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Relationship between longitudinal changes in lipid composition and ischemic stroke among hypertensive patients

World Journal of Clinical Cases 2025年第4期13卷 18-27页

作者： Cheng-Cheng Wei Yu-Qing Huang Cheng-Hong Yu department of cardiology Tongxiang First People's HospitalTongxiang 314500Zhejiang ProvinceChina department of cardiology Guangdong Cardiovascular InstituteGuangzhou 510080Guangdong ProvinceChina

BACKGROUND Dyslipidemia was strongly linked to stroke,however the relationship between dyslipidemia and its components and ischemic stroke remained *** To investigate the link between longitudinal changes in lipid profiles and dyslipidemia and ischemic stroke in a hypertensive *** Between 2013 and 2014,6094 hypertension individuals were included in this,and ischemic stroke cases were documented to the end of *** changes of lipid were stratified into four groups:(1)Normal was transformed into normal group;(2)Abnormal was transformed into normal group;(3)Normal was transformed into abnormal group;and(4)Abnormal was transformed into abnormal *** examine the link between longitudinal changes in dyslipidemia along with its components and the risk of ischemic stroke,we utilized multivariate Cox proportional hazards models with hazard ratio(HR)and 95%*** The average age of the participants was 62.32 years±13.00 years,with 329 women making up 54.0%of the *** the course of a mean follow-up of 4.8 years,143 ischemic strokes *** normal was transformed into normal group was used as a reference,after full adjustments,the HR for dyslipidemia and ischemic stroke among abnormal was transformed into normal group,normal was transformed into abnormal group and abnormal was transformed into abnormal Wei CC et *** changed and ischemic stroke WJCC https://*** 2 February 6,2025 Volume 13 Issue 4 group were 1.089(95%CI:0.598-1.982;P=0.779),2.369(95%CI:1.424-3.941;P<0.001)and 1.448(95%CI:1.002-2.298;P=0.047)(P for trend was 0.233),*** In individuals with hypertension,longitudinal shifts from normal to abnormal in dyslipidemia-particularly in total and low-density lipoprotein cholesterol-were significantly associated with the risk of ischemic stroke.

关键词： Longitudinal change Hypertension Dyslipidemia Lipid profile Ischemic stroke

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Sine oculis homeobox homolog family function in gastrointestinal cancer:Progression and comprehensive analysis

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World Journal of Clinical Oncology 2025年第1期16卷 10-24页

作者： Yang-Zheng Lan Zheng Wu Wen-Jia Chen Xin-Ning Yu Hua-Tao Wu Jing Liu department of The Breast Center Cancer Hospital of Shantou University Medical CollegeShantou 515041Guangdong ProvinceChina department of general Surgery First Affiliated Hospital of Shantou University Medical CollegeShantou 515041Guangdong ProvinceChina

The sine oculis homeobox homolog(SIX)family,a group of transcription factors characterized by a conserved DNA-binding homology domain,plays a critical role in orchestrating embryonic development and organogenesis across various organisms,including *** six distinct members,from SIX1 to SIX6,each member contributes uniquely to the development and differentiation of diverse tissues and organs,underscoring the versatility of the SIX *** or mutations in SIX genes have been implicated in a spectrum of developmental disorders,as well as in tumor initiation and progression,highlighting their pivotal role in maintaining normal developmental trajectories and cellular *** to target the transcriptional complex of the SIX gene family have emerged as a promising strategy to inhibit tumor *** the development of inhibitors targeting this gene family is still in its early stages,the significant potential of such interventions holds promise for future therapeutic ***,this review aimed to comprehensively explore the advancements in understanding the SIX family within gastrointestinal cancers,focusing on its critical role in normal organ development and its implications in gastrointestinal cancers,including gastric,pancreatic,colorectal cancer,and hepatocellular *** conclusion,this review deepened the understanding of the functional roles of the SIX family and explored the potential of utilizing this gene family for the diagnosis,prognosis,and treatment of gastrointestinal cancers.

关键词： Sine oculis homeobox homolog Gastrointestinal cancer Transcription factor Development Regulation Diagnosis Therapeutics

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Transcatheter closure of ventricular septal defect in patients with aortic valve prolapse and mild aortic regurgitation:feasibility and preliminary outcome

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Asian Pacific Journal of Tropical Medicine 2015年第4期8卷 315-318页

作者： Guan-Liang Chen Hai-Tao Li Hai-Rong Li Zhi-Wei Zhang Zhujiang hospital Affiliated to Southern Medical University department of Pediatric cardiology Guangdong Cardiovascular InstituteGuangdong Academy of Medical ScienceGuangdong General Hospital department of cardiology Hainan General Hospital

