Dilated cardiomyopathy relieved as a result of β-blocker therapy: A case report—key points in assessment of prognosis based on MIBG myocardial scintigraphy and BNP levels
نویسندگان
چکیده
PLASMA NOREPINEPHRINE CONCENTRATIONS, which increase in patients with congestive heart failure, reflect the severity of the disease and are closely related to prognosis.1 Because sympathetic activity is enhanced with increasing severity of congestive heart failure, the severity and prognosis of congestive heart failure can be evaluated based on parameters determined by I-123 metaiodobenzylguanidine (MIBG) scintigraphy.2,3 Neurohumoral factors, such as atrial (A-type) natriuretic peptide (ANP) and brain (B-type) natriuretic peptide (BNP), have also been reported to be useful in diagnosing and evaluating the severity of congestive heart failure.4 This report describes a dilated cardiomyopathy patient who was admitted to our hospital due to congestive heart failure, which was treated with a β-blocker, and who was followed up based on BNP levels and MIBG scintigraphy. CASE REPORT
منابع مشابه
Dilated cardiomyopathy relieved as a result of beta-blocker therapy: a case report--key points in assessment of prognosis based on MIBG myocardial scintigraphy and BNP levels.
A 48-year-old male patient was admitted to our hospital with dyspnea accompanied by orthopnea. Chest x-rays showed a cardiothoracic ratio of 68% and pulmonary congestion. He was diagnosed with dilated cardiomyopathy. Beta-Blocker (carvedilol) therapy was initiated on Day 22 of the disease using a small initial dose. He was followed up based on BNP levels and MIBG scintigraphy. The H/M ratio and...
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