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when we talk about natural retic peptide testing there are two peptides that are typically measured one is the b-type natriuretic peptide being p for short the other is the N terminal fragment of probiem p n t pro p and p for short there are several commercially available assays that allow you to test the levels of these peptides in plasma although there might be analytical advantages or disadvantages between them major guidelines agree that neither BNP nor anti protein P is superior for the diagnosis of heart failure so the decision which asset to use is made by the hospital but when should I order and P testing the main indication for natriuretic peptide testing is clearly establishing the presence of acute or chronic heart failure in particular and peace play an important role in the prevention diagnosis and prognosis of heart failure lets first talk about prevention the role of NPs an incident heart failure is still being evaluated the first large-scale trials showed that testing