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Correspondence
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Volume 329:433-434 August 5, 1993 Number 6
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Increased Plasma Levels of Brain Natriuretic Peptide in Hypertrophic Cardiomyopathy

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To the Editor: Brain natriuretic peptide was originally isolated from the mammalian brain1,2 and acts as a cardiac hormone resembling atrial natriuretic peptide3,4. Brain natriuretic peptide is synthesized primarily by the ventricles, and its expression in the ventricles is induced in ventricular overload and hypertrophy5. These observations suggest the possible involvement of this peptide in the pathophysiology of hypertrophic cardiomyopathy.

We measured plasma concentrations of brain natriuretic peptide in 15 asymptomatic patients with nonobstructive hypertrophic cardiomyopathy (mean [±SD] age, 14.4 ±5.1 years), 35 age-matched patients with left ventricular hypertrophy due to pressure overload (i.e., aortic stenosis or coarctation . . . [Full Text of this Article]

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