{"id":20749,"date":"2025-03-04T14:18:15","date_gmt":"2025-03-04T12:18:15","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/?p=20749"},"modified":"2026-03-20T12:21:53","modified_gmt":"2026-03-20T10:21:53","slug":"nt-probnp-si-insuficienta-cardiaca-rol-interpretare-si-implicatii-clinic","status":"publish","type":"post","link":"https:\/\/www.clinica-sante.com\/ro\/nt-probnp-si-insuficienta-cardiaca-rol-interpretare-si-implicatii-clinic\/","title":{"rendered":"NT-proBNP \u0219i Insuficien\u021ba Cardiac\u0103: Rol, interpretare \u0219i implica\u021bii clinic"},"content":{"rendered":"    <div class=\"block_cuprins_articol\">\r\n        <div class=\"block_cuprins_articol_title\">\r\n            <p>Cuprins<\/p>\r\n        <\/div>\r\n        <ol  class=\"block_cuprins_articol_list\" > \r\n                            <li>\r\n                    <span><a href=\"#titlu_1\">Ce reprezint\u0103 insuficien\u021ba cardiac\u0103? <\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_2\">Ce este NT-proBNP? <\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_3\">Beneficiile utiliz\u0103rii NT-proBNP includ:<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_4\">Factori care pot influen\u021ba nivelul de NT-proBNP<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_5\">Limit\u0103ri <\/a><\/span>\r\n                <\/li>\r\n                    <\/ol>\r\n    <\/div>\r\n    \r\n\n\n\n<div  class=\"bloc_description_section\"><p>Insuficien\u021ba cardiac\u0103, o problem\u0103 major\u0103 de s\u0103n\u0103tate public\u0103, este o afec\u021biune cronic\u0103 \u00een care inima nu reu\u0219e\u0219te s\u0103 pompeze o cantitate adecvat\u0103 de s\u00e2nge pentru a satisface necesarul organismului. Diagnosticul \u0219i monitorizarea insuficien\u021bei cardiace s-au \u00eembun\u0103t\u0103\u021bit semnificativ datorit\u0103 progreselor \u00een biologia molecular\u0103 \u0219i a celor \u00een tehnicile de imagistic\u0103 a sistemului cardiovascular. Un biomarker esen\u021bial \u00een acest context este NT-proBNP (n-terminal pro-b-type natriuretic peptide), utilizat pe scar\u0103 larg\u0103 pentru evaluarea disfunc\u021biei cardiace.<\/p>\n<\/div>\n\n\n<div id=\"titlu_1\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">1.<\/span>\n                <span style=\"color: #f58220\"> Ce reprezint\u0103 insuficien\u021ba cardiac\u0103? <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Insuficien\u021ba cardiac\u0103 este un sindrom clinic caracterizat prin simptome tipice, precum dispneea (dificult\u0103\u021bi de respira\u021bie), edeme la nivelul membrelor inferioare \u0219i oboseala, la care se pot ad\u0103uga semne obiective, cum ar fi cre\u0219terea presiunii venoase la nivelul jugularelor, ralurile pulmonare \u0219i edemele periferice. Aceast\u0103 afec\u021biune este cauzat\u0103 de probleme structurale sau func\u021bionale ale inimii, care reduc cantitatea de s\u00e2nge pompat\u0103 \u0219i cresc presiunea \u00een interiorul inimii, at\u00e2t \u00een repaus, c\u00e2t \u0219i \u00een timpul efortului.<\/p>\n<p>Diagnosticul insuficien\u021bei cardiace necesit\u0103 confirmarea unei cauze cardiace subiacente, cel mai frecvent o disfunc\u021bie miocardic\u0103 (sistolic\u0103 \u0219i\/sau diastolic\u0103), dar poate fi determinat\u0103 \u0219i de boli valvulare, pericardice, endocardice sau de tulbur\u0103ri de ritm \u0219i conducere.<\/p>\n<\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_2\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">2.<\/span>\n                <span style=\"color: #f58220\"> Ce este NT-proBNP?  <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>NT-proBNP este o protein\u0103 eliberat\u0103 \u00een s\u00e2nge atunci c\u00e2nd inima este supus\u0103 unui stres sau unei presiuni crescute. Atunci c\u00e2nd inima nu func\u021bioneaz\u0103 corect, pere\u021bii s\u0103i se \u00eentind mai mult dec\u00e2t \u00een mod normal, determin\u00e2nd eliberarea acestei proteine. M\u0103surarea nivelului de NT-proBNP din s\u00e2nge poate oferi informa\u021bii valoroase despre s\u0103n\u0103tatea inimii.