Troponin, NT-proBNP and postoperative atrial fibrillation in a prospective cohort undergoing coronary artery bypass surgery
Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inco...
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| Published in: | Scientific reports Vol. 15; no. 1; pp. 28885 - 9 |
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07.08.2025
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| Abstract | Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inconsistent. Therefore, we aimed to assess these biomarkers as predictors for POAF in a prospective observational cohort study of patients without atrial fibrillation undergoing coronary artery bypass graft surgery (CABG). We analysed 423 patients with a median age of 66.3 years, 15.1% were women. About a third of these patients (
N
= 135, 32.4%) developed POAF. The median concentration of (25th, 75th percentile) high-sensitive Troponin at baseline was 11.8 (5.6, 42.7) ng/l in the POAF group and 11.4 (5.2, 37.0) ng/l in the group without POAF, median NT-proBNP was 255 (131, 621) ng/l in the POAF group and 184 (91, 497) in the group without POAF. In uni- and multivariable analyses neither biomarker showed statistically significant associations with POAF. These findings add further neutral data to the inconsistent results found in the current literature and mandate the search for better clinical or biomarker information to assess the risk of this common complication of CABG surgery. |
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| AbstractList | Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inconsistent. Therefore, we aimed to assess these biomarkers as predictors for POAF in a prospective observational cohort study of patients without atrial fibrillation undergoing coronary artery bypass graft surgery (CABG). We analysed 423 patients with a median age of 66.3 years, 15.1% were women. About a third of these patients (N = 135, 32.4%) developed POAF. The median concentration of (25th, 75th percentile) high-sensitive Troponin at baseline was 11.8 (5.6, 42.7) ng/l in the POAF group and 11.4 (5.2, 37.0) ng/l in the group without POAF, median NT-proBNP was 255 (131, 621) ng/l in the POAF group and 184 (91, 497) in the group without POAF. In uni- and multivariable analyses neither biomarker showed statistically significant associations with POAF. These findings add further neutral data to the inconsistent results found in the current literature and mandate the search for better clinical or biomarker information to assess the risk of this common complication of CABG surgery.Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inconsistent. Therefore, we aimed to assess these biomarkers as predictors for POAF in a prospective observational cohort study of patients without atrial fibrillation undergoing coronary artery bypass graft surgery (CABG). We analysed 423 patients with a median age of 66.3 years, 15.1% were women. About a third of these patients (N = 135, 32.4%) developed POAF. The median concentration of (25th, 75th percentile) high-sensitive Troponin at baseline was 11.8 (5.6, 42.7) ng/l in the POAF group and 11.4 (5.2, 37.0) ng/l in the group without POAF, median NT-proBNP was 255 (131, 621) ng/l in the POAF group and 184 (91, 497) in the group without POAF. In uni- and multivariable analyses neither biomarker showed statistically significant associations with POAF. These findings add further neutral data to the inconsistent results found in the current literature and mandate the search for better clinical or biomarker information to assess the risk of this common complication of CABG surgery. Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inconsistent. Therefore, we aimed to assess these biomarkers as predictors for POAF in a prospective observational cohort study of patients without atrial fibrillation undergoing coronary artery bypass graft surgery (CABG). We analysed 423 patients with a median age of 66.3 years, 15.1% were women. About a third of these patients (N = 135, 32.4%) developed POAF. The median concentration of (25th, 75th percentile) high-sensitive Troponin at baseline was 11.8 (5.6, 42.7) ng/l in the POAF group and 11.4 (5.2, 37.0) ng/l in the group without POAF, median NT-proBNP was 255 (131, 621) ng/l in the POAF group and 184 (91, 497) in the group without POAF. In uni- and multivariable analyses neither biomarker showed statistically significant associations with POAF. These findings add further neutral data to the inconsistent results found in the current literature and mandate the search for better clinical or biomarker information to assess the risk of this common complication of CABG surgery. Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inconsistent. Therefore, we aimed to assess these biomarkers as predictors for POAF in a prospective observational cohort study of patients without atrial fibrillation undergoing coronary artery bypass graft surgery (CABG). We analysed 423 patients with a median age of 66.3 years, 15.1% were women. About a third of these patients ( N = 135, 32.4%) developed POAF. The median concentration of (25th, 75th percentile) high-sensitive Troponin at baseline was 11.8 (5.6, 42.7) ng/l in the POAF group and 11.4 (5.2, 37.0) ng/l in the group without POAF, median NT-proBNP was 255 (131, 621) ng/l in the POAF group and 184 (91, 497) in the group without POAF. In uni- and multivariable analyses neither biomarker showed statistically significant associations with POAF. These findings add further neutral data to the inconsistent results found in the current literature and mandate the search for better clinical or biomarker information to assess the risk of this common complication of CABG surgery. Abstract Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the predictive value of