Clinical hemorheology and microcirculation最新文献

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Investigating the blood rheology in the first trimester pregnancies with high risk for preeclampsia 调查子痫前期高危妊娠头三个月的血液流变学情况
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-12-18 DOI: 10.3233/ch-232026
Lütfiye Uygur, Merve Kabasakal Ilter, Nazlı Helvacı, Muhammed Edib Mokresh, Muhammed Kahya, Emir Muvaffak, Muhammet Huzeyfe Elmuhammed, I. Ayhan, Pınar Kumru
{"title":"Investigating the blood rheology in the first trimester pregnancies with high risk for preeclampsia","authors":"Lütfiye Uygur, Merve Kabasakal Ilter, Nazlı Helvacı, Muhammed Edib Mokresh, Muhammed Kahya, Emir Muvaffak, Muhammet Huzeyfe Elmuhammed, I. Ayhan, Pınar Kumru","doi":"10.3233/ch-232026","DOIUrl":"https://doi.org/10.3233/ch-232026","url":null,"abstract":"BACKGROUND: Pregnancy is a dynamic process associated with changes in vascular and rheological resistance. Maternal maladaptation to these changes is the leading cause of pregnancy complications such as preeclampsia. OBJECTIVE: This study aimed to assess the hemorheological alterations in pregnancies with a high risk for preeclampsia in the first trimester. METHODS: Ninety-two pregnant women were allocated into the high preeclampsia risk group (37 cases) and control groups (55 cases). Plasma and whole blood viscosity and red blood cell morphodynamic properties, including deformability and aggregation were assessed by Brookfield viscometer and laser-assisted optical rotational cell analyzer (LORRCA) at 11–14 gestational weeks. RESULTS: Whole blood viscosity was significantly higher in the high-risk group at all shear rates. Plasma viscosity and hematologic factors showed no differences between the groups. Hematocrit levels positively correlated with high blood viscosity only in the high-risk group. There were no significant changes in the other deformability and aggregation parameters. CONCLUSIONS: Changes in the whole blood viscosity of pregnant women with high preeclampsia risk refer to impaired microcirculation beginning from the early weeks of gestation. We suggest that the whole blood viscosity is consistent with the preeclampsia risk assessment in the first trimester, and its measurement might be promising for identifying high-preeclampsia-risk pregnancies.","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"45 s156","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An in vivo investigation on the effects of stent implantation on hematological and hemorheological parameters 支架植入对血液学和血液流变学参数影响的体内研究
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-12-16 DOI: 10.3233/ch-231921
D. Kokkinidou, E. Kaliviotis, C. Shammas, A. Anayiotos, K. Kapnisis
{"title":"An in vivo investigation on the effects of stent implantation on hematological and hemorheological parameters","authors":"D. Kokkinidou, E. Kaliviotis, C. Shammas, A. Anayiotos, K. Kapnisis","doi":"10.3233/ch-231921","DOIUrl":"https://doi.org/10.3233/ch-231921","url":null,"abstract":"BACKGROUND: Even though cardiovascular stenting is widely used for the treatment of coronary artery disease, information on how it can affect the hematological and hemorheological profile is scarce in the literature. Most of the work on this issue is based on theoretical or computational fluid dynamics models, lacking in-depth in vitro and in vivo experimental verification. OBJECTIVE: This work investigates, in an in vivo setting, the effects of stenting and the implantation time-course on hematological and hemorheological parameters that could potentially compromise the device’s functionality and longevity. METHODS: Custom-made self-expanding nitinol stents were implanted in the common carotid artery of male CD1 mice. Whole blood samples were collected from control (non-stented) and stented animals at 5 and 10 weeks post-implantation. Hematological measurements and blood viscosity, red blood cell aggregation, and deformability were performed using standard techniques. RESULTS: Implant-induced changes were observed in some of the hematological and hemorheological indices. Blood viscosity seems to have been negatively affected by an increased hematocrit and reduced RBC deformability, at 10 weeks post-implantation, despite a slight decrease in RBC aggregation. CONCLUSIONS: Although the alterations observed may be the result of the peri-implant inflammatory response, the physiological consequences due to hemorheological changes need to be further investigated.","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"28 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consistency of left ventricular ejection fraction measurements in the early time course of STEMI STEMI早期左心室射血分数测量的一致性