<br \/>\nBiomarkerul deriv\u0103 din prohormonul Pro-BNP, care este scindat \u00een dou\u0103 fragmente:<\/p>\n<\/div>\n\n<section class=\"section_carusel_produse\">\n    <div class=\"container\">\n        <div class=\"splide splide-carousel-guttenberg\">\n            <div class=\"splide__track\">\n                <ul class=\"splide__list\">\n                                                        <li class=\"splide__slide\">\n                                        <div class=\"product prod\">\n                                                                                                                                                 <div class=\"loop-product-discount\">-12%<\/div>                                                                                                                                        <a title=\"NT-proBNP\"\n                                                href=\"https:\/\/www.clinica-sante.com\/ro\/analize-imunologie\/nt-probnp\/\"\n                                                class=\"woocommerce-LoopProduct-link woocommerce-loop-product__link\">\n                                                <h4 class=\"woocommerce-loop-product__title\">\n                                                    NT-proBNP                                                <\/h4>\n                                            <\/a>\n                                            <div class=\"loop-product-wrapper\">\n                                                <div class=\"loop-product-prices\">\n                                                    <del aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>149,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/del> <span class=\"screen-reader-text\">Pre\u021bul ini\u021bial a fost: 149,00&nbsp;lei.<\/span><ins aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>131,12&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/ins><span class=\"screen-reader-text\">Pre\u021bul curent este: 131,12&nbsp;lei.<\/span>                                                <\/div>\n                                            <\/div>\n                                                    <div class=\"loop-product-footer\" id=\"identificator_list_prod_26720\"\n            data-prod-title=\"NT-proBNP\"\n            data-prod-sku=\"7609\">\n\n            \n<div\n\tclass=\"yith-wcwl-add-to-wishlist add-to-wishlist-26720 yith-wcwl-add-to-wishlist--link-style wishlist-fragment on-first-load\"\n\tdata-fragment-ref=\"26720\"\n\tdata-fragment-options=\"{&quot;base_url&quot;:&quot;&quot;,&quot;product_id&quot;:26720,&quot;parent_product_id&quot;:0,&quot;product_type&quot;:&quot;simple&quot;,&quot;is_single&quot;:false,&quot;in_default_wishlist&quot;:false,&quot;show_view&quot;:false,&quot;browse_wishlist_text&quot;:&quot;&quot;,&quot;already_in_wishslist_text&quot;:&quot;Produsul este deja in lista de favorite&quot;,&quot;product_added_text&quot;:&quot;Produs ad\\u0103ugat \\u00een lista de favorite&quot;,&quot;available_multi_wishlist&quot;:false,&quot;disable_wishlist&quot;:false,&quot;show_count&quot;:false,&quot;ajax_loading&quot;:false,&quot;loop_position&quot;:&quot;shortcode&quot;,&quot;item&quot;:&quot;add_to_wishlist&quot;}\"\n>\n\t<\/div>\n<div class=\"add-to-cart-container mt-auto\"><a href=\"\/ro\/wp-json\/wp\/v2\/posts\/20749?add-to-cart=26720\" data-quantity=\"1\" class=\"button product_type_simple add_to_cart_button ajax_add_to_cart comandaButton\" product-title=\"NT-proBNP\" data-product_id=\"26720\" data-product_category=\"Analize\" data-product_subcategory=\"Imunologie; Serviciu laborator\" data-product_sku=\"7609\" aria-label=\"Adaug\u0103 \u00een co\u0219: &amp;lbquo;NT-proBNP&rdquo;\" rel=\"nofollow\" regular_price=\"149\" sale_price=\"131.12\" discount_difference=\"17.88\"><div class=\"btn-loader\"><span class=\"spinner-border spinner-border-sm\"><\/span><\/div>Adaug\u0103 \u00een co\u0219 <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M12.8 12.8C11.912 12.8 11.2 13.512 11.2 14.4C11.2 14.8243 11.3686 15.2313 11.6686 15.5314C11.9687 15.8314 12.3757 16 12.8 16C13.2243 16 13.6313 15.8314 13.9314 15.5314C14.2314 15.2313 14.4 14.8243 14.4 14.4C14.4 13.9757 14.2314 13.5687 13.9314 13.2686C13.6313 12.9686 13.2243 12.8 12.8 12.8ZM0 0V1.6H1.6L4.48 7.672L3.392 9.632C3.272 9.856 3.2 10.12 3.2 10.4C3.2 10.8243 3.36857 11.2313 3.66863 11.5314C3.96869 11.8314 4.37565 12 4.8 12H14.4V10.4H5.136C5.08296 10.4 5.03209 10.3789 4.99458 10.3414C4.95707 10.3039 4.936 10.253 4.936 10.2C4.936 10.16 4.944 10.128 4.96 10.104L5.68 8.8H11.64C12.24 8.8 12.768 8.464 13.04 7.976L15.904 2.8C15.96 2.672 16 2.536 16 2.4C16 2.18783 15.9157 1.98434 15.7657 1.83431C15.6157 1.68429 15.4122 1.6 15.2 1.6H3.368L2.616 0M4.8 12.8C3.912 12.8 3.2 13.512 3.2 14.4C3.2 14.8243 3.36857 15.2313 3.66863 15.5314C3.96869 15.8314 4.37565 16 4.8 16C5.22435 16 5.63131 15.8314 5.93137 15.5314C6.23143 15.2313 6.4 14.8243 6.4 14.4C6.4 13.9757 6.23143 13.5687 5.93137 13.2686C5.63131 12.9686 5.22435 12.8 4.8 12.8Z\" fill=\"white\"><\/path>\n                        <\/svg><\/a><\/a><\/div>        <\/div>\n                                                <\/div>\n                                    <\/li>\n                                               <\/ul>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>BNP (b-type natriuretic peptide)<\/strong> <\/span>\u2013 forma biologic activ\u0103, care are efecte directe asupra sistemului cardiovascular, inclusiv vasodilata\u021bie, diurez\u0103 \u0219i natriurez\u0103<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>NT-proBNP<\/strong><\/span> \u2013 forma inactiv\u0103, dar mai stabil\u0103 \u00een circula\u021bie, ceea ce \u00eel face un biomarker fiabil pentru evaluarea insuficien\u021bei cardiace<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p>BNP \u0219i NT-proBNP sunt secretate \u00een principal de miocitele ventriculare ca r\u0103spuns la cre\u0219terea tensiunii de perete \u0219i supra\u00eenc\u0103rcarea de volum. Efectele biologice ale BNP includ promovarea excre\u021biei urinare de sodiu, cre\u0219terea diurezei \u0219i relaxarea vaselor de s\u00e2nge, contribuind astfel la reducerea \u00eenc\u0103rc\u0103turii asupra inimii.<\/p>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p><span style=\"color: #008080\"><strong>Rolul NT-proBNP \u00een insuficien\u021ba cardiac\u0103<\/strong><\/span><br \/>\nStudiile clinice arat\u0103 c\u0103 nivelurile serice de NT-proBNP cresc semnificativ \u00een prezen\u021ba insuficien\u021bei cardiace. Astfel, ghidurile actuale ale European Society of Cardiology (ESC) \u0219i American Heart Association (AHA) recomand\u0103 utilizarea acestui biomarker pentru diagnostic, stratificarea riscului \u0219i monitorizarea evolu\u021biei bolii.<\/p>\n<\/div>\n\n\n<div id=\"titlu_3\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">3.<\/span>\n                <span style=\"color: #f58220\">Beneficiile utiliz\u0103rii NT-proBNP includ: <\/span>    <\/h2>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Diagnosticul rapid<\/strong><\/span>: Permite diferen\u021bierea insuficien\u021bei cardiace de alte cauze ale dispneei, precum afec\u021biunile pulmonare.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Monitorizarea tratamentului<\/strong><\/span>: Sc\u0103derea valorilor NT-proBNP sub terapie indic\u0103 o ameliorare a func\u021biei cardiace.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Stratificarea riscului<\/strong><\/span>: Valorile ridicate sunt corelate cu un prognostic nefavorabil.