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This study aimed to determine the accuracy of BNP for detecting SHD in emergency patients with sustained asymptomatic hypertension, where SHD is universally prevalent. Conducted at two urban academic emergency departments within a seven\u2010hospital healthcare organization, this proof\u2010of\u2010concept study included adults with sustained asymptomatic hypertension (initial BP\u2009\u2265\u2009160\/100\u2009mmHg and second BP\u2009\u2265\u2009140\/90\u2009mmHg), excluding those with congestive heart failure, renal insufficiency, atrial fibrillation, pregnancy, incarceration, cognitive impairment, and symptomatic hypertension. Enrolled patients underwent bedside echocardiograms, BNP lab tests, and electrocardiograms. All 78 patients (100%) had SHD. The cohort was predominantly female (55.1%), middle\u2010aged (mean age: 52\u2009\u00b1\u200915.2\u2009years), with Class I obesity (mean BMI: 32.3\u2009\u00b1\u20098.3) and a high prevalence of hypertension history (55.1%). 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In this proof\u2010of\u2010concept study, BNP underperformed in a cohort with universally present SHD, suggesting that sole reliance on BNP may lead to missed opportunities for early intervention.<\/jats:p>","DOI":"10.1155\/ijhy\/9951414","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T06:27:50Z","timestamp":1765607270000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["B\u2010Type Natriuretic Peptide as a Marker of Subclinical Heart Disease in a High\u2010Burden Emergency Department Population With Sustained Asymptomatic 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