Efficacy and Safety of Recombinant Human Brain Natriuretic Peptide for Treating Sepsis with Heart Failure: A Systematic Review and Meta-Analysis - Takeaways - MDSpire

Efficacy and Safety of Recombinant Human Brain Natriuretic Peptide for Treating Sepsis with Heart Failure: A Systematic Review and Meta-Analysis

  • By

  • Wei Liu

  • Ruixiang Zeng

  • Zhilin Zhang

  • Xiangzhao Kong

  • Liheng Guo

  • Biao Cai

  • March 7, 2026

  • 0 min

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  • 1

    Sepsis complicated by heart failure (SCHF) significantly contributes to multiple organ failure and has high mortality rates ranging from 36% to 55%.

  • 2

    Recombinant human brain natriuretic peptide (rhBNP) shows promise in preclinical studies for reducing myocardial injury and mortality in septic models.

  • 3

    Clinical efficacy of rhBNP in SCHF remains controversial, with some studies indicating reduced 28-day mortality while others show no significant survival improvement.

  • 4

    This systematic review and meta-analysis aims to evaluate the efficacy and safety of rhBNP in treating SCHF based on randomized controlled trials.

  • 5

    The study protocol was registered on PROSPERO and amended to extend the literature search period to ensure inclusion of the most current evidence.

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