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Shorter- versus Longer-duration Dual Antiplatelet Therapy in Patients with Diabetes Mellitus Undergoing Drug-eluting Stents Implantation： A Meta-analysis of Randomized Controlled Trials

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Chinese Medical Journal 2016年第23期129卷 2861-2867页

作者： He Huang Ya Li Yu Chen Guo-Sheng Fu Department of Cardiology Sir Run Run Shaw Hospital Zhejiang University School of Medicine Hangzhou Zhejiang 310016 China Institute of Translational Medicine Zhejiang University School of Medicine Hangzhou Zhejiang 310016 China

Background： Patients with diabetes mellitus （DM） have a higher risk of thromboembolic events： however, the optimal duration of dual antiplatelet therapy （DAPT） remains unclear. The goal of this study was to assess the efficacy and safety of various DAPT durations in patients with DM undergoing drug-eluting stent implantation. Methods： We conducted a literature search for randomized controlled trials （RCTs）. We searched databases including EMBASE, PubMed, Cochrane Library, and Scopus up to June 2016. Investigators extracted data independently, including outcomes, characteristics, and study quality. A random-effect model was used to pool odds ratios （ORs） with 95% confidence intervals （C/s） of the clinical outcomes. Results： Six RCTs totaling 6040 patients with DM were included in the study. Shorter-duration DAPT resulted in an increased rate of stent thrombosis （ST）（OR, 1.83, 95% CI： 1.03-3.26, P = 0.04）, but did not increase the risk of myocardial inihrction （OR. 1.33, 95% CI： 0.71 2.47, P=0.37）, stroke （OR, 0.96, 95% CI： 0.52-1.77, P 0.90）, target vessel revascularization （OR, 1.19, 95% CI： 0.46-3.07, P = 0.71 ）, all-cause death （OR： 0.72, 95% CI： 0.48-1.09, P = 0.12）, or cardiac death （OR, 0.82, 95% CI： 0.49-1.36, P= 0.44） significantly. Shorter-duration DAPT was associated with a decreased risk of major bleeding （OR. 0.60, 95% CI： 0.38-0.94, P = 0.02）. Conclusion： In patients with DM, longer-duration DAPT had a lower risk of ST, but was associated with an increased bleeding risk.

关键词： Diabetes Mellitus Dual Antiplatelet Therapy Meta-analysis Stent Thrombosis

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Predictors of recurrent angina in patients with no need for secondary revascularization

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World Journal of Emergency Medicine 2021年第1期12卷 42-47页

作者： Tian Xu Ya Li Li-ding Zhao Guo-Sheng Fu Wen-bin Zhang Department of Cardiovascular Disease Sir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityHangzhou 310016China Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province Hangzhou 310016China

BACKGROUND: Approximately 20% to 30% of patients with coronary artery disease (CAD)develop recurrent angina pectoris following successful and complete coronary revascularization utilizingpercutaneous coronary intervention (PCI). We aim to investigate predictors of recurrent angina pectorisin patients who have undergone successful coronary revascularization using PCI, but on repeat coronaryangiography have no need for secondary revascularization.METHODS: The study comprised 3,837 patients with CAD, who were enrolled from January2007 to June 2019. They had undergone successful PCI;some of them redeveloped anginapectoris within one year after the procedure, but on repeat coronary angiography had no need forrevascularization. Thrombolysis in myocardial infarction (TIMI) frame count was used to evaluatethe velocity of coronary blood in the follow-up angiogram. Multivariate logistic regression was usedto investigate risk factors for recurrent angina pectoris. Similarly, predictors of recurrent anginaaccording to the TIMI frame count were assessed using multivariate linear regression.RESULTS: In this retrospective study, 53.5% of patients experienced recurrent angina pectoris.By multivariate logistic regression, the following characteristics were statistically identified as riskfactors for recurrent angina pectoris: female sex, older age, current smoking, low-density lipoproteincholesterol (LDL-C) ≥1.8 mmol/L, and an elevated TIMI frame count (P for all function, and recurrentangina pectoris after initially successful PCI. In addition, current smoking and LDL-C ≥1.8 mmol/L arerisk factors for recurrent angina pe

关键词： Recurrent angina Thrombolysis in myocardial infarction frame count Predictors

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Experience in treating a case of the cardiac rupture during transcatheter aortic valve implantation procedure

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Chinese Medical Journal 2020年第20期133卷 2518-2520页

作者： Wei-Min Zhang Jian-Mao Hong Fan He Guo-Sheng Fu Fei-Cheng Yu Department of Cardiovascular Surgery Sir Run Run Shaw HospitalZhejiang UniversityHangzhouZhejiang 310016China Department of Cardiology Sir Run Run Shaw HospitalZhejiang UniversityHangzhouZhejiang 310016China

To the Editor:A 70-year-old male patient underwent transcatheter aortic valve implantation(TAVI)for severe aortic stenosis.Echocardiography showed that the peak velocity in aortic valve was 4.33 m/s,with a peak pressure gradient of 75 mmHg and a mean pressure gradient of 38 mmHg.The end-systolic dimension and end-diastolic dimension of left ventricle was 31.7 and 50.0 mm,respectively.

