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Brain Natriuretic Peptide (BNP)  

(see also Atrial Natriuretic Factor/Peptide ANF or ANP)

First broadcast on www.provet.co.uk  


This information is provided by Provet for educational purposes only.

You should seek the advice of your veterinarian if your pet is ill as only he or she can correctly advise on the diagnosis and recommend the treatment that is most appropriate for your pet.

BNP is a peptide hormone produced by the heart. A commercial assay for canine and Feline BNP has been developed  

Brain natriuretic peptide (BNP) is produced mainly by the ventricles of the heart, although much higher concentrations (x100) are found in the atria. The plasma half-life of atrial natriuretic peptide (ANP) is only about 3 minutes, whereas the half-life of BNP is 22 minutes.

BNP secretion is increased in response to stretching of the cardiac wall, and this hormone  stimulates the kidneys to excrete salt and water. So, BNP has the opposite action to angiotensin II. 

Circulating plasma BMP concentrations are increased in human patients with a variety of asymptomatic cardiac disorders including 

  • hypertrophic cardiomyopathy
  • secondary ventricular hypertrophy (due to hypertension)
  • systolic and diastolic ventricular dysfunction

NT-proBNP tests are now available for dogs and cats : 

Canine Interpretation

NT-pro-BNP levels less than 900 pmol/L are found in normal healthy dogs and it is unlikely that the clinical signs are related to cardiac failure.

NT-pro-BNP levels between 900 and 1800 pmol/L are in the suspect range and in the absence of a murmur or common clinical signs, heart disease is unlikely.

NT-pro-BNP levels greater than 1800 pmol/L Heart disease is likely.
Further investigation and other tests should be performed to confirm this.

Feline Interpretation

NT-pro-BNP levels less than 100 pmol/L are found in normal healthy cats and it is unlikely that the clinical signs are related to cardiac failure.

NT-pro-BNP levels between 100 and 270 pmol/L are in the suspect range and in the absence of a murmur or common clinical signs, heart disease is unlikely.

NT-pro-BNP levels greater than 270 pmol/L Heart disease is likely.

 

Reference

Updated January 2016