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Review
. 2013 Jul;9(4):519-34.
doi: 10.2217/fca.13.32.

Natriuretic peptides: molecular biology, pathophysiology and clinical implications for the cardiologist

Raffaella D'Alessandro  1 , Daniele Masarone, Andrea Buono, Rita Gravino, Alessandra Rea, Gemma Salerno, Enrica Golia, Ernesto Ammendola, Giuseppe Del Giorno, Lucio Santangelo, Maria Giovanna Russo, Raffaele Calabrò, Eduardo Bossone, Giuseppe Pacileo, Giuseppe Limongelli
Affiliations
Review

Natriuretic peptides: molecular biology, pathophysiology and clinical implications for the cardiologist

Raffaella D'Alessandro et al. Future Cardiol. 2013 Jul.

Erratum in

  • Future Cardiol. 2014 Jul;10(4):582

Abstract

Natriuretic peptides (NPs) counter the effects of volume overload or adrenergic activation of the cardiovascular system. They are able to induce arterial vasodilatations, natriuresis and diuresis, and they reduce the activities of the renin-angiotensin-aldosterone system and the sympathetic nervous system. However, in addition to wall stress, other factors have been associated with elevated natriuretic peptide levels. Since 2000, because of their characteristics, NPs have become quantitative plasma biomarkers of heart failure. Nowadays, NPs play an important role not only in the diagnosis of heart failure, but also for a prognostic purpose and a guide to medical therapy. Finally, a new drug that modulates the NP system or recombinant analogs of NPs are now available in patients with heart failure.

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