u0103 progresiv\u0103, cu c\u00e2t diagnosticul este stabilit mai precoce, cu at\u00e2t mai mult se reduce riscul complica\u0163iilor \u015fi al mortalit\u0103\u0163ii.<\/p><hr class=\"wp-block-separator\"\/><p>Din acest motiv, s-a sim\u0163it nevoia s\u0103 se depisteze <strong>markeri serici care s\u0103 se coreleze \u00eentr-un mod adecvat cu prognosticul bolii<\/strong>.<br>Semnifica\u0163ia clinic\u0103 a peptidelor natriuretice a fost de mult timp demonstrat\u0103. <strong>ANP<\/strong> (atrial natriuretic peptide) \u015fi <strong>BNP<\/strong> (brain natriuretic peptide), prin propriet\u0103\u0163ile lor natriuretice, diuretice c\u00e2t \u015fi de antagoni\u015fti ai sistemului renin\u0103-angiotensin\u0103-aldosteron influen\u0163eaz\u0103 balan\u0163a hidro-electrolitic\u0103 din organism.<\/p><p><strong>Pro-BNP<\/strong> este secretat predominant \u00een ventricul ca r\u0103spuns la stress-ul parietal miocardic. Este clivat \u00eentr-o form\u0103 biologic activ\u0103 \u2013 BNP \u015fi \u00eentr-un fragment inactiv \u2013 NT-proBNP.<br>S-a constatat c\u0103 nivelurile serice ale BNP (\u015fi respectiv ale NT-proBNP) se coreleaz\u0103 foarte bine cu severitatea disfunc\u0163iei ventriculare st\u00e2ngi, fiind astfel un marker cu valoare prognostic\u0103.<sup>1,2<\/sup><\/p><p>De asemenea poate fi folosit \u00een monitorizarea \u015fi evaluarea eficien\u0163ei tratamentului \u0219i sunt date care sus\u0163in c\u0103 acest marker ar mai putea fi util \u00een evaluarea remodel\u0103rii vasculare.<sup>1,3<\/sup><\/p><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><p><strong>Teste disponibile \u00een laboratorul Synevo<\/strong>:<\/p><\/div>\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"synevo-shop-products\">\r\n    <div class=\"sysprod\">\r\n        \r\n        <div class=\"sysprod-products\">\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/nt-probnp\/\">NT-proBNP<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>610 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9278\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9278\"\r\n                                data-product_sku=\"MC01\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                    <\/div>\r\n        \r\n    <\/div>\r\n<\/div>\r\n\r\n<style>\r\n.synevo-shop-products {\r\n    padding: 24px 0;\r\n    margin: 24px 0;\r\n    border-radius: 10px;\r\n    background: #F6F7F9;\r\n}\r\n.synevo-shop-products .sysprod-product {\r\n    position: relative;\r\n    margin: 0 24px;\r\n    margin-bottom: 24px;\r\n    border-radius: 10px;\r\n    background: #fff;\r\n    display: flex;\r\n    flex-direction: row;\r\n    align-items: center;\r\n}\r\n.synevo-shop-products .sysprod-product:last-child {\r\n    margin-bottom: 0;\r\n}\r\n.synevo-shop-products .sysprod-product-title {\r\n    flex-grow: 1;\r\n    padding: 15px;\r\n    margin-left: 14px;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 16px;\r\n    color: #29263F;\r\n}\r\n.synevo-shop-products .sysprod-product-price {\r\n    flex-shrink: 0;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 18px;\r\n    color: #FDB813;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart {\r\n    flex-shrink: 0;\r\n    position: relative;\r\n    width: 38px;\r\n    height: 38px;\r\n    margin-left: 24px;\r\n    margin-right: 24px;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart .button {\r\n    top: unset;\r\n    right: unset;\r\n}\r\n<\/style><\/div><\/div><hr class=\"wp-block-separator\"\/><p><small>Bibliografie<\/small><\/p><p><small>1.Laborator Synevo. Referin\u0163ele specifice tehnologiei de lucru utilizate. 2007. Ref Type: Catalog.<br>2. Mueller T, et al. Head-to-Head Comparison of the Diagnostic Utility of BNP and NT-proBNP in Symptomatic and Asymptomatic Structural Heart Disease. In Clin Chim Acta, 2004, 341:41-48.<br>3. Remme WJ, Swedberg K et al. The European Society of Cardiology Task force Report: Guidelines for the Diagnosis and Treatment of Chronic Heart failure. In European Heart Journal 2001, 22:1527-1560.<\/small><\/p><hr class=\"wp-block-separator\"\/><p>Mai multe informa\u021bii despre teste:<\/p><ul class=\"wp-block-list\"><li><a href=\"\/shop\/nt-probnp\/\" class=\"rank-math-link\">NT-proBNP<\/a><\/li><\/ul>","protected":false},"featured_media":0,"template":"","synevo_diseases_category":[891],"class_list":["post-10436","synevo_diseases","type-synevo_diseases","status-publish","hentry","synevo_diseases_category-cardiologie"],"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases\/10436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/synevo_diseases"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=10436"}],"wp:term":[{"taxonomy":"synevo_diseases_category","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases_category?post=10436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}