What is BNP?: I had a text from my GP... - British Heart Fou...

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What is BNP?

Cinders123 profile image
Cinders123
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I had a text from my GP telling me they are going to seek support from my Consultant as my BNP is 1747... I have no idea what this means? No-one has ever mentioned BNP to me before... I am trying so hard not to panic however I can feel the black clouds coming and can't shake them off!When I looked on my NHS App the GP has messaged the Consultant saying my BNP is 1175. I phoned the to query. When they checked the results they said the letter was incorrect and they would send an amendment letter to my Consultant... My faith and trust is taking a battering right now and I can feel the darkness coming!

Thank you so much for listening to my worries. I truly appreciate the support πŸ₯° xx

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Cinders123 profile image
Cinders123
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Lezzers profile image
Lezzers

Hi

The link below hopefully will explain what a pro BNP blood test is.

A high reading doesn't necessarily mean it's a heart issue as an infection can cause high readings but the test is a used as a marker for further investigation.

A level of 1175 is high but not too scarily so, my husbands level previously went up from 600ish to 1000ish and his medical team weren't concerned, he doesn't know what it is now though. Had your level been 2000 or over them that would have meant urgent referral & appt within 2 weeks

It's sounds more worrying that your surgery got it wrong! Did they say why their letter to the cardiologist was incorrect?

leedsth.nhs.uk/a-z-of-servi...

Cinders123 profile image
Cinders123 in reply to Lezzers

Thank you much for responding. No, my Surgery just said they would send the correct result to my Consultant. I think I am going to ask to be referred to the Heart Failure Nurse as I don't see anyone at the moment though.

Lezzers profile image
Lezzers in reply to Cinders123

Good idea. If you've had a diagnosis of HF and they're available in your area, under NICE guidelines you should be referred to the HF nurses.

Have you previously been under a HF nurse? If so, you should (though not always) be able to re-refer yourself or at least phone them for advice

Cinders123 profile image
Cinders123 in reply to Lezzers

Hi, No, I have never seen a Heart Failure Nurse. I am waiting on my Echo results from May 23 and hoping for an improvement on my EF although I have been told to focus on how I feel! My last EF was 32% and I am praying its maintaining or maybe even a little better 🀞 x

Lezzers profile image
Lezzers in reply to Cinders123

Yes it's a case of definitely focus on how you feel, that's what really matters and that's what the cardiologist will want to know.

Hopefully your EF will have increased, as that can be a massive boost knowing your meds are working.

But even if your EF has improved you're still entitled to be referred to the nurses, they're great for monitoring your condition & giving advice on what sign's/ symptoms to be aware of, changing meds, organising tests etc.

Definitely chase up your echo results but also push the Dr for the referral to the nurses. They're incredibly busy & appts can take ages, so the quicker you're referred the better for you.

Good luck 🀞 x

Jackiesmith7777 profile image
Jackiesmith7777 in reply to Cinders123

Hi , Just curious as to whether your rate went up from 32% as my husbands is currently at that rate . Thank you

Cinders123 profile image
Cinders123 in reply to Jackiesmith7777

Hi, I hope you are well? I have just had an Echocardiogram and ECG... I am happy to say my EF is stable between 25 - 30% πŸ˜„ I know it's not great. However, I am still here, and it's not deteriorated! I am now taking the middle dose of Entresto, which I think has helped my heart. Healing wishes Xxx

Jackiesmith7777 profile image
Jackiesmith7777 in reply to Cinders123

Thank you for replying . I’m glad your stable . Everything takes so long . I’m hoping my husbands will be too x

Cinders123 profile image
Cinders123

Thank you x

10gingercats profile image
10gingercats

I have just had a similar result,just over 2,000 BNP and was about to post about it as you are doing.I havenever had this test before and have just seen a new cardiologist but in the same dept of the hospital. I am going to call my heart nurse to check up on it. My letter from consultant had some minot errors so may be this is another one. I too was scared witless over it.

Lezzers profile image
Lezzers in reply to 10gingercats

This test has been around for some time now but for some reason it's been really underused. If you already have a heart condition I believe theres been a big push to use it as a measurement to see how your heart doing & whether or not you need further investigation, meds changed etc. Without a previous reading to measure it against it's difficult to know if the reading is higher or lower than you would expect.

Good luck with your nurse, I would be interested in knowing what they say about it.

10gingercats profile image
10gingercats in reply to Lezzers

Interestingly enough my check up recently was considered to be very acceptable with no real changes in a year.This BNP result indicates 'teetering on the brink' but I am pretty active and not breathless.I am just past 85.I will postwhen i get nurses opinion.I know her so hopefully will get a straight answer about the BNP.

