Cardio-oncology & other

Third-Trimester NT-proBNP for Pre-eclampsia Risk Prediction: A Comparison With sFlt-1/PlGF in a Population-Based Cohort

JACC AdvPublished Cohort study

Authors' conclusion

Unselected NT-proBNP screening in the early third trimester has limited clinical value for predicting short- or long-term pre-eclampsia risk when compared to angiogenic biomarkers.

Study context

Population
Pregnant individuals from the Odense Child Cohort with NT-proBNP and sFlt-1/PlGF measured in the early third trimesterpregnant individuals sampled at a median gestational age of 29 weeks (Q1-Q3: 28.4–29.4)
Participants
1,476 individuals
Exposure
Third-trimester NT-proBNP, alone and combined with the sFlt-1/PlGF ratio, for pre-eclampsia risk within and beyond 4 weeks of sampling
  • Pre-eclampsia within 4 weeksn = 11
  • Pre-eclampsia more than 4 weeks after samplingn = 110
Outcome
Pre-eclampsia per higher NT-proBNP level
Follow-up
Onset within 4 weeks and beyond 4 weeks after sampling
Methodological detailsOdense Child Cohort
  • Odense Child Cohort

Main finding

As reported in the abstract

Higher NT-proBNPAdjusted odds ratio (95% CI)P value
Onset within 4 weeks
2.18(0.88–5.42)
P = 0.09
Onset beyond 4 weeks
0.72(0.55–0.93)
P = 0.012

Per higher NT-proBNP level, as printed

Observational data: associations, not effects.

Further findings

Predictive accuracy of NT-proBNP combined with sFlt-1/PlGF ratio vs sFlt-1/PlGF ratio alone · short- and long-term

Combining NT-proBNP with the sFlt-1/PlGF ratio did not improve the predictive accuracy for short- or long-term pre-eclampsia risk compared to the sFlt-1/PlGF ratio alone

Original publication

Third-Trimester NT-proBNP for Pre-eclampsia Risk Prediction: A Comparison With sFlt-1/PlGF in a Population-Based Cohort. JACC Adv. Published 19 March 2025. doi:10.1016/j.jacadv.2025.101671

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.