Visceral fat expansion leads to increased clearance of active<unk><unk> s
Obese patients also frequently treated for hypertension or coronary artery disease which may also contribute to lower<unk>  levels
In one study of 204 patients with acute CHF, an inverse relationship between BMI and<unk>  was noted. The standard cutoff of 100pg/mL resulted in a 20% false-negative rate
Analysis of a subgroup of patients with documented BMI from the Breathing Not Properly study showed that a lower cutoff was more appropriate to maintain 90% sensitivity in obese and morbidly obese patients (54pg/mL)
Brain natriuretic peptide
CHF/ACS/Cardiogenic shock
Troponin
Pulmonary embolism
Angiotensin II
Pulmonary hypertension
Cardiac enzymes
Renal failure