关键词： aortic rupture transcatheter

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Ring-opening Polymerization of 2-Oxabicyclo[2.2.2]octan-3-one and the Influence of Stereochemistry on the Thermal Properties of the Polyesters

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Chinese Journal of Polymer Science 2022年第10期40卷 1173-1182,I0008页

作者： Tong Zhou Yu-Ting guo fu-sheng Du Zi-Chen Li Beijing National Laboratory for Molecular Sciences(BNLMS) Key Laboratory of Polym.Chem.&Physics of Ministry of EducationDepartment of Polymer Science&EngineeringCollege of Chemistry and Molecular EngineeringCenter for Soft Matter Science and EngineeringPeking UniversityBeijing 100871China

Polyesters with cyclic structures in the main chain typically possess superior mechanical and thermal properties together with chemical recyclability.Ring-opening polymerization(ROP)of bridged or fused bicyclic lactones is a simple,and in most cases controlled method to synthesize polyesters with alicyclic moieties in the polymer backbone.The stereochemistry of the alicyclic structures has a great effect on the polymer properties,which can be regulated by varying the polymerization conditions.Here,we report a systematic investigation on the ROP of 2-oxabicyclo[2.2.2]octan-3-one([2.2.2]VL)under different conditions.When initiated byn-butyl lithium(n-BuLi)or catalyzed by trifluoromethanesulfonic acid(TfOH)in the presence of benzyl alcohol,P[2.2.2]VLs containing all cis^(-1),4 disubstituted cyclohexane ring were obtained.However,P[2.2.2]VLs initiated by sodium methoxide(MeONa)or catalyzed by organic superbase contained both cis and trans isomeric structural units.The cis to trans transformation mechanism under these conditions was manifested,and the effect of stereochemical variations on the properties ofP[2.2.2]VLwas revealed.The stereoregularP[2.2.2]VLs,bothcisandtrans,exhibited higher crystallinity and melting temperatures(Tm)than those of the stereoirregular isomers.Finally,the degradation of P[2.2.2]VL with acid at high temperature could recover 3-cyclohexenecarboxylic acid.

关键词： 2-Oxabicyclo[2.2.2]octan-3-one Ring-opening polymerization Stereochemistry Polyester Thermal properties

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Tuning sodium wettability and pore tortuosity for superior sodium storage

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Rare Metals 2023年第12期42卷 4048-4059页

作者： Yao-Yao Xiao Yi-Hui Liu Bing-Bing Liu Zhen-guo Qi You-Bin Zhang fu-sheng Liu guo-Hui Qin State Key Laboratory Base for Eco-Chemical Engineering College of Chemical EngineeringQingdao University of Science and TechnologyQingdao 266042China Shandong Synergetic Innovation Center of Ecological and Chemical Engineering Qingdao 266042China

Abundant FeS2 with high theoretical capacity is one of the promising anode candidates in sodium-ion batteries(SlBs),however,the uneven sodium deposition due to the poor interface compatibility and sluggish reaction kinetics because of the high activation barrier still plague its practical application.Herein,we synthesized the ordered porous carbon matrix wrapped FeS2 nanoparticles(FeS_2@OCN)with high sodium wettability and low pore tortuosity to economically enhance the interface compatibility as well as to lower the energy barrier in SIBs.The synergistic effects of low tortuosity pores and strong sodium wettability homogenize the Na+flux distribution,bring the electron dislocation via the enrichment of edgenitrogen(Pyridinic N and Pyrrolic N),thus achieving the dendrite-free sodium deposition and dramatically enhanced reaction kinetics.Benefiting from exceptional structural/compositional/electronic merits,the resultant anode is endowed with exceptional structure stability,achieving long-term cycling stability of 451.9 mAh·g^(-1)after 1000cycles at 1 A·g^(-1)with specific capacity retention of 92.9%.Attenuated electrode tortuosity and high sodium wettability can corporately improve the interface compatibility and attenuate the activation barrier of the FeS_2 host and beyond.