Objective:To evaluate the feasibility,safety and efficacy of transcathcter closure of ventricular septal defect(VSD)in patients with aortic valve prolapse(AVP)and mild aortic regurgitation(AR).Methods:Between January 2008 and July 2014,transcatheter closure of VSD was attempted in 65 ***:The total intermediate closure successful rate in all subjects was 96.9%.During the perioperative period,no death,major bleeding,pericardial tamponade,occluder dislodgement,residual shunt or hemolysis *** procedures had been forced to suspend due to significant aggregation of device related aortic regurgitation,three cases of transient complete left bundle branch block occurred but did not *** 1-year followup,no patients had residual shunts and ***,grade of residual AR were relieved in 61.9%(39/63)cases and degree of AVP were ameliorated in 36.5%(23/63)patients;Conclusions:Transcatheter closure VSD in selected patients with AVP and mild AR is technically feasible and highly *** term safety and efficacy needs to be assessed.

关键词： Transcatheter closure Ventricular septal defect Aortic valve prolapsed Aortic regurgitation

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Systemic changes and adverse effects induced by retinopathy of prematurity screening

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International Journal of Ophthalmology(English edition) 2016年第8期9卷 1148-1155页

作者： Jing-Bo Jiang Zhi-Wei Zhang Jia-Wen Zhang Yan-Li Wang Chuan Nie Xian-Qiong Luo department of Neonatology Guangdong Province Women and Children's Hospital department of Pediatric cardiology Guangdong Cardiovascular Institute Guangdong General HospitalGuangdong Academy of Medical Sciences

AIM: To estimate the potential systemic events during and after retinopathy of prematurity (ROP) screening. ' METHODS: A prospective and descriptive designed study was conducted to detect the physiologic and pathological changes 24h before, during, and 72h after ROP screening. Control blood pressure (BP), saturation, pulse rate, and body temperature were routinely taken at various time internals before and after screening. Adverse effects pertain to cardiovascular system, respiratory system, gastric system, urinary system and nervous system were retrospect 0-72h after ROP screening at a 24-hour interval. RESULTS: Totally 1254 prematurity babies receiving ROP screening during Jan. 1st 2013 to Dec. 31th 2013 were enrolled in our survey. Compared to control vital sign data taken before the examination, there was a fluctuation in the diastolic BP with the increased 3.03 mm Hg (P=0.04) after 3 doses of mydriatic drops. Immediately after the examination, there was a further 12.64 mm Hg (P<0.01) increase in systolic BP and a 7.24 mm Hg (P<0.01) in diastolic BP. The mean pulse rate during examination was 22.4 bpm (P<0.01) higher than the 133.3 +/- 9.0 bpm control level. The oxygen saturation shared an average drop of 5% (P<0.01) during screening. In prematurity with postconceptional age less than 31wk, the incidence of apnea (23.5%), necrotizing enterocolitis (NEC) (8.7%), gastric residual (25.4%) and upper digestive tract hemorrhage (6.4%) also demonstrated a significant rise (P<0.01). CONCLUSION: In our study sample, ROP screening was associated with NEC, gastric residual and upper digestive tract hemorrhage. These gastrointestinal side effects, along with breath activity pattern change and vital signs indicators fluctuation, may be results of additional stress responses.

关键词： retinopathy of prematurity prematurity screening apnea necrotizing enterocolitis stress response mydriatic drops

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Intracoronary arterial retrograde thrombolysis with percutaneous coronary intervention: a novel use of thrombolytic to treat acute ST-segment elevation myocardial infarction

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Journal of Geriatric cardiology 2019年第6期16卷 458-467页

作者： Jin-Wen TIAN Mei ZHU Feng-Qi WANG Ke LI Chao-Fei ZHOU Bo LI Min WANG Jue-Lin DENG Bo JIANG Jing BAI Yi GUO Rong-Jie JIN Zhao ZHANG Ying LIN Ji-Hang WANG Shi-Hao ZHAO Ming-Zhi SHEN department of cardiology Hainan Hospital of PLA General Hospital Hainan China department of cardiology Chinese PLA General Hospital Beijing China

