Our results suggest a positive correlation between pericardial fluid NT-pro-BNP and collagen type I, collagen type II and MMP2 atrial gene expression, though Tziakas et al. found that patients with acute myocardial infarction had a negative association between serum NT-pro-BNP and MMP2 and Cao et al. did not find a correlation between serum pro-BNP and collagen type I and III atrial gene expression in valvular atrial fibrillation [34,35]. Here, MMP2 is linked to acute myocardial infarction.