关键词： FeS_2 Wettability Sodium capture Low tortuosity Charge transport

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Fever induced Brugada electrocardiographic pattern converted to the early repolarization pattern after fever abatement in an elderly man

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Journal of Geriatric Cardiology 2023年第11期20卷 824-828页

作者： Zhi-Qing fu Li SHUAI Yan guo Li sheng Department of Cardiology the Second Medical Center&National Clinical Research Center for Geriatric DiseasesChinese PLA General HospitalBeijingChina

Brugada syndrome(BrS)is one of inherited arrhythmia syndromes characterized by ST-segment elevation in the right precordial leads and is associated with increased risk of ventricular fibrillation(VF)and sudden cardiac death(SCD)in the absence of a structural heart disease.Fever is a known trigger for Brugada ECG pattern(BrP).[1]Relevant studies showed that BrS patients with a fever induced type 1(F-type 1)BrP have a worse prognosis due to the higher risk of future arrhythmic events.[2]However,the prognosis of asymptomatic subjects with F-type 1 BrP remains to be elucidated,especially in the elderly.Recent studies have found that in elderly patients,F-type 1 BrP led to VF or even syncope.[3,4,5]Thus,more clinical attention should be given rise on cases of elderly asymptomatic patients with F-type 1 BrP.

关键词： pattern Brugada Fever

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Transcriptomic profile of human erythroleukemia cells in response to Sargassum fusiforme polysaccharide and its structure analysis

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Chinese Journal of Natural Medicines 2021年第10期19卷 784-795页

作者： DING Hao-Miao fu Rui-Jie XIE Ce WANG Cai-sheng QIAN guo-Ying College of Biological and Environmental Sciences Zhejiang Wanli UniversityNingbo 315100China School of Marine Sciences Ningbo UniversityNingbo 315211China

Sargassum fusiforme(S.fusiforme)has been used as an ingredient in Chinese herbal medicine for thousands of years.However,there are a limited number of studies concerning its therapeutic mechanism.High performance gel permeation chromatography(HPGPC)analysis showed that the average molecular weight of the S.fusiforme polysaccharide,SFPS 191212,is 43 kDa.SFPS 191212 is composed of mannose,rhamnose,galactose,xylose,glucose,and fucose(at a molar ratio:2.1:2.9:1.8:15.5:4.6:62.5)withα-andβ-configurations.The present research evaluated the anti-tumor potential of the S.fusiforme polysaccharide in human erythroleukemia(HEL)cells in vitro.To explore the SFPS 191212’s apoptosis mechanism in HEL cells,transcriptome analysis was performed on HEL cells that were incubated with SFPS 191212.The inhibitory effect of SFPS 191212 on HEL cell growth was also analyzed.It was found that SFPS 191212 inhibited HEL cell proliferation,reduced cell viability in a concentration-dependent manner,and induced an insignificant toxic effect on normal human embryonic lung(MRC-5)cells.Compared with the control group,transcriptome analysis identified a total of 598 differentially expressed genes(DEGs),including 243 up-regulated genes and 355 downregulated genes.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses were performed on all DEGs,and 900 GO terms and 52 pathways were found to be significantly enriched.Finally,23 DEGs were randomly selected and confirmed by quantitative real-time polymerase chain reaction(qRT-PCR).Moreover,SFPS 191212 down-regulated the PI3K/Akt signal transduction pathway.Our results provide a framework for understanding the effect of SFPS 191212 on cancer cells and can serve as a resource for delineating the anti-tumor mechanisms of S.fusiforme.

关键词： Human erythroleukemia Polysaccharide Sargassum fusiforme Transcriptome

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Curative effect assessment of bandage contact lens in neurogenic keratitis

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International Journal of Ophthalmology(English edition) 2014年第6期7卷 980-983页

作者： Yu-Zhao Sun Lei guo fu-sheng Zhang Department of Ophthalmology the First Affiliated Hospital of China Medical University Optometry Center the First Affiliated Hospital of China Medical University

AIM: To observe the curative effect of bandage contact lens in neurogenic keratitis.METHODS: Twenty cases of neurogenic keratitis were studied at the Department of Ophthalmology, the First Affiliated Hospital of China Medical University, between October 2012 and June 2013. These included 13 males and 7 females, aged from 35 to 88 y. Patients were voluntarily divided into an experimental group(lens wearing group, n =10) and control group(drug therapy,n =10). In experimental group patients wore silicone hydrogel bandage soft contact lens. Both groups used the following eyedrops: 0.5% levofloxacin TID; 0.5%Sodium carboxymethyl cellulose QID; fibroblast growth factor BID; ganciclovir BID [cases complicated with herpes simplex virus(HSV)]; compound tropicamide BID(cases concurrent hypopyon). The healing time of corneal ulcer and complication rates were observed in the two groups.RESULTS: The healing time of corneal ulcer in the experimental group was 10.80±4.44 d versus 46.70±13.88 d in the control group(P <0.05). No complications occurred in the experimental group, except for the lens falling off twice in one case, the patient recovered eight days after rewearing the lens. While in the control group, all cases vascularized, 2 cases were complicated with descemetocele that recovered with amniotic membrane transplantation and 1 case was complicated with corneal perforation that recovered by autologous conjunctival flap covering.CONCLUSION: Bandage contact lens is a safe and effective method of treating neurogenic keratitis andsignificantly shortened the healing time of corneal ulcer.

