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CardiovascularClinical

Nesiritide

Recombinant human B-type natriuretic peptide (BNP-32)

32 Amino Acids · MW: ≈3,465 Da

Amino Acids

32

Molecular Weight

≈3,465 Da

Half-life

≈18–20 minutes

Research Score

4.5

Studies

300

Storage

Store lyophilized at -20°C, reconstituted at 2-8°C

What is Nesiritide?

Synthetic BNP used to counteract fluid overload and elevated cardiac filling pressures. It increases cyclic GMP, causing venous and arterial vasodilation plus natriuresis.

Key Benefits & Mechanisms

hemodynamic unloading

natriuresis

vasodilation

dyspnea relief

Research Summary

Nesiritide was developed for acute decompensated heart failure and studied in multiple randomized trials. It reliably improves short-term hemodynamics, though outcome benefits beyond symptom relief remain limited.