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most of the evidence related to NPs in HF is from these two NPs, which are the gold standard diagnostic and prognostic biomarkers in HF patients.1 The pathophysiological mechanism of NP elevation in the setting of HF is well understood: BNP is produced primarily and secreted in the cardiac ventricles as a pro-hormone in response to myocardial stretch, to later be cleaved into vasoactive BNP and inactive NT-proBNP.3,4 These NPs have been directly correlated with several haemodynamic measures including left ventricular (LV) end-diastolic pressure, LV end-systolic and end-diastolic volumes and pulmonary capillary wedge pressure.5,6 The use of NPs has been rigorously studied as a diagnostic tool in HFpEF ( Figure 2 )

A provider reviews your medical history, determines eligibility, and prescribes treatment when appropriate

doi: 10.1039/b903043c 82 van MeerBJde VriesHFirthKSAvan WeerdJTertoolenLGJKarperienHBJet al

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Based on existing evidence, claims supported in humans include improvements in redox-related biomarkers and antioxidant enzyme activity

3 Conclusion and Future Perspectives As phytotherapy, APS are appropriate for long-term therapeutic options in patients with chronic illness owing to relatively small toxic side effects, which has been the most difficult issue in the study of NAFLD treatments, resulting in a large number of medicines being abandoned in subsequent clinical trials