When heart failure develops or worsens, the ventricles or lower chambers of the heart produce a substance that breaks down to form two proteins: B-type natriuretic peptide (BNP) and N-terminal-pro-BNP (NT-pro-BNP). Both substances are secreted in response to changes in pressure that occur with heart failure. BNP and NT-pro-BNP levels in the blood increase when heart failure symptoms worsen, and decrease when the heart failure condition is stable. The test is able to detect heart failure over 80% of the time.
BNP and NT-pro-BNP levels in a person with heart failure -- even someone whose condition is stable -- are higher than in a person with normal heart function.
Drug therapy to lower blood pressure has been shown to reduce heart failure rates by 40%-60%.
Reducing blockages in the coronary arteries with anti-cholesterol drugs has been shown to reduce heart failure rates by 30%.
Early diagnosis and treatment of heart-valve abnormalities can prevent heart failure caused by chronic volume overload of the heart's left chamber.
BNP levels help to determine if you have heart failure, rather than another condition that may cause similar symptoms. In addition, BNP testing helps your doctor determine if your heart failure has worsened, evaluate what other treatments are needed, if you need to be hospitalized, and to determine a prognosis (how well you will do in the future). Depending on which tests are available at your medical center, the BNP and/or NT-pro-BNP test may be performed. Both tests have been shown to be beneficial.
What Happens During a BNP Blood Test?
During a BNP blood test, a small amount of blood is taken and placed in a machine that detects the level of BNP and NT-pro-BNP. The test takes about 15 minutes. In some places, the blood sample needs to be sent off site to a lab to be tested.
What Do the Results of the BNP Blood Test Mean?
The level of BNP tends to increase with the level of disease severity but can also increase with age. Testing BNP levels is one of the most sensitive ways to assess how well you're doing on heart failure treatment.
In recent studies, patients who had an elevated level of either BNP or NT-pro-BNP had a higher risk of death and illness from heart failure.
Ask your health care provider to explain the results of your BNP tests.