preoperative high-sensitive Troponin and NT-proBNP concentration for the onset of postoperative atrial fibrillation (POAF) is inconsistent. Therefore, we aimed to assess these biomarkers as predictors for POAF in a prospective observational cohort study of patients without atrial fibrillation undergoing coronary artery bypass graft surgery (CABG). We analysed 423 patients with a median age of 66.3 years, 15.1% were women. About a third of these patients (N = 135, 32.4%) developed POAF. The median concentration of (25th, 75th percentile) high-sensitive Troponin at baseline was 11.8 (5.6, 42.7) ng/l in the POAF group and 11.4 (5.2, 37.0) ng/l in the group without POAF, median NT-proBNP was 255 (131, 621) ng/l in the POAF group and 184 (91, 497) in the group without POAF. In uni- and multivariable analyses neither biomarker showed statistically significant associations with POAF. These findings add further neutral data to the inconsistent results found in the current literature and mandate the search for better clinical or biomarker information to assess the risk of this common complication of CABG surgery. |
| ArticleNumber | 28885 |
| Author | Zeller, Tanja Ojeda, Francisco M. Blankenberg, Stefan Ohlrogge, Amelie H. Seum, Ferdinand Ruhland, Korbinian Schnabel, Renate B. Börschel, Christin S. Pecha, Simon |
| Author_xml | – sequence: 1 givenname: Amelie H. surname: Ohlrogge fullname: Ohlrogge, Amelie H. organization: Department of Cardiology, University Heart and Vascular Center Hamburg, German Center for Cardiovascular Research (DZHK) – sequence: 2 givenname: Ferdinand surname: Seum fullname: Seum, Ferdinand organization: Department of Cardiology, University Heart and Vascular Center Hamburg – sequence: 3 givenname: Korbinian surname: Ruhland fullname: Ruhland, Korbinian organization: Department of Cardiology, University Heart and Vascular Center Hamburg – sequence: 4 givenname: Francisco M. surname: Ojeda fullname: Ojeda, Francisco M. organization: Department of Cardiology, University Heart and Vascular Center Hamburg – sequence: 5 givenname: Christin S. surname: Börschel fullname: Börschel, Christin S. organization: Department of Cardiology, University Heart and Vascular Center Hamburg, German Center for Cardiovascular Research (DZHK) – sequence: 6 givenname: Simon surname: Pecha fullname: Pecha, Simon organization: German Center for Cardiovascular Research (DZHK), Department of Cardiovascular Surgery, University Heart and Vascular Center Hamburg – sequence: 7 givenname: Stefan surname: Blankenberg fullname: Blankenberg, Stefan organization: Department of Cardiology, University Heart and Vascular Center Hamburg, German Center for Cardiovascular Research (DZHK) – sequence: 8 givenname: Tanja surname: Zeller fullname: Zeller, Tanja organization: Department of Cardiology, University Heart and Vascular Center Hamburg, German Center for Cardiovascular Research (DZHK), University Centre of Cardiovascular Science, University Heart and Vascular Center Hamburg – sequence: 9 givenname: Renate B. surname: Schnabel fullname: Schnabel, Renate B. email: r.schnabel@uke.de organization: Department of Cardiology, University Heart and Vascular Center Hamburg, German Center for Cardiovascular Research (DZHK), University Heart Centre Hamburg-Eppendorf |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40775411$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.ijcard.2016.08.001 10.1016/j.amjcard.2019.12.004 10.1055/s-0038-1667065 10.1111/j.1540-8191.2006.00366.x 10.1053/j.jvca.2013.06.002 10.1093/eurheartj/ehab368 10.1016/j.athoracsur.2020.05.104 10.1093/eurheartj/ehad191 10.1002/ehf2.13703 10.1093/eurheartj/ehu188 10.1093/eurheartj/ehac285 10.1093/ejcts/ezt488 10.1093/icvts/ivr019 10.1055/a-1400-6096 10.1093/icvts/ivt259 10.1016/j.hlc.2023.10.015 10.1111/eci.13950 10.1016/j.ijcard.2017.08.062 10.1016/j.jtcvs.2021.10.072 10.1016/j.athoracsur.2020.10.055 10.1161/JAHA.121.024516 10.1111/eci.12393 10.1532/hsf.4143 10.1016/j.ejcts.2009.07.003 |
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| Keywords | Risk prediction High-sensitive troponin T Biomarker NT-proBNP Postoperative atrial fibrillation High-sensitive troponin I |
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| Snippet | Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the... Abstract Troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) are biomarkers of cardiac damage and myocyte stretch. The existing evidence on the... |
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| SubjectTerms | 692/4019/592/75/29/1309 692/53/2423 Aged Atrial Fibrillation - blood Atrial Fibrillation - diagnosis Atrial Fibrillation - etiology Biomarker Biomarkers Biomarkers - blood Body mass index Brain natriuretic peptide Bypass Cardiac arrhythmia Cholesterol Cohort analysis Coronary artery Coronary Artery Bypass - adverse effects Diabetes Electrocardiography Electronic health records Female Fibrillation Heart failure Heart surgery High-sensitive troponin I High-sensitive troponin T Humanities and Social Sciences Humans Hypertension Male Medical records Middle Aged Mortality multidisciplinary Myocytes Natriuretic Peptide, Brain - blood NT-proBNP Observational studies Patients Peptide Fragments - blood Peptides Postoperative atrial fibrillation Postoperative Complications - blood Postoperative Complications - etiology Prospective Studies Regression analysis Risk assessment Risk Factors Risk prediction Science Science (multidisciplinary) Statistical analysis Troponin Troponin - blood |
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| Title | Troponin, NT-proBNP and postoperative atrial fibrillation in a prospective cohort undergoing coronary artery bypass surgery |
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| Volume | 15 |
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