Background Clearance of coronary arterial thrombosis is necessary in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing urgent percutaneous coronary intervention (PCI). There is currently no highly-recommended method of thrombus removal during interventional procedures. We describe a new method for opening culprit vessels to treat STEMI: intracoronary arterial retrograde thrombolysis (ICART) with PCI. Methods & Results Eight patients underwent ICART. The guidewire was advanced to the distal coronary artery through the occlusion lesion. Then, we inserted a microcatheter into the distal end of the occluded coronary artery over the guidewire. Urokinase (5–10 wu) mixed with contrast agents was slowly injected into the occluded section of the coronary artery through the microcatheter. The intracoronary thrombus gradually dissolved in 3–17 min, and the effect of thrombolysis was visible in real time. Stents were then implanted according to the characteristics of the recanalized culprit lesion to achieve full revascularization. One patient experienced premature ventricular contraction during vascular revascularization, and no malignant arrhythmias were seen in any patient. No reflow or slow flow was not observed post PCI. Thrombolysis in myocardial infarction flow grade and myocardial blush grade post-primary PCI was 3 in all eight patients. No patients experienced bleeding or stroke. Conclusions ICART was accurate and effective for treating intracoronary thrombi in patients with STEMI in this preliminary study. ICART was an effective, feasible, and simple approach to the management of STEMI, and no intraprocedural complications occurred in any of the patients. ICART may be a breakthrough in the treatment of acute STEMI.

关键词： ST elevation myocardial infarction Therapeutic thrombolysis Thrombus Urokinase

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Assessing healthcare workers’knowledge and confidence in the diagnosis,management and prevention of Monkeypox

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World Journal of Clinical Cases 2025年第1期13卷 38-47页

作者： Epipode Ntawuyamara Thierry Ingabire Innocent Yandemye Polycarpe Ndayikeza Bina Bhandari Yan-Hua Liang department of Dermatology Cosmetology and VenereologyShenzhen Hospital of Southern Medical UniversityShenzhen 518101Guangdong ProvinceChina department of Dermatology and Venereology Kamenge Teaching HospitalUniversity of BurundiBujumbura 1020Burundi department of Infectious Diseases Kamenge Teaching HospitalUniversity of BurundiBujumbura 1020Burundi general Directorate of Healthcare Supply Modern and Traditional MedicineNutrition and RegistrationMinistry of Public Health and Fight Against HIV/AIDSBujumbura 1055Burundi department of Epidemiology National Institute of Public HealthBujumbura 350Burundi general Directorate of Planification Ministry of Public Health and Fight Against HIV/AIDSBujumbura 1055Burundi

BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central *** To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of *** We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July *** questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and *** data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical *** The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a *** confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among *** confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent *** is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi *** encourage future researchers to assess potential hesitancy toward Mpox vaccination and its asso

关键词： Monkeypox Public health emergency of international concern Healthcare workers Epidemic Preparedness Knowledge Confidence

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A new technique focusing on retrograde wire externalization in recanalization of coronary chronic total occlusion

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Science Bulletin 2019年第4期64卷 222-223页

作者： Jiyan Chen department of cardiology Provincial Key Laboratory of Coronary Heart Disease Guangdong Cardiovascular Institute Guangdong General Hospital Guangdong Academy of Medical Sciences

Active greeting technique (AGT) is a new technique that facilitates retrograde wire externalization in recanalization of coronary chronic total occlusion (CTO) lesions published by Prof. Ge [1]. This technique provide... 详细信息

关键词： AGT CTO recanalization

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Blood pH in coronary artery microthrombosis of rats

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Asian Pacific Journal of Tropical Medicine 2015年第10期8卷 844-849页

作者： Kuai-Fa Fang Zhu-Jun Chen Meng Liu Ping-Sheng Wu Da-Zhi Yu department of cardiology Nanfang HospitalSouthern Medical University department of cardiology Affiliated Huiyang Hospital of Southern Medical University department of cardiology Huizhou No.6 People's Hospital guangdong general hospital/guangdong Academy of Medical Sciences Postdoctoral Research Station Ji'nan Military General Hospital The PLA 401 hospital

Objective:To study the mechanism and significance of pH change in the coronary artery microthrombosis of ***:After the sodium laurate-induced model of coronary artery microthrombosis of rats was constructed,the vascular endothelial cells were separated and then cultured in the mediums with different pH values for 24 *** linked immunosorbent assay was used to detect the content of von Willebrand factor(vWF) in the medium;while the real-time PCR and western blot assay were used to detect the expression of fibrinogenlike protein 2(FGL2) at the mRNA and protein *** comprehensive evaluation was performed to discuss the effect of pH change on the coronary artery microthrombosis of ***:The expression level of vWF detected by enzyme linked immunosorbent assay was 336.67±24.95,311.33±14.98,359.67±39.63,354.67±49.01 and 332.00±33.42(pg/mL) respectively;while the expression of vWF in the model group was 570.00±57.94,524.67±57.94,437.00±95.38,415.33±44.38 and 444.67±74.31 *** cultured under the different pH values,the relative expression level of FGL2 mRNA in the model group was 7.93±0.93,6.70±0.***.5.03±0.32,5.13±0:40 and 5.57±0.83 ***:The coronary artery microthrombosis of rats can cause the high expression and secretion of ***,FGL2 is also up-regulated in the thrombosis and such up-regulation is more significant in the condition with low pH,which indicates that the low-pH condition may be one of factors that contribute to the cardiovascular diseases.

