Case Report On Increased Natriuretic Peptides In Myocardial Infarction: An Insight On Prognostic And Diagnostic Perspectives

Abstract

Background

The diagnosis and prognosis of heart failure depend strongly on natriuretic peptides, especially B-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP). However, Acute Myocardial Infarction (AMI) also causes their elevation, which can make clinical interpretation more difficult. We illustrate the diagnostic and prognostic importance of these biomarkers by reporting a case of increased natriuretic peptides in a patient who presented with acute ST-elevation myocardial infarction (STEMI).

Case presentation

A 68-year-old male came to the hospital with a history of type 2 diabetes mellitus presented to the emergency department with acute onset of chest pain radiating to the left arm, accompanied by diaphoresis and dyspnea for 2 hours.Patient had been successfully treated with symptomatical management.

Conclusion

This case enlightens the importance of recognizing elevated natriuretic peptides in the setting of acute myocardial infarction.