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Postoperative NT-proBNP can serve as an objective marker of the severity of postoperative myocardial dysfunction. Due to overlap in individuals, NT-proBNP is useful mainly for comparisons at cohort level. As such, it provides a tool for study purposes when an unbiased assessment of prevention or treatment of PHF is desirable. ClinicalTrials.gov Identifier NCT00489827 https//clinicaltrials.gov/ct2/show/NCT00489827?term=glutamicsdraw=2rank=1 . ClinicalTrials.gov Identifier NCT00489827 https//clinicaltria