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p><span style=\"color: #008080\"><strong>Interpretarea valorilor NT-proBNP<\/strong><\/span><\/p>\n<p>Un nivel crescut de NT-proBNP este un indicator sensibil al disfunc\u021biei ventriculare \u0219i poate fi utilizat pentru a diferen\u021bia insuficien\u021ba cardiac\u0103 de alte cauze ale dispneei. Valorile prag utilizate \u00een practici clinice variaz\u0103 \u00een func\u021bie de v\u00e2rst\u0103, comorbidit\u0103\u021bi \u0219i context clinic:<\/p>\n<\/div>\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"546\" src=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-1024x546.jpg\" alt=\"\" class=\"wp-image-20762\" srcset=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-1024x546.jpg 1024w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-900x480.jpg 900w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-300x160.jpg 300w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-768x410.jpg 768w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-1536x819.jpg 1536w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art-1-NT-ProB-2-2048x1092.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Sub 50 de ani<\/strong><\/span>: NT-proBNP &gt; 450 pg\/mL sugereaz\u0103 insuficien\u021b\u0103 cardiac\u0103.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>50-75 ani<\/strong><\/span>: Pragul de diagnostic este de aproximativ 900 pg\/mL.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Peste 75 ani<\/strong><\/span>: Un nivel de peste 1800 pg\/mL este considerat sugestiv pentru insuficien\u021ba cardiac\u0103.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p>\u00cen context acut, o valoare pentru NT-proBNP sub 300 pg\/ml are o valoare predictiv\u0103 negativ\u0103 ridicat\u0103, ceea ce \u00eenseamn\u0103 c\u0103 insuficien\u021ba cardiac\u0103 este pu\u021bin probabil\u0103 la ace\u0219ti pacien\u021bi.<\/p>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                                <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M7.99997 0.626465C3.98647 0.626465 0.732971 3.87996 0.732971 7.89347C0.732971 11.907 3.98647 15.1605 7.99997 15.1605C12.0135 15.1605 15.267 11.907 15.267 7.89347C15.267 3.87996 12.0135 0.626465 7.99997 0.626465ZM8.66397 12.079H7.30997V10.7815H8.66397V12.079ZM8.66397 9.39546V9.82446H7.30997V9.29646C7.30997 7.70146 9.12497 7.44847 9.12497 6.31497C9.12497 5.79847 8.66347 5.40246 8.05847 5.40246C7.43147 5.40246 6.88147 5.86447 6.88147 5.86447L6.11147 4.90647C6.11147 4.90647 6.86997 4.11346 8.17897 4.11346C9.42197 4.11346 10.5765 4.88347 10.5765 6.18147C10.5765 7.99747 8.66297 8.20647 8.66297 9.39497L8.66397 9.39546Z\" fill=\"#666666\"\/>\n                        <\/svg>\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><span style=\"color: #f58220\">Cum se efectueaz\u0103 testul NT-proBNP? <\/span><\/h2>\n        <p><p>Testul NT-proBNP implic\u0103 recoltarea unei probe de s\u00e2nge venos, similar cu alte analize de s\u00e2nge uzuale. Proba este apoi analizat\u0103 \u00een laborator pentru a determina concentra\u021bia proteinei. Rezultatele pot fi disponibile \u00een c\u00e2teva ore sau zile, \u00een func\u021bie de laborator.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_4\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">4.<\/span>\n                <span style=\"color: #f58220\">Factori care pot influen\u021ba nivelul de NT-proBNP <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Anumi\u021bi factori pot afecta nivelul de NT-proBNP, inclusiv:<\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>V\u00e2rsta<\/strong><\/span>: Valorile tind s\u0103 creasc\u0103 odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Sexul<\/strong><\/span>: Femeile pot avea niveluri u\u0219or mai ridicate comparativ cu b\u0103rba\u021bii.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Func\u021bia renal\u0103<\/strong><\/span>: Afectarea rinichilor poate duce la cre\u0219terea nivelului de NT-proBNP. Cu c\u00e2t rata de filtrare glomerular\u0103 (RFG) este mai sc\u0103zut\u0103, cu at\u00e2t nivelul NT-proBNP este mai mare.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Obezitatea<\/strong><\/span>: Poate reduce nivelul de NT-proBNP, ceea ce poate masca prezen\u021ba insuficien\u021bei cardiace.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_5\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">5.<\/span>\n                <span style=\"color: #f58220\">Limit\u0103ri  <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>De\u0219i NT-proBNP este un instrument valoros \u00een diagnosticul insuficien\u021bei cardiace, acesta nu trebuie utilizat izolat, ci \u00een combina\u021bie cu alte investiga\u021bii, precum ecocardiografia, pentru o evaluare complet\u0103 a func\u021biei cardiace. De asemenea, este important de men\u021bionat c\u0103 NT-proBNP nu ofer\u0103 informa\u021bii despre mecanismul insuficien\u021bei cardiace (de exemplu, insuficien\u021ba cardiac\u0103 cu frac\u021bie de ejec\u021bie redus\u0103 vs. prezervat\u0103), motiv pentru care sunt necesare investiga\u021bii suplimentare.<\/p>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <g clip-path=\"url(#clip0_1902_1526)\">\n                            <path d=\"M14.2222 0.893555H1.77778C0.8 0.893555 0 1.69355 0 2.67133V15.1158C0 16.0936 0.8 16.8936 1.77778 16.8936H14.2222C15.2 16.8936 16 16.0936 16 15.1158V2.67133C16 1.69355 15.2 0.893555 14.2222 0.893555ZM9.77778 13.338H3.55556V11.5602H9.77778V13.338ZM12.4444 9.78244H3.55556V8.00467H12.4444V9.78244ZM12.4444 6.22689H3.55556V4.44911H12.4444V6.22689Z\" fill=\"#666666\"\/>\n                        <\/g>\n                        <defs>\n                            <clipPath id=\"clip0_1902_1526\">\n                                <rect width=\"16\" height=\"16\" fill=\"white\" transform=\"translate(0 0.893555)\"\/>\n                            <\/clipPath>\n                        <\/defs>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><span style=\"color: #f58220\">Concluzie<\/span><\/h2>\n        <p><p>NT-proBNP joac\u0103 un rol esen\u021bial \u00een diagnosticul \u0219i monitorizarea insuficien\u021bei cardiace. Cu toate acestea, interpretarea rezultatelor trebuie s\u0103 fie realizat\u0103 de un specialist, av\u00e2nd \u00een vedere multiplele variabile care pot influen\u021ba nivelul acestei proteine. Dac\u0103 ave\u021bi simptome precum oboseal\u0103, dificult\u0103\u021bi de respira\u021bie sau edeme, discuta\u021bi cu medicul dumneavoastr\u0103 despre posibilitatea efectu\u0103rii acestui test pentru a evalua s\u0103n\u0103tatea inimii.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div id=\"titlu_\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                <span style=\"color: #f58220\">Programeaz\u0103-te acum!<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Ai aflat <span style=\"color: #008080\"><strong>c\u00e2t de important este testul<\/strong><\/span>\u00a0despre care am vorbit mai sus. Nu am\u00e2na grija pentru s\u0103n\u0103tatea ta!<\/p>\n<\/div>\n\n\n<div class=\"bgOrange bloc_title_section\">\n    <div class=\"m-3\">\n     <div class=\"row\">\n        <div class=\"col-md-3 col-lg-2 borderMap \">\n        <div class=\" leftBox\">\n                <div class=\"flexMob\">\n            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"61\" height=\"61\" viewBox=\"0 0 61 61\" fill=\"none\">\n            <g clip-path=\"url(#clip0_15501_13162)\">\n                <path d=\"M53.8333 0.260742H7.16667C3.5 0.260742 0.533333 3.26074 0.533333 6.92741L0.5 53.5941C0.5 57.2607 3.5 60.2607 7.16667 60.2607H53.8333C57.5 60.2607 60.5 57.2607 60.5 53.5941V6.92741C60.5 3.26074 57.5 0.260742 53.8333 0.260742ZM47.1667 36.9274H37.1667V46.9274C37.1667 48.7607 35.6667 50.2607 33.8333 50.2607H27.1667C25.3333 50.2607 23.8333 48.7607 23.8333 46.9274V36.9274H13.8333C12 36.9274 10.5 35.4274 10.5 33.5941V26.9274C10.5 25.0941 12 23.5941 13.8333 23.5941H23.8333V13.5941C23.8333 11.7607 25.3333 10.2607 27.1667 10.2607H33.8333C35.6667 10.2607 37.1667 11.7607 37.1667 13.5941V23.5941H47.1667C49 23.5941 50.5 25.0941 50.5 26.9274V33.5941C50.5 35.4274 49 36.9274 47.1667 36.9274Z\" fill=\"white\"\/>\n            <\/g>\n            <defs>\n                <clipPath id=\"clip0_15501_13162\">\n                <rect width=\"60\" height=\"60\" fill=\"white\" transform=\"translate(0.5 0.260742)\"\/>\n                <\/clipPath>\n            <\/defs>\n            <\/svg>\n        <\/div>\n        <p class=\"text-white textMap\">\n            Centre de <br> recoltare                            \n        <\/p>\n        <\/div>\n    <\/div>\n    <div class=\"col-md-8 col-lg-9\">\n        <div class=\"marginDekstop\">\n      <h2 class=\"text-white mb-4\">Sun\u0103 la num\u0103rul scurt *8787, alege centrul de recoltare cel mai apropiat de tine \u0219i programeaz\u0103-te pentru efectuarea testului.