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-14 DOI: 10.1101/2023.01.13.23284539
Lilyana Georgieva, F. Nienhaus, S. Haberkorn, R. Erkens, A. Polzin, P. Wischmann, R. Ipek, K. Marjani, Aikaterini Christidi, M. Roden, C. Jung, F. Bönner, M. Kelm, S. Perings, M. Gastl
{"title":"Consistency of left ventricular ejection fraction measurements in the early time course of STEMI","authors":"Lilyana Georgieva, F. Nienhaus, S. Haberkorn, R. Erkens, A. Polzin, P. Wischmann, R. Ipek, K. Marjani, Aikaterini Christidi, M. Roden, C. Jung, F. Bönner, M. Kelm, S. Perings, M. Gastl","doi":"10.1101/2023.01.13.23284539","DOIUrl":"https://doi.org/10.1101/2023.01.13.23284539","url":null,"abstract":"Background: Assessment of left ventricular (LV) function and volume after ST-segment elevation myocardial infarction (STEMI) is recommended to guide clinical decision within and after hospitalization. Early after STEMI, initial LV reshaping and hypokinesia may affect analysis of LV function. A comparative evaluation of left ventricular ejection fraction (LVEF) and stroke volume (SV) by different imaging modalities to assess LV function early after STEMI has not been performed so far. Methods: LV function was assessed by LVEF and SV using serial imaging within 24h and 5 days after STEMI with cineventriculography (CVG), 2-dimensional echocardiography (2DE), 2D and 3D cardiovascular magnetic resonance (2D/3D) in 82 patients. Respective parameters were compared between modalities and to 3D gold standard CMR. Results: 2D analyses of LVEF using CVG and 2DE as well as 2D CMR yielded uniform results within 24h and 5 days of STEMI. SV assessment between CVG and 2DE at day 1 after STEMI was comparable, whereas values for SV were higher using 2D CMR on all occasions (p<0.01 all). This was due to higher LVEDV measurements. LVEF by 2D versus 3D CMR was comparable, 3D CMR yielded consistently higher volumetric values. This was not influenced by infarct location or infarct size. Conclusions Early after STEMI, 2D analysis of LVEF yielded robust results across all imaging techniques implying that CVG, 2DE, and 2D CMR can be used interchangeably in this setting. SV measurements to assess cardiac function differed substantially between imaging techniques due to higher intermodality-differences of absolute volumetric measurements.","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43596846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabinoid effects in the microvasculature - CB, or not CB? That is the question! A mini-review. 大麻素对微血管的影响——是黑素,还是不是黑素?这就是问题所在!本文着重。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221677
Christian Lehmann, Juan Zhou
{"title":"Cannabinoid effects in the microvasculature - CB, or not CB? That is the question! A mini-review.","authors":"Christian Lehmann,&nbsp;Juan Zhou","doi":"10.3233/CH-221677","DOIUrl":"https://doi.org/10.3233/CH-221677","url":null,"abstract":"<p><p>Cannabinoids play critical roles in human pathophysiology through the cannabinoid (CB) receptors and non-CB receptors on variety of cells, tissues, and organs. Microvasculature with the inside bloodstream containing the plasmatic and cellular components exerts multiple functions in maintaining tissue and organ physiology through microcirculation. This review focusses on the impact of cannabinoids on the microvasculature, including mechanisms mediated by both CB receptor-related pathways and CB receptor-independent pathways.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"83 3","pages":"287-292"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of whole-body cryotherapy treatments on blood morphology and blood rheology: red blood cell deformability, red blood cell aggregation in healthy subjects. 全身冷冻治疗对血液形态和血液流变学的影响:健康受试者红细胞变形性、红细胞聚集性。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221658
Bartłomiej Ptaszek, Szymon Podsiadło, Aneta Teległów
