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Shorten the Journey

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Shorten the Journey
 * Home
 * Interpreting NTpro-BNP test results
 * Diagnostic pathway tool
 * Accelerating correct diagnosis
 * Early diagnosis of heart failure
 * Early testing in unexplained shortness of breath
 * Clinical society guidelines
 * About this website


UNEXPLAINED SHORTNESS OF BREATH?


TEST BEFORE REFERRAL

Unexplained shortness of breath Referral
Dyspnoea Referral

The Canadian Cardiovascular Society (CCS) recommends NT-proBNP screening to help
confirm or rule out heart failure in patients with shortness of breath when
clinical diagnosis remains uncertain. This can aid in decision-making and
accelerate the pathway to appropriate referral1,2,3.

Learn more

38%

Of patients with unexplained shortness of breath do not receive a definitive
diagnosis within six months post-referral4

1IN20

Patients with unexplained shortness of breath in the primary care setting will
have heart failure (including HFrEF, HFpEF) as its cause3,5

67%

Of patients with unexplained shortness of breath did not need further diagnostic
work-up after taking NT-proBNP test6

Reducing diagnostic delays:

In cases of suspected heart failure, blood analysis, including measurement of
NTpro-BNP levels, can be readily performed in primary care prior to referral2.

Interpret NT-ProBNP test results with confidence

Understand NT-ProBNP test results


THE VALUE OF NT-PROBNP TESTING

Find out how the NT-proBNP test provides an early warning that unexplained
shortness of breath may be associated with myocardial dysfunction. Follow
national and international guidelines on how the test should be used7.

Early testing in unexplained shortness of breath

Screening could reveal hidden cardiac or pulmonary disease





Clinical society guidelines

Recommendations on what testing can and cannot reveal




‹›





NT-PROBNP IN CLINICAL PRACTICE

See how NT-proBNP can accelerate the journey to correct diagnosis. Learn what
the results mean and the next steps to take1.

Accelerating correct diagnosis

The value of wider use of testing in primary care





Early diagnosis of heart failure

A brief guide to diagnosis and use of NT-proBNP testing in practice




‹›





REFERENCES

NT-proBNP: N-terminal pro-B type natriuretic peptide.
HFrEF: Heart failure with reduced ejection fraction.
HFpEF: Heart failure with preserved ejection fraction.

 

 1. Ontario Health. Accessed Sep 2021 at:
    https://www.hqontario.ca/Portals/0/Documents/evidence/reports/hta-use-of-b-type-natriuretic-peptide-and-n-terminal-probnp-as-diagnostic-tests-in-adults-with-suspected-heart-failure.pdf;
 2. Verhestraeten C, et al. PLoS ONE 2020; 15: e0244485;
 3. Ezekowitz J, et al. Can J Cardiol 2017; 33: 1342-1433;
 4. Berliner D, et al_ Dtsch Arztebl Int 2016, 113: 834-45;
 5. Huang Y, et al. J Thorac Dis 2018; 10: 3745-3756;
 6. Burri E, et al. J Intern Med 2012; 272: 504-13;
 7. Galie N, et al. Eur Respir J 2015; 46: 903–975.


SHORTEN THE JOURNEY

 * Interpreting NTpro-BNP test results
 * Diagnostic pathway tool
 * Accelerating correct diagnosis

 * Early diagnosis of heart failure
 * Early testing in unexplained shortness of breath
 * Clinical society guidelines

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Last updated 7 December 2021.

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