<\/h2>\n\n     <p class=\"text-white mb-4\">Peste 300 de centre proprii de recoltare, \u00een toate jude\u021bele \u021b\u0103rii<\/p>\n          <a href=\"https:\/\/www.clinica-sante.com\/ro\/locatii\" class=\"buttonCentre\">\n                Vezi harta loca\u021biilor\n            <i class=\"fa-solid fa-caret-right\"><\/i>\n         <\/a>\n    <\/div>\n<\/div>\n  <\/div>\n    <\/div>\n<\/div>\n\n\n\n<div  class=\"bloc_description_section\"><p><strong><span style=\"color: #f58220\">Bibliografie :<\/span><\/strong><\/p>\n<p>1. National Guideline Centre (UK). Chronic Heart Failure in Adults: Diagnosis and Management. London: National Institute for Health and Care Excellence (NICE); 2018 Sep. (NICE Guideline, No. 106.) 1, Guideline summary.<br \/>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK536098\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK536098\/<\/a><br \/>\n2. Welsh, P., Campbell, R. T., Mooney, L., Kimenai, D. M., Hayward, C., Campbell, A., Porteous, D., Mills, N. L., Lang, N. N., Petrie, M. C., Januzzi, J. L., McMurray, J. J. V., &amp; Sattar, N. (2022). Reference Ranges for NT-proBNP (N-Terminal Pro-B-Type Natriuretic Peptide) and Risk Factors for Higher NT-proBNP Concentrations in a Large General Population Cohort. Circulation. Heart failure, 15(10), e009427. <a href=\"https:\/\/doi.org\/10.1161\/CIRCHEARTFAILURE.121.009427\">https:\/\/doi.org\/10.1161\/CIRCHEARTFAILURE.121.009427<\/a><br \/>\n3. European Society of Cardiology. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 37, 2129\u20132200. Summary <a href=\"https:\/\/www.escardio.org\/static-file\/Escardio\/Guidelines\/Publications\/HF\/d8025_Summary_Card-HF-6%20for%20web.pdf\">https:\/\/www.escardio.org\/static-file\/Escardio\/Guidelines\/Publications\/HF\/d8025_Summary_Card-HF-6%20for%20web.pdf<\/a><br \/>\n4. Weber, M., &amp; Hamm, C. (2006). Role of B-type natriuretic peptide (BNP) and NT-proBNP in clinical routine. Heart (British Cardiac Society), 92(6), 843\u2013849. <a href=\"https:\/\/doi.org\/10.1136\/hrt.2005.071233\">https:\/\/doi.org\/10.1136\/hrt.2005.071233<\/a><\/p>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Insuficien\u021ba cardiac\u0103, o problem\u0103 major\u0103 de s\u0103n\u0103tate public\u0103, este o afec\u021biune cronic\u0103 \u00een care inima nu reu\u0219e\u0219te s\u0103 pompeze o cantitate adecvat\u0103 de s\u00e2nge pentru a satisface necesarul organismului.<\/p>\n","protected":false},"author":303,"featured_media":29404,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[396],"tags":[],"class_list":["post-20749","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-util-pentru-sanatatea-ta"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/20749","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/users\/303"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/comments?post=20749"}],"version-history":[{"count":20,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/20749\/revisions"}],"predecessor-version":[{"id":30200,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/20749\/revisions\/30200"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media\/29404"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=20749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/categories?post=20749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/tags?post=20749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}