{"title":"Effect of whole-body cryotherapy treatments on blood morphology and blood rheology: red blood cell deformability, red blood cell aggregation in healthy subjects.","authors":"Bartłomiej Ptaszek,&nbsp;Szymon Podsiadło,&nbsp;Aneta Teległów","doi":"10.3233/CH-221658","DOIUrl":"https://doi.org/10.3233/CH-221658","url":null,"abstract":"<p><strong>Objective: </strong>assessment of the effect of a series of 20 whole-body cryotherapy sessions on the morphological and rheological indicators of blood in healthy people.</p><p><strong>Methods: </strong>The experimental group consisted of 15 women and 15 men who underwent a series of whole-body cryotherapy treatments. The control group consisted of 15 women and 15 men - without intervention. For the analysis of blood biochemical parameters, venous blood was collected twice: Study 1: on the day of the commencement of whole body cryotherapy / from the control group; and Study 2: after a series of 20 cryotherapy sessions / from the control group (4 weeks).</p><p><strong>Results: </strong>After whole-body cryotherapy a statistically significant decrease in RBC, HGB, HCT, MCV, EI 0.30 and an increase in MCHC and EI 2.19-60.30 were observed in women, as well as a decrease in MCV, MCH, AI and an increase in PLT, EI 0.30-60.30, AMP, T1/2 in men.</p><p><strong>Conclusions: </strong>The use of whole-body cryotherapy causes changes in blood counts in various directions and has a positive effect on the rheological properties of blood in women and men - it increases the elongation index and reduces the aggregation index.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"83 3","pages":"279-286"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9333292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between blood viscosity and existence and severity of carotid artery plaque. 血液粘度与颈动脉斑块存在及严重程度的关系。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221597
Wanjiao Chen, Bin Hu, Shuya Zhang, Ying Zheng, Zhong Zhou, Yifeng Mai
{"title":"Relationship between blood viscosity and existence and severity of carotid artery plaque.","authors":"Wanjiao Chen,&nbsp;Bin Hu,&nbsp;Shuya Zhang,&nbsp;Ying Zheng,&nbsp;Zhong Zhou,&nbsp;Yifeng Mai","doi":"10.3233/CH-221597","DOIUrl":"https://doi.org/10.3233/CH-221597","url":null,"abstract":"<p><strong>Background: </strong>Accumulating evidence shows that the increase in blood viscosity (BV) is an independent risk factor for atherosclerosis and its related diseases, but as far as we know, there are few studies on the relationship between blood viscosity and carotid plaque severity. Therefore, we aimed to investigate the relationship between blood viscosity and the presence of carotid plaques, and further explore its relationship with the severity of carotid plaques.</p><p><strong>Methods: </strong>We retrospectively analyzed the data of consecutive subjects in the physical examination center of the Affiliated Hospital of Ningbo University Medical College from January 2022 to May 2022.The parameters of blood viscosity include the whole blood viscosity (WBV) at high, middle, and low shear rate, plasma viscosity (PV), hematocrit (HCT), rigidity \"k\", rigidity index (RI), aggregation index (AI) and electrophoresis rate (ER), and standardized BV calculated by Quemada's equation were included in the study. Carotid plaque score (CPS) was used to measure the severity of carotid artery disease, and participants were divided into mild, moderate, and severe groups according to the quartile of the score. Independent samples t-test and one-way ANOVA were used to compare normally distributed continuous variables between two or more independent groups, respectively. Binary logistic regression was used to evaluate the risk factors of carotid plaque.</p><p><strong>Results: </strong>314 men were enrolled in the study, of which 165 participants were diagnosed with Carotid artery plaque (CAP) (66.9%). Compared with the CAP- group, the WBV and PV of the CAP+group decreased, but the difference only existed in the PV (p = 0.001). However, standardized BV values (HCT set at 0.45) were higher in the CAP+group than in the CAP- group (3.8643±0.35431vs 3.9542±0.64871, p = 0.188). Regarding the rigidity and aggregation of RBC, the parameters including rigidity \"k\", RI, AI and ER increased in the CAP+group compared with the CAP- group. The difference was statistically significant in k and ER (p = 0.04, p = 0.009). To assess the severity of carotid plaque, we divided the participants into mild, moderate, and severe groups by using the tertile of CPS value. The mild group was defined as CPS≤0.5 (n = 108), the moderate group as 0.5 < CPS≤1.7 (n = 105), and the severe group as CPS > 1.7 (n = 101). It was found that WBV and PV decreased with the increase of plaque severity, but the difference among the three groups was significant in PV (F = 8.073, p < 0.0001). In addition, with the severity of plaque from mild to severe, standardized BV gradually increased, which were 3.8611±0.34845, 3.8757±0.36637, 3.9007±0.38353 respectively. The difference between the groups was close to statistically significant (F = 2.438, p = 0.089). The values of parameters describing erythrocyte aggregation and rigidity increased among the mild, moderate, and severe groups. The difference was ","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"83 4","pages":"351-358"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9499723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Consistency of left ventricular ejection fraction measurements in the early time course of STEMI. STEMI早期左室射血分数测量的一致性。