Table 4

Risk ratios (95% confidence intervals) for adverse events according to median levels of neurohormonal markers and left ventricular scan indices measured one to four days after myocardial infarction (n = 220)

Relative risk (95% confidence interval)
Median value Death (n = 26) Heart failure (n = 56) Unstable coronary syndrome (n = 65)
BNP (pmol/l)276.0 (2.1 to 16.9)*** 5.0 (2.7 to 9.5)*** 1.4 (1.0 to 2.2)
ANF (pmol/l)302.8 (1.2 to 6.4)** 5.4 (2.8 to 10.5)*** 1.1 (0.7 to 1.6)
N-ANF (pmol/l)18654.2 (1.6 to 10.7)*** 3.3 (1.9 to 5.8)*** 1.2 (0.8 to 1.9)
cGMP (nmol/l)5.71.3 (0.6 to 2.8)3.3 (1.9 to 5.8)*** 1.1 (0.8 to 1.7)
Noradrenaline (nmol/l)1.940.9 (0.4 to 1.8)1.9 (1.2 to 3.1)** 1.1 (0.7 to 1.7)
Adrenaline (pmol/l)1641.0 (0.5 to 2.1)1.8 (1.1 to 2.9)4-150 0.8 (0.5 to 1.2)
LVEF (%)472.6 (1.1 to 5.9)4-150 3.4 (1.9 to 6.1)*** 1.1 (0.7 to 1.7)
LVEDV (ml)1452.6 (1.1 to 5.9)4-150 2.1 (1.3 to 3.4)** 0.9 (0.6 to 1.4)
LVESV (ml)773.5 (1.4 to 8.3)** 4.1 (2.3 to 7.6)*** 1.0 (0.7 to 1.5)
  • 4-150 p < 0.05; **p < 0.01; ***p < 0.001 (χ2analysis).

  • For neurohormonal markers and left ventricular volumes, risk ratios were calculated from event rates above divided by rates below group medians, and for LVEF below/above the median.

  • ANF, atrial natriuretic factor; BNP, brain natriuretic peptide; cGMP, cyclic guanosine monophosphate; LVEDV, left ventricular end diastolic volume; LVEF, left ventricular ejection fraction; LVESV, left ventricular end systolic volume; N-ANF, N-terminus ANF.