Cinders123 profile image
Cinders123 in reply to 10gingercats

Bless you, I hope you feel a wee bit better knowing you are not alone! I am sure your heart failure nurse is supportive and explains everything to you... unfortunately I have not been referred to the Heart Failure nurse at my Surgery even though my Initial Hospital Discharge paperwork said I had to be so you are lucky πŸ™‚ Thank you so much for responding. Always remember we are strong πŸ’“ xx

10gingercats profile image
10gingercats in reply to Cinders123

Ring the department and ask to be asighned to a cardiac nurse. Mine is for congenital heart disease....only found out a few years ago.Been fit as a flea all my life. Nobody ever said anything about congenital heart disease!

Jackiesmith7777 profile image
Jackiesmith7777 in reply to 10gingercats

How did it go ?

Coopergirl52 profile image
Coopergirl52

Hello Cinders123

BNP stands for Brain natriuretic peptide it's a test to see if you have heart failure or not as the heart gives off this hormone if it is stressedI had a test last year as was having dizzy spells and light-headedness with shortness of breath.

An echocardiogram was ordered as my test came back as slightly raised finally had the test at the end of May and thankfully no problems with my heart.

It turned out it was some of the heart medication I was on that was causing my problems one has been completely stopped and the beta Blocker lowered in dose.

Hope this helps.

Southeastgirl profile image
Southeastgirl in reply to Coopergirl52

HelloCan you tell me does your GP or cardiologist order this BNP test?

Just wondering as I've been having dizzy and breathlessness spells and blood pressure and a full blood count test has come back fine.

I've only seen a GP for blood pressure tablets/cholesterol (apart from when I was expecting) and wondered too if I should be seeing a cardiologist on a regular basis

Coopergirl52 profile image
Coopergirl52 in reply to Southeastgirl

It was ordered by my GP hope that helps.

Southeastgirl profile image
Southeastgirl in reply to Coopergirl52

Ok thanks for that. I'll ask on the GP phone call I have on Wednesday

Cinders123 profile image
Cinders123 in reply to Coopergirl52

Thank you much πŸ’“ x

Hi,

I have an annual blood test like many people and part of the test is a check of my BNP level, if it is normal then you don’t hear about which I suggest is why it has never been mentioned to you.

I do understand your concerns but rest assured that there are procedures in place to cover such matters.

My BNP from my last annual blood test came back as 2,189. A normal reading for someone my age (72) should have been around 300.

A reading above 2,000 means your doctor should fast track a referral to the heart failure clinic and you should be seen in 2 weeks. A reading above the norm but under 2,000 means you should be referred to the heart failure clinic and be seen in 6 weeks.

Given the pressures on the nhs I was surprised that I was seen in 3 weeks. I had an echocardiogram at my local hospital that showed that I did not have heart failure and both the left and right side of my heart were ok.

The doctor performing the echo put my high reading down to the effect of my other co-mobilities such as persistent atrial fibrillation.

I don’t quite understand the phrase that your doctor is going to seek support from your consultant as the guidelines are clear in that your doctor should refer you to the heart failure clinic.

It would be worthwhile phoning your doctors practice and ask them to confirm that you have been referred which then starts the procedure rolling. It may be however that your consultant will arrange this but I would prefer knowing I had been referred.

Ultimately an echocardiogram is the gold standard and I do hope all goes well.

Cinders123 profile image
Cinders123 in reply to

Thank you so much for all the jnformation, I truly appreciate everyone taking the time to respond! I had an echocardiogram on 14 May 23 however I haven't had my results as my Consultant has been off poorly for 8 weeks! I am going to calk my GPs tomorrow to check what's happening.

Hi,

Not sure if the above chart is legible, if not just goggle

NICE guidelines for BNP

to show what the procedure is for high BNP readings

Flowchart
Fullofheart profile image
Fullofheart

I recently had one of these blood tests for the first time. I've had AF for 19 years and been borderline heart failure last couple. The reason they've not done one before is because it's not reliable when you're in AF apparently. I don't know what the normal range is but if I were you I'd ring BHF nurses and ask their view. Hope that helps.

Cinders123 profile image
Cinders123 in reply to Fullofheart

Thank you for responding πŸ’“ x

in reply to Cinders123

B type natriuretic peptide BNP is a non specific indicator of a generalized cardiac distress therefore a further investigation is needed to help clarify the situation what needs to be done is to inject nannites through the blood stream so they do can reach the heart and do the repair but we are not there yet what we have instead is a very crude methodology of dealing with a structural damage that some ones heart is suffering from

FeltPen profile image
FeltPen

Hello,

I recently had a blood test for this and my result was over 4000. I had no idea what the test was for or what the numbers signified. I was referred for further tests, which I am now waiting for the results of.

All the best,

Jackiesmith7777 profile image
Jackiesmith7777 in reply to FeltPen

How did it go? My husband is having the blood test Tom .

Glynnw profile image
Glynnw

is it BNP or NT PRO BNP ?.

There is a difference I believe

Mine was 6900 (nt pro bnp)

It dropped to 400 in a matter of months with the meds.

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