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-231734
Lilyana Georgieva, Fabian T Nienhaus, Sebastian Haberkorn, Ralf Erkens, Amin Polzin, Patricia Wischmann, Rojda Ipek, Kian Marjani, Aikaterini Christidi, Michael Roden, Christian Jung, Florian Bönner, Malte Kelm, Stefan Perings, Mareike Gastl
{"title":"Consistency of left ventricular ejection fraction measurements in the early time course of STEMI.","authors":"Lilyana Georgieva,&nbsp;Fabian T Nienhaus,&nbsp;Sebastian Haberkorn,&nbsp;Ralf Erkens,&nbsp;Amin Polzin,&nbsp;Patricia Wischmann,&nbsp;Rojda Ipek,&nbsp;Kian Marjani,&nbsp;Aikaterini Christidi,&nbsp;Michael Roden,&nbsp;Christian Jung,&nbsp;Florian Bönner,&nbsp;Malte Kelm,&nbsp;Stefan Perings,&nbsp;Mareike Gastl","doi":"10.3233/CH-231734","DOIUrl":"https://doi.org/10.3233/CH-231734","url":null,"abstract":"<p><strong>Background: </strong>Early after ST-segment elevation myocardial infarction (STEMI), initial LV reshaping and hypokinesia may affect analysis of LV function. Concomitant microvascular dysfunction may affect LV function as well.</p><p><strong>Objective: </strong>To perform a comparative evaluation of left ventricular ejection fraction (LVEF) and stroke volume (SV) by different imaging modalities to assess LV function early after STEMI.</p><p><strong>Methods: </strong>LVEF and SV were assessed using serial imaging within 24 h and 5 days after STEMI using cineventriculography (CVG), 2-dimensional echocardiography (2DE), 2D/3D cardiovascular magnetic resonance (CMR) (2D/3D) in 82 patients.</p><p><strong>Results: </strong>2D analyses of LVEF using CVG, 2DE and 2D CMR yielded uniform results within 24 h and 5 days of STEMI. SV assessment between CVG and 2DE was comparable, whereas values for SV were higher using 2D CMR (p < 0.01 all). This was due to higher LVEDV measurements. LVEF by 2D versus 3D CMR was comparable, 3D CMR yielded higher volumetric values. This was not influenced by infarct location or infarct size.</p><p><strong>Conclusions: </strong>2D analysis of LVEF yielded robust results across all imaging techniques implying that CVG, 2DE, and 2D CMR can be used interchangeably early after STEMI. SV measurements differed substantially between imaging techniques due to higher intermodality-differences of absolute volumetric measurements.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"84 1","pages":"89-101"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9673372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CircSEC11A knockdown alleviates oxidative stress and apoptosis and promotes cell proliferation and angiogenesis by regulating miR-29a-3p/SEMA3A axis in OGD-induced human brain microvascular endothelial cells (HBMECs). CircSEC11A敲低可通过调控miR-29a-3p/SEMA3A轴,缓解ogd诱导的人脑微血管内皮细胞(HBMECs)的氧化应激和凋亡,促进细胞增殖和血管生成。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221689
Ziying Zhou, Qian Hu, Hongmei Guo, Xijia Wang
{"title":"CircSEC11A knockdown alleviates oxidative stress and apoptosis and promotes cell proliferation and angiogenesis by regulating miR-29a-3p/SEMA3A axis in OGD-induced human brain microvascular endothelial cells (HBMECs).","authors":"Ziying Zhou,&nbsp;Qian Hu,&nbsp;Hongmei Guo,&nbsp;Xijia Wang","doi":"10.3233/CH-221689","DOIUrl":"https://doi.org/10.3233/CH-221689","url":null,"abstract":"<p><strong>Background: </strong>Circular RNA (circRNA) has been found to play an important role in the progression of many diseases, including ischemic stroke. However, the regulatory mechanism of circSEC11A in ischemic stroke progression need to further investigation.</p><p><strong>Methods: </strong>Human brain microvascular endothelial cells (HBMECs) were stimulated by oxygen glucose deprivation (OGD). CircSEC11A, SEC11A mRNA and miR (microRNA)-29a-3p were quantified by quantitative real-time PCR (qRT-PCR). SEMA3A, BAX and BCL2 protein level was quantified by western blot. Oxidative stress, cell proliferation, angiogenesis and apoptosis abilities were gauged by oxidative stress assay kit, 5-Ethynyl-2'-Deoxyuridine (EdU) staining, tube formation assay and flow cytometry assays, respectively. Direct relationship between miR-29a-3p and circSEC11A or SEMA3A was validated by dual-luciferase reporter assay, RIP assay and RNA pull-down assay.