关键词： neurogenic keratitis bandage contact lens

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Comparison of low-density lipoprotein cholesterol/high-density lipoprotein cholesterol and total cholesterol/high-density lipoprotein cholesterol for the prediction of thin-cap fibroatheroma determined by intravascular optical coherence tomography

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Journal of Geriatric Cardiology 2020年第11期17卷 666-673页

作者： Yao WANG Si-Si ZHANG Qing-Bo LV Ya LI Jin ZHAO Jia HAN Guo-Sheng Fu Wen-Bin ZHANG Department of Cardiology Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang ProvinceSir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityHangzhouChina Department of Infection Control Sir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityHangzhouChina

Background The correlation among the ratios of low-density lipoprotein cholesterol/high-density lipoprotein cholesterol(LDL-C/HDL-C), total cholesterol/high-density lipoprotein cholesterol(TC/HDL-C) and thin-cap fibroatheroma has not yet been established. Methods It was a single center, retrospective observational study. In total, we recruited 421 patients(82.4% men;mean age 65.73 ± 10.44 years) with one culprit vessel which determined by intravascular optical coherence tomography(OCT). The thinnest-capped fibroatheroma(TCFA) group was defined as lipid contents in > 2 quadrants, with the thinnest fibrous cap measuring less than 65 μm. Univariate and multivariate logistic regression were carried out to explore the relationship between lipoprotein ratios, TCFA and other characteristics of plaque. To compare different ratios, the area under curve(AUC) of receiver-operating characteristic(ROC) curve was assessed. Results OCT was performed in 421 patients(TCFA group(n = 109), non-TCFA group(n = 312)). LDL-C/HDL-C in the TCFA group was significantly higher than in the non-TCFA group(2.95 ± 1.20 vs. 2.43 ± 0.92, P < 0.05), as was TC/LDL in TCFA and non-TCFA group(4.57 ± 1.58 vs. 4.04 ± 1.13, P < 0.05). Both LDL-C/HDL-C(OR: 1.002(1.002-1.003), P < 0.05) and TC/HDL-C(OR: 1.001(1.001-1.004), P < 0.05) were considered independent factors for the prediction of TCFA according to the logistic regression. Based on the AUC comparison, LDL-C/HDL-C and TC/HDL-C had no significant difference statistically(LDL-C/HDL-C AUC: 0.63;TC/HDL-C AUC: 0.61;P = 0.10) for the prediction of TCFA. Conclusions LDL-C/HDL-C and TC/HDL-C could be the independent factors for predicting the presence of TCFA, indicating coronary plaque vulnerability in CAD patients. Moreover, TC/HDL-C also showed a comparative performance for the prediction of TCFA as LDL-C/HDL-C.

关键词： Lipoproteins Optical coherence tomography Total cholesterol

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Association of ABO blood groups with the severity of coronary artery disease: a cross-sectional study

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Journal of Geriatric Cardiology 2019年第9期16卷 701-705页

作者： Xu-Lin HONG Ya LI Guo-Sheng Fu Heng WU Yao WANG Chun-Xia GU Wen-Bin ZHANG Department of Cardiology Sir Run Run Shaw Hospital School of Medicine Zhejiang University

Objective To investigate whether ABO blood groups is associated with the severity of coronary artery disease(CAD). Methods Between January 2015 and December 2017, 1425 first diagnosed CAD patients confirmed by selective coronary angiography were recruited into this cross-sectional study, and their baseline characteristics, ABO blood groups, Gensini score were collected. Multiple linear regression analysis was performed to test the association between the severity of CAD and ABO blood groups. Results The Gensini score was significantly higher in the blood group A than in the non-A groups(41.2 ± 32 vs. 38 ± 27;P = 0.026). After adjusting for age, male, smoking, family history of CAD, hypertension, diabetes mellitus and hypercholesterolemia, multivariate linear regression indicated that blood group A was associated with the severity of CAD(β= 3.298, 95% CI: 0.91–6.505, P = 0.044). In diabetes group, A blood type was also associated with increased Gensini score(P = 0.02) after adjusting for age, male, family history of CAD, hypercholesterolemia, smoking and hypertension. Conclusion In this cross-sectional study, the data indicated that blood group A was an independent risk factor of severity of CAD in Chinese population and Chinese patients with type 2 diabetes.

关键词： ABO blood groups Coronary artery disease Cross-sectional study

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