2 doctors weighed in:

In chf, what predicts recovery verses continued decline most reliably? Is it probnb levels declining and ef increasing, exercise tolerance? Confused

2 doctors weighed in
Dr. Bennett Werner
Internal Medicine - Cardiology

In brief: Different issues

Falling ntprobnp (or just bnp) indicates improved compensation but rising ef indicates true improvement in cardiac condition.
For instance, someone with an ef of 10% may receive medication and ntprobnp will fall from 10, 000 to 5, 000 as they feel better. But someone with a viral cardiomyopathy may get no treatment but, in time, their ef may rise from 30% to 50%. Exercise tolerance poorly predicts.

In brief: Different issues

Falling ntprobnp (or just bnp) indicates improved compensation but rising ef indicates true improvement in cardiac condition.
For instance, someone with an ef of 10% may receive medication and ntprobnp will fall from 10, 000 to 5, 000 as they feel better. But someone with a viral cardiomyopathy may get no treatment but, in time, their ef may rise from 30% to 50%. Exercise tolerance poorly predicts.
Dr. Bennett Werner
Dr. Bennett Werner
Thank
Dr. Alvaro Aranda
Internal Medicine - Pulmonology

In brief: EF

Good question but still ef on front but ventricular desynchronization, et ; co morbidities are core on it.

In brief: EF

Good question but still ef on front but ventricular desynchronization, et ; co morbidities are core on it.
Dr. Alvaro Aranda
Dr. Alvaro Aranda
Thank
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