</p><p><strong>Results: </strong>CircSEC11A was upregulated in OGD-induced HBMECs. OGD promoted the oxidative stress and apoptosis and inhibited cell proliferation and angiogenesis, while circSEC11A knockdown relieved the effects. CircSEC11A functioned as the sponge for miR-29a-3p, and miR-29a-3p inhibitor reversed the effects of si-circSEC11A on OGD-induced HBMECs oxidative injuries. Moreover, SEMA3A served as the target gene of miR-29a-3p. MiR-29a-3p inhibition ameliorated OGD-induced HBMECs oxidative injuries, while SEMA3A overexpression rescued the impacts of miR-29a-3p mimic.</p><p><strong>Conclusion: </strong>CircSEC11A promoted the malignant progression in OGD-induced HBMECs through the mediation of miR-29a-3p/SEMA3A axis. This study has provided the new insight into the underlying application of circSEC11A in cell model of ischemic stroke.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"84 3","pages":"247-262"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10471889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Dynamic changes in coagulation, hematological and biochemical parameters as predictors of mortality in critically ill COVID-19 patients: A prospective observational study. 新冠肺炎危重患者凝血、血液学和生化参数动态变化预测死亡率的前瞻性观察研究
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221583
Biljana Zlojutro, Milka Jandric, Danica Momcicevic, Sasa Dragic, Tijana Kovacevic, Vlado Djajic, Milos Stojiljkovic, Ranko Skrbic, Dragan Djuric, Pedja Kovacevic
{"title":"Dynamic changes in coagulation, hematological and biochemical parameters as predictors of mortality in critically ill COVID-19 patients: A prospective observational study.","authors":"Biljana Zlojutro,&nbsp;Milka Jandric,&nbsp;Danica Momcicevic,&nbsp;Sasa Dragic,&nbsp;Tijana Kovacevic,&nbsp;Vlado Djajic,&nbsp;Milos Stojiljkovic,&nbsp;Ranko Skrbic,&nbsp;Dragan Djuric,&nbsp;Pedja Kovacevic","doi":"10.3233/CH-221583","DOIUrl":"https://doi.org/10.3233/CH-221583","url":null,"abstract":"<p><strong>Introduction: </strong>This study was created to analyze dynamic alterations in coagulation, hematological and biochemical parameters and their association with mortality of COVID-19 patients. To identify the most sensitive biomarkers as predictors of mortality more research is required.</p><p><strong>Methods: </strong>The present study was a prospective, one-year-long observational study conducted on all critically ill, COVID-19 patients with respiratory failure. The following data were collected: demographic and clinical characteristics of the study population, comorbidities, coagulation, biochemical and hematological parameters. The primary outcome was the proportion of patients who died.</p><p><strong>Results: </strong>91 patients with median age 60 (50-67), 76.9% male, met the acute respiratory distress syndrome criteria. It was tested whether dynamic change (delta-Δ) of parameters that were found to be predictors of mortality is independently associated with poor outcome. Adjusted (multivariate) analysis was used, where tested parameters were corrected for basic and clinical patients characteristics. The only inflammatory parameter which dynamic change had statistically significant odds ratio was ΔCRP (p < 0.005), while among coagulation parameters statistically significant OR was found for Δ fibrinogen (p < 0.005) in predicting mortality.</p><p><strong>Conclusion: </strong>Monitoring of coagulation, hematological and biochemical parameters abnormalities and their dynamical changes can potentially improve management and predict mortality in critically ill COVID -19 patients.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":"83 2","pages":"137-148"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10844389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Influence factors on registration of three-dimensional contrast-enhanced ultrasound fusion imaging in evaluating the ablative margin - A phantom study. 三维增强超声融合成像在评估烧蚀边缘时配准的影响因素——一项幻象研究。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221573
Ruiying Zheng, Jieyi Ye, Xiaoer Zhang, Xiaoyu Zhou, Tongyi Huang, Ming Xu, Longfei Cong, Xiaoyan Xie, Guangliang Huang
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