Evidence map›Paper›PMID 40296466›Full record

ArticleESC heart failure2025

Lower NT-proBNP plasma concentrations in Pacific peoples with heart failure.

Andree G Pearson, John F Pearson, Lynley K Lewis, Allamanda Fa'atoese, Katrina K Poppe, Chris Pemberton, Gerry Devlin, Mayanna Lund, A Mark Richards, Richard Troughton and 1 more

Abstract readClinical StudyMulticenter Study
In one paragraph

Article in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andree G PearsonChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0001-8241-5709
John F PearsonChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.
Lynley K LewisChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.
Allamanda Fa'atoeseChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.
Katrina K PoppeDepartment of Medicine Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Chris PembertonChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.
Gerry DevlinDepartment of Cardiology Gisborne Hospital, Tairāwhiti, Health New Zealand Te Whatu Ora Gisborne, New Zealand.
Mayanna LundCardiology Department, Middlemore Hospital, Health New Zealand Te Whatu Ora, Auckland, New Zealand.
A Mark RichardsChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.
Richard TroughtonChristchurch Heart Institute, Department of Medicine, University of Otago, Christchurch, New Zealand.
Robert N DoughtyDepartment of Medicine Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

Funding

Health Research Council of New Zealand 14/521Health Research Council of New Zealand 17/271Health Research Council of New Zealand JGC10_027National Heart Foundation of New Zealand
6 · The paper itself

Abstract

aimsPlasma concentrations of the heart failure (HF) biomarker N-terminal B-type natriuretic peptide (NT-proBNP) vary by ethnicity. We investigated whether NT-proBNP concentrations differed in HF between Pacific peoples, Māori (the Indigenous people), and New Zealand (NZ) Europeans, in patients with HF.

methodsPlasma NT-proBNP was measured in patients with HF participating in two prospective NZ based multicentre studies [PEOPLE: n = 836, 30% female, median age 71, interquartile interval (IQI) 60, 80; IMPERATIVE-HF: n = 413, 30% female, median age 66, IQI 55, 76]. Regression analyses were used to understand predictors of NT-proBNP taking into account age, sex, body mass index (BMI), estimated glomerular filtration rate (eGFR), left ventricular ejection fraction (LVEF) and presence of atrial fibrillation (AF).

resultsMedian NT-proBNP concentrations were significantly lower in both Pacific (930 pg/mL; P < 0.001, IQI 409-1,473; n = 127) and Māori (1,387 pg/mL, IQI 685-2,393; P < 0.001; n = 221) compared with NZ Europeans (2,055 pg/mL, IQI 973-3,865; n = 901) in unadjusted comparisons. NT-proBNP was independently associated with ethnicity, age, sex, BMI, eGFR, LVEF and presence of AF. The significant differences in plasma NT-proBNP between Pacific peoples, but not Māori, and NZ Europeans remained after adjusting for these clinical and demographic factors. The effect of age on NT-proBNP concentrations differed significantly between Pacific peoples and NZ Europeans, but not between Māori and NZ European (P

conclusionsIn HF, Pacific and Māori people had significantly lower median plasma concentrations of NT-proBNP than NZ Europeans. This difference remained after adjusting for clinical and demographic factors in patients with Pacific ethnicity. Pacific peoples also had a significantly lower rate of increase of NT-proBNP with age compared with NZ Europeans and Māori.

Indexed as

Heart FailureNatriuretic Peptide, BrainPeptide FragmentsVentricular Function, LeftAgedAged, 80 and overBiomarkersFemaleFollow-Up StudiesGlomerular Filtration RateHumansMaleMiddle AgedNew ZealandProspective StudiesStroke VolumeBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)ethnicityheart failureNT‐proBNP

Identifiers

PMID40296466
PMCPMC12287859

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.