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. 2017 Nov 22;70(1):105–127. doi: 10.1016/j.ihj.2017.11.015

Table 3.

Conditions that can show higher or lower natriuretic peptide levels than expected.

Higher levels than expected Lower levels than expected
Increasing agea Obesity
ACSa Flash pulmonary edema
Renal insufficiency Pericarditis/tamponade
RV dysfunctiona Genetic polymorphism
AF End-stage cardiomyopathy
PHa
Pulmonary embolisma
Anemiaa
Sepsis
Mitral regurgitationa

aDelineates likely elevation from ventricular stretch.

ACS = acute coronary syndrome; RV = right ventricular; AF = atrial fibrillation; PH = pulmonary hypertension