关键词： pH Coronary artery Microthrombus FGL2

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Combination therapy reduces the incidence of no-reflow after primary percutaneous coronary intervention in patients with ST-segment elevation acute myocardial infarction

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Journal of Geriatric cardiology 2015年第02期12卷 135-142页

作者： Shan-Shan ZHOU Feng TIAN Yun-Dai CHEN Jing WANG Zhi-Jun SUN Jun GUO Qin-Hua JIN department of cardiology Chinese PLA General Hospital

Background No-reflow is associated with an adverse outcome and higher mortality in patients with ST-segment elevation acute myocardial infarction(STEMI) who undergo percutaneous coronary intervention(PCI) and is considered a dynamic process characterized by multiple pathogenetic *** aim of this study was to investigate the effectiveness of a combination therapy for the prevention of no-reflow in patient with acute myocardial infarction(AMI) undergoing primary *** A total of 621 patients with STEMI who underwent emergency primary PCI were enrolled in this *** with high risk of no-reflow(no-flow score > 10,by using a no-flow risk prediction model,n = 216) were randomly divided into a controlled group(n = 108) and a combination therapy group(n = 108).Patients in the controlled group received conventional treatment,while patients in combination therapy group received high-dose(80 mg) atorvastatin pre-treatment,mtracoronary administration of adenosine(140 μg/min per kilogram) during PCI procedure,platelet membrane glycoproteinⅡb/Ⅲa receptor antagonist(tirofiban,10μg/kg bolus followed by 0.15 μg/kg per minute) and thrombus *** contrast echocardiography was performed to assess the myocardial perfusion 72 h after *** adverse cardiac events(MACE) were followed up for six *** Incidence of no-reflow in combination therapy group was 2.8%,which was similar to that in low risk group 2.7%and was significantly lower than that in control group(35.2%,P < 0.01).The myocardial perfusion(A ×β) values were higher in combination therapy group than that in control group 72 h after *** 6 months,there were six(6.3%) MACE events(one death,two non-fatal MIs and three revascularizations) in combination therapy group and 12(13.2%)(four deaths,three non-fatal MIs and five revascularizations,P < 0.05) in control *** Combination of thrombus aspiration,high-dose statin pre-treatment,intracoronary administration of a

关键词： Acute myocardial infarction Myocardial contrast echocardiography No-reflow phenomenon Percutaneous coronary intervention ST-elevation myocardial infarction

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Drug-eluting balloons versus new generation drug-eluting stents for the management of in-stent restenosis: an updated meta-analysis of randomized studies

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Journal of Geriatric cardiology 2019年第6期16卷 448-457页

作者： Lei GAO Ya-Bin WANG Jing JING Ming ZHANG Yun-Dai CHEN department of cardiology Chinese PLA General Hospital

Background New-generation drug-eluting stents (DES) was more effective in the treatment of in-stent restenosis (ISR) compared with the first-generation DES. Drug-eluting balloons (DEB) and new-generation DES had been available strategies in treatment of bare-metal stents/DES ISR (BMS/DES-ISR). Six new randomized trials have recently examined the angiographic outcomes and one-year clinical outcomes of DEB and new generation DES in BMS/DES-ISR. However, the optimal management for BMS/DES-ISR lesions remains controversial. Methods We searched the randomized clinical trials evaluating the angiographic outcomes and one-year clinical outcomes of DEB and new-generation DES in patients with BMS/DES-ISR. The primary endpoints were the angiographic outcomes, including the minimal luminal diameter (MLD), diameter stenosis %(DS%), late lumen loss (LLL), and binary restenosis (BR). Results A total of six randomized clinical trials with 1177 BMS/DES-ISR patients were included in our meta-analysis. For angiographic outcomes, there were significantly less MLD and more DS% with DEB compared to new-generation DES (MLD: MD =?0.18, 95% CI:?0.31– ?0.04, P < 0.001;DS%: MD = 5.68, 95% CI: 1.00–10.37, P < 0.001). Moreover, for one-year clinical outcomes, DEB was associated with a significant increase risk in target lesion revascularization (TLR)(RR = 2.93, 95% CI: 1.50–5.72, P = 0.002). However, DEB was associated with higher risks of major adverse cardiac event, target vessel revascularization, TLR, BR, and more DS% only in DES-ISR group. Conclusions DEB and new-generation DES have the similar clinical efficacy for the treatment of BMS-ISR. However, DES showed more MLD, less DS%, and a decreased risk of TLR for the treatment of DES-ISR.

关键词： Drug-eluting balloons Drug-eluting stents In-stent restenosis Meta-analysis

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