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Natriuretic Peptide, Urinary (e.g., Brain Natriuretic Peptide, BNP)

Published: August 9, 2026Updated: August 17, 2026

This test measures a protein released by the heart’s ventricles when they’re overworked or stretched, often due to heart failure or fluid overload. Urine samples are used to detect elevated levels that may signal heart strain.

Quick summary

["Urinary BNP helps assess heart health by detecting early signs of heart stress in urine."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
101935-5
Short code
Na Urate Cry EngDiff Ur
Synonyms
Na Urate Cry EngDiff Ur
Category
electrolyte
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
3.5
Ref high
7.2
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test if you have symptoms like shortness of breath, swelling, or fatigue that could indicate heart problems. It’s sometimes used alongside blood tests to monitor heart function, especially in patients with chronic conditions like heart failure or kidney disease.

What to Expect Before the Test

No special preparation is needed. You’ll provide a urine sample, typically collected over a 24-hour period or a single random sample, depending on the clinical context. Avoid excessive fluid intake before testing if instructed, as it may affect results.

What the Results Mean

Elevated levels of this protein in urine may suggest your heart is working harder than usual, possibly due to fluid overload, heart failure, or other cardiac stress. Low or normal levels usually indicate healthy heart function. Results are interpreted by your healthcare provider in the context of your medical history and symptoms.

Common Conditions Monitored

This test is often used to monitor heart failure, chronic kidney disease, or conditions requiring fluid management. It can also help evaluate patients with suspected cardiac stress or those undergoing treatments for heart-related issues.

Reference range

NCBI: Uric Acid Male 3.5-7.2 mg/dL; Female 2.5-6.8 mg/dLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Urinary BNP Screening

Frequently asked questions

What does a high urinary BNP level indicate?
A high level may signal that your heart is struggling to pump blood effectively, possibly due to heart failure, fluid overload, or other cardiac stress conditions. Your doctor will review the results alongside your symptoms and medical history to determine the next steps.
Can dietary restrictions affect this test?
Generally, no strict dietary restrictions apply, but your doctor may advise limiting fluid intake for 24 hours before testing if instructed. Always follow their specific instructions to ensure accurate results.
Is this test painful or uncomfortable?
No, this test involves collecting a urine sample, which is typically done via a simple urine collection container or catheter if needed. It’s not invasive or painful, though you may need to hold urine for a specified period if collecting a 24-hour sample.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy