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Correlation between serum uric acid and coronary collateral circulation in patients with coronary chronic total occlusion 冠状动脉慢性完全闭塞患者血清尿酸与冠状动脉侧支循环的相关性
Cardiology Plus Pub Date : 2022-10-01 DOI: 10.1097/CP9.0000000000000033
Jing Li, H. Pei, Xianglin Ye, Jing Tian, Haixiang Yang, Qing Liu, Xiong Wang, Peng Wang
{"title":"Correlation between serum uric acid and coronary collateral circulation in patients with coronary chronic total occlusion","authors":"Jing Li, H. Pei, Xianglin Ye, Jing Tian, Haixiang Yang, Qing Liu, Xiong Wang, Peng Wang","doi":"10.1097/CP9.0000000000000033","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000033","url":null,"abstract":"Background and purpose: Previous studies showed urate crystals in atherosclerotic plaques, suggesting that uric acid is involved in plaque formation, but whether it affects the formation of coronary collateral circulation (CCC) is unknown. This single-center retrospective study was conducted to investigate whether serum uric acid (SUA) level has an association with the CCC in patients with coronary chronic total occlusion (CTO). Methods: The final analysis included a total of 94 patients with CTO (defined as 100% stenosis in at least one of the left anterior descending artery, circumflex artery and right coronary artery with thrombolysis in myocardial infarction [TIMI] grade 0 of forward flow) for more than 3 months (66.03 ± 10.10 years of age; 54 men and 40 women). In the analysis, patients were divided into four groups of equal size based on the SUA level on admission (n = 32, 31, 31 for low, mid, and high SUA groups). Multivariate logistic regression was conducted to identify risk factors that were associated with poor CCC (as defined by Rentrop level ≤ 1). Results: The rate of poor CCC was 44.5% in the low SUA group, 54.8% in the mid-SUA group, and 77.4% in the high SUA group, respectively (P < 0.05 for all three pairwise comparisons). In multivariate regression analysis that treated SUA as a continuous variable, poorer CCC was associated with higher SUA (adjusted odds ratio [OR] = 1.011, 95% confidence interval [CI]: 1.005–1.017, P < 0.05). In comparison to the patients with lowest SUA in the regression analysis that treated SUA as a categorical variable, there was a statistically non-significant trend for increased risk of poor CCC (OR 2.277, 95% CI: 0.753–6.884) in the patient with mid-level SUA. The risk of poor CCC was significantly elevated in the patients with high SUA (OR 6.243, 95% CI: 1.872–20.828). Conclusions: Elevated SUA level was associated with poor CCC in patients with CTO.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"200 - 204"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49109390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
18F-FDG PET/CT features and management of primary cardiac lymphoma: a case report 原发性心脏淋巴瘤的18F-FDG PET/CT表现及治疗1例报告
Cardiology Plus Pub Date : 2022-10-01 DOI: 10.1097/CP9.0000000000000027
Ming Wang, Shuyi Zhang, Wenzheng Han
{"title":"18F-FDG PET/CT features and management of primary cardiac lymphoma: a case report","authors":"Ming Wang, Shuyi Zhang, Wenzheng Han","doi":"10.1097/CP9.0000000000000027","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000027","url":null,"abstract":"An 81-year-old man presented with progressive symptoms of heart failure. Echocardiography showed a mass in the right atrium (approximately 31 × 55 mm) that extended to the tricuspid valves as well as the superior vena cava. Positron emission tomography-computed tomography (PET-CT) showed elevated 18F-fluorodeoxyglucose (18F-FDG) uptake throughout the space-occupying lesions. The patient received surgery based on a preliminary diagnosis of myxoma. Pathological examination of the resected specimen revealed large B-cell lymphoma. The patient received three cycles of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone regimen but no subsequent anti-tumor therapy. At the last follow-up 3.5 years later, he was still alive. In summary, primary cardiac lymphoma should be considered in differential diagnosis in isolated space-occupying lesions in the heart.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"205 - 209"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46209345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immediate stent fracture after everolimus-eluting stent implantation: a case report 依维莫司洗脱支架植入术后支架即刻骨折1例
Cardiology Plus Pub Date : 2022-10-01 DOI: 10.1097/CP9.0000000000000034
Mingqiang Fu, Shufu Chang, Jianying Ma, Junbo Ge
{"title":"Immediate stent fracture after everolimus-eluting stent implantation: a case report","authors":"Mingqiang Fu, Shufu Chang, Jianying Ma, Junbo Ge","doi":"10.1097/CP9.0000000000000034","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000034","url":null,"abstract":"A 60-year-old man presented with exertional chest pain and was hospitalized on a diagnosis of unstable angina. Coronary angiography revealed left main true bifurcation lesions and percutaneous coronary intervention (PCI) was conducted using the culotte-stenting technique. Post-dilatational angiography revealed an irregular protrusion of the stent strut in mid left anterior descending (LAD) coronary artery. Intravascular ultrasound (IVUS) showed a discontinuation of the middle stent strut with calcified nodules. An additional everolimus-eluting stent (EES) was placed across the discontinued lesions. Post-procedural IVUS revealed good expansion of the stents and final angiography showed optimal angiographic results with thromboly sis in myocardial infarction (TIMI) 3 flow. The patient was discharged the next day after the operation and maintained asymptomatic for chest pain at the 6-month follow-up point.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"210 - 213"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42774435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical characteristics and in-hospital management strategies in patients with acute coronary syndrome: results from 2,096 accredited Chest Pain Centers in China from 2016 to 2021 急性冠状动脉综合征患者的临床特征和住院管理策略:2016年至2021年中国2096家经认可的胸痛中心的结果
Cardiology Plus Pub Date : 2022-10-01 DOI: 10.1097/CP9.0000000000000032
Linjie Li, Xin Zhou, Z. Jin, G. A, Pengfei Sun, Zhuoqun Wang, Yong-le Li, Chengyi Xu, X. Su, Qing Yang, Y. Huo
{"title":"Clinical characteristics and in-hospital management strategies in patients with acute coronary syndrome: results from 2,096 accredited Chest Pain Centers in China from 2016 to 2021","authors":"Linjie Li, Xin Zhou, Z. Jin, G. A, Pengfei Sun, Zhuoqun Wang, Yong-le Li, Chengyi Xu, X. Su, Qing Yang, Y. Huo","doi":"10.1097/CP9.0000000000000032","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000032","url":null,"abstract":"Background and purpose: The Chest Pain Center accreditation project was launched in 2011 in China as a nationwide effort to improve clinical management of acute chest pain patients. In this study, we summarize the clinical characteristics and in-hospital outcomes of patients undergoing treatment for acute coronary syndrome (ACS) in Chest Pain Centers in China. Methods: Data were based on the Chinese Cardiovascular Association (CCA) Database-Chest Pain Center of 1,745,118 ACS patients admitted at 2,096 accredited Chest Pain Center between January 1, 2016, and December 31, 2021. Patient characteristics, time delays, treatment, and outcomes were analyzed using descriptive analysis. Results: The final analysis included a total of 1,745,118 patients, 699,476 patients (40.1%) with ST segment elevation myocardial infarction (STEMI), 349,572 (20.0%) with non-ST segment elevation myocardial infarction (NSTEMI), and 696,070 (39.9%) with unstable angina (UA). Electrocardiogram (ECG) was conducted in 89.4% of the patients within 10 min after first medical contact. For STEMI patients, the median door-to-wire crossing time was 72.1 (53.1 to 91.9) min and the median first medical contact-to-needle time was 32.3 (23.8 to 58.6) min. In-hospital mortality was 2.0% in the overall analysis, 3.6% for STEMI, 2.1% for NSTEMI, and 0.3% for UA. Primary percutaneous coronary intervention (PCI) was conducted in 62.8% of STEMI patients, with increasing rate in grade I and II hospitals over the 6-year study period. Patients treated with thrombolysis had significantly higher mortality than those treated with PCI and thrombolysis combined with PCI. The development of Chest Pain Centers varied substantially across geographic regions. Conclusions: Based on CCA Database-Chest Pain Center, the current study provided an overall description of the clinical characteristics of ACS patients in China. The results on management pattern and in-hospital outcomes of STEMI patients identified important areas for further improvement in ACS patient management in China.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"192 - 199"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47550587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel risk model to predict all-cause mortality in patients undergoing percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy 一种预测肥厚性梗阻性心肌病经皮腔内间隔心肌消融患者全因死亡率的新风险模型
Cardiology Plus Pub Date : 2022-10-01 DOI: 10.1097/CP9.0000000000000031
Jianyuan Pan, Ming Liu, H. Su, Likun Ma
{"title":"A novel risk model to predict all-cause mortality in patients undergoing percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy","authors":"Jianyuan Pan, Ming Liu, H. Su, Likun Ma","doi":"10.1097/CP9.0000000000000031","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000031","url":null,"abstract":"Background and purpose: Hypertrophic obstructive cardiomyopathy (HOCM) is a global genetic myocardial disease. In clinical practice, an indicator that could be used to identify suitable patients for percutaneous transluminal septal myocardial ablation (PTSMA) and assess their long-term prognosis is important for cardiologists. HOCM patients undergoing PTSMA, poor long-term prognosis has been associated with higher left ventricular outflow tract gradient (LVOTG) and interventricular septal thickness (IVST). In this retrospective, multicenter study, we aimed to investigate the association between TG (TG = IVS thickness × LVOT gradient) index and acute- or long-term outcomes of HOCM patients after PTSMA and further investigate the interaction effects of LVOTG and IVST. Methods: The study design is based on four tertiary centers from Mid-China, and a total of 284 HOCM patients (132 males, average age 54.80 ± 11.98 years) were treated with PTSMA. A new clinic index (TG = IVS thickness × LVOT gradient) was designed. Both 30-day major cardiovascular adverse events and all-cause mortality of the HOCM patients were analyzed. Cox proportional hazards regression model adjusting for potential risk factors was applied to explore the hazard ratio (HR) for all-cause mortality. Results: Total alcohol injection volume was 2.201 ± 1.025 mL. LVOTG and IVST were reduced to 40.11 ± 24.44 mmHg and 17.68 ± 4.07 mm at the last clinical check-up, respectively. Patients with low IVST (≤20 mm) or low TG index (≤1,683) had a higher rate of PTSMA-contributable complications and a higher need for a permanent pacemaker. Within the 903 patient-years follow-up, a total of 21 (9.8%) deaths occurred. The number of deaths per 100 patient-years was 0.65 and 4.06 in the high versus low TG index groups. The 8-year OS rate was 48.95% (95% CI = 39.07%–57.75%) versus 82.63% (95% CI = 74.99%–86.66%) in the high versus low TG groups, respectively (log-rank P < 0.001). The patients with both high LVOTG (>82 mmHg) and high IVST had the highest risk of all-cause mortality (HR: 18.63 vs low LVOTG, 95% CI = 1.09–319.15). Conclusions: The 8-year OS rate was markedly higher in patients with a low TG index (≤1,683) (48.95%) versus in patients with a high TG index (>1,683 group) (82.63%). The TG index could be a useful tool in the evaluation of HOCM patients for suitability for PTSMA.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"186 - 191"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45307166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stretococcus gallolyticus infective endocarditis, a different presentation-a case report 溶没食子酸链球菌感染性心内膜炎的不同表现——一例报告
Cardiology Plus Pub Date : 2022-07-01 DOI: 10.1097/CP9.0000000000000020
Y. Oh, Weiliang Huang, J. Tan
{"title":"Stretococcus gallolyticus infective endocarditis, a different presentation-a case report","authors":"Y. Oh, Weiliang Huang, J. Tan","doi":"10.1097/CP9.0000000000000020","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000020","url":null,"abstract":"We present a case (57-year-old man) of infective endocarditis caused by Streptococcus gallolyticus in a patient with incident early-stage colon cancer. Benzylpenicillin treatment was immediately initiated to control bacteremia, and curative cancer resection was conducted 1 week later. The patient was discharged and placed on a 6-week outpatient parenteral anti-biotic therapy program for infective endocarditis but was rehospitalized 2 months later for heart failure. Transesophageal echocardiography revealed multiple large vegetations and perforation of the aortic valve. Valve replacement was conducted successfully, and heart failure was alleviated. This case highlights the dilemma of prioritizing the management of two competing interests, one for heart failure caused by valve regurgitation and the other for early-stage colon cancer with a curative intent. In this case, curative resection of the colon cancer was conducted after reasonable control of the endocarditis. Perforation of the aortic valve and heart failure could have been avoided if valve replacement was conducted first, but at the risk of cancer progression.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"144 - 147"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42011361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Trends in percutaneous coronary intervention in China: analysis of China PCI Registry Data from 2010 to 2018 中国经皮冠状动脉介入治疗的趋势:2010-2018年中国PCI注册数据分析
Cardiology Plus Pub Date : 2022-07-01 DOI: 10.1097/CP9.0000000000000021
Zhao-ping Liu, Jianping Li, Yan Zhang, B. Yu, Yitong Ma, G. Ma, Jian'an Wang, Bin Liu, Xin-Yan Su, Bao Li, Zheng-Chang Zhang, Yuguo Chen, Jiyan Chen, Lianglong Chen, Yundai Chen, Zuyi Yuan, S. Jia, Chuanyu Gao, Yida Tang, Xianghua Fu, Yaling Han, Junbo Ge, Xudong Ma, Y. Huo
{"title":"Trends in percutaneous coronary intervention in China: analysis of China PCI Registry Data from 2010 to 2018","authors":"Zhao-ping Liu, Jianping Li, Yan Zhang, B. Yu, Yitong Ma, G. Ma, Jian'an Wang, Bin Liu, Xin-Yan Su, Bao Li, Zheng-Chang Zhang, Yuguo Chen, Jiyan Chen, Lianglong Chen, Yundai Chen, Zuyi Yuan, S. Jia, Chuanyu Gao, Yida Tang, Xianghua Fu, Yaling Han, Junbo Ge, Xudong Ma, Y. Huo","doi":"10.1097/CP9.0000000000000021","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000021","url":null,"abstract":"Background and purpose: In the past 30 to 40 years, percutaneous coronary intervention (PCI) in China has greatly improved. The State Ministry of Health established a quality control (QC) system in 2009, and all medical centers were required to report their PCI cases. We analyzed the data from the QC system to describe the current status and development of PCI in China. Methods: PCI case data during a period from 2010 to 2018 were extracted from the online QC system. Data quality was audited by QC centers at the provincial level. Statistical analysis was mainly descriptive. Trend analysis was conducted by recoding the year as a continuous variable in linear regression or logistic regression. Results: The number of medical centers reporting PCI cases was 941 in 2010, and increased to 1,788 in 2018. Total number of PCI cases reported online to the QC system was 236,717 in 2010, and increased to 705,970 in 2018. Estimate of the actual case number that included those reported offline only (based on offline audit by provincial QC centers) was 284,936 in 2010, and increased to 915,256 in 2018. The most common indication for PCI was unstable angina (52.9%–59.1%), followed by ST elevation myocardial infarction (STEMI; 25.0%–27.4%). Majority of the PCI procedures were performed via the radial artery (65.4% in 2010 and 90.7% in 2018). Angiography detected a left main lesion in 5%, single-vessel disease in 38.7% to 44.4%, two-vessel disease in 22.3% to 27.5%, and three-vessel disease in 27.0% to 28.7% of the patients. The rate of primary PCI for STEMI in all STEMI cases was 28.0% in 2010, and increased to 45.9% in 2018. The average number of stents implanted per case was 1.63 in 2010, and decreased to 1.46 in 2018. There was a trend for decreasing mortality (0.31% in 2010; 0.26% in 2018). Conclusions: The number of PCI cases in China increased steadily during a period from 2010 to 2018, with stable mortality rate. Transradial access is the dominant PCI route. The rate of primary PCI for STEMI increased substantially, but remained relatively low.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"118 - 124"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45165012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Erratum. 勘误表。
Cardiology Plus Pub Date : 2022-07-01 Epub Date: 2022-10-14 DOI: 10.1097/CP9.0000000000000026
{"title":"Erratum.","authors":"","doi":"10.1097/CP9.0000000000000026","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000026","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4103/2470-7511.312594.][This corrects the article DOI: 10.4103/2470-7511.312596.][This corrects the article DOI: 10.4103/2470-7511.320317.][This corrects the article DOI: 10.4103/2470-7511.320322.][This corrects the article DOI: 10.4103/2470-7511.320318.][This corrects the article DOI: 10.4103/2470-7511.320319.][This corrects the article DOI: 10.4103/2470-7511.327241.][This corrects the article DOI: 10.4103/2470-7511.327240.][This corrects the article DOI: 10.4103/2470-7511.334399.][This corrects the article DOI: 10.1097/CP9.0000000000000009.][This corrects the article DOI: 10.1097/CP9.0000000000000004.][This corrects the article DOI: 10.1097/CP9.0000000000000003.].</p>","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 3","pages":"148-149"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/e7/cp9-7-148.PMC9640275.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40484367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular health status in Chinese Cardiologists: China Cardiologist Heart Survey II 中国心脏病医师心血管健康状况:中国心脏病医师心脏调查II
Cardiology Plus Pub Date : 2022-07-01 DOI: 10.1097/CP9.0000000000000022
Shikai Yu, Yi Zhang, W. Peng, Dong Zhao, Hong Shi, Shuning Zhang, Y. Huo, Yawei Xu, J. Ge
{"title":"Cardiovascular health status in Chinese Cardiologists: China Cardiologist Heart Survey II","authors":"Shikai Yu, Yi Zhang, W. Peng, Dong Zhao, Hong Shi, Shuning Zhang, Y. Huo, Yawei Xu, J. Ge","doi":"10.1097/CP9.0000000000000022","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000022","url":null,"abstract":"Background and purpose: Cardiologists represent a subset of the population with the highest degree of awareness to cardiovascular diseases (CVD), and thus should have low exposure to modifiable risks and low CVD prevalence. However, the status of cardiovascular health in Chinese cardiologists remains unknown. Methods: China Cardiologist Heart Survey II is a nation-wide cross-sectional survey on licensed cardiologists in Chinese mainland. It was conducted between August 2020 and November 2021. An online questionnaire was used to acquire demographic and lifestyle information, cardiovascular risk factors, CVD status, and medications. Crude prevalence of cardiovascular risk factors, organ damage, and CVD were calculated and compared between sexes and between sub-specialties. Age-weighted prevalence of cardiovascular risk factors were compared to that in the general Chinese population in the literature. Results: The final analysis included a total of 15,827 cardiologists at the age of 25 to 60 years from 31 provinces. The median age was 38 years and 8650 (54.7%) were men. The most common cardiovascular risk factor was family history of premature CVD (20.4%), followed by hypertension (12.4%), hyperlipidemia (10.6%), overweight/obesity (8.3%), smoking (7.3%), and diabetes (2.4%). The most common sub-clinical organ damages included carotid plaque (3.4%) and microalbuminuria (1.2%). The rate of confirmed coronary artery disease was 0.4%. The rate of arrhythmia was 3.1%. The rate of obstructive sleep apnea syndrome was 2.2%. The rate of cardiovascular risk factors and organ damage was higher in men versus in women, and higher in interventional versus non-interventional cardiologists. In comparison to the data reported for the general population in China, cardiologists had lower age-weighted prevalence of hypertension (15.2% vs. 23.2%), diabetes (3.1% vs. 10.9%), hyperlipidemia (12.3% vs. 40.4%), obesity (2.1% vs. 11.9%), and smoking (7.7% vs. 27.7%). Conclusions: In comparison to the general public, cardiologists in Chinese mainland had much lower age-weighted prevalence of cardiovascular risk factors, but there is substantial room for further improvement, particularly in male and interventional cardiologists.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"125 - 131"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45832136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced platelet NLRP3 inflammasome expression in patients with acute coronary syndrome and stable coronary artery disease: A prospective observational study 急性冠状动脉综合征和稳定型冠状动脉疾病患者血小板NLRP3炎症小体表达增强的前瞻性观察研究
Cardiology Plus Pub Date : 2022-07-01 DOI: 10.1097/CP9.0000000000000018
Zhiyong Qi, Xin Liu, Gang Zhao, Junbo Ge
{"title":"Enhanced platelet NLRP3 inflammasome expression in patients with acute coronary syndrome and stable coronary artery disease: A prospective observational study","authors":"Zhiyong Qi, Xin Liu, Gang Zhao, Junbo Ge","doi":"10.1097/CP9.0000000000000018","DOIUrl":"https://doi.org/10.1097/CP9.0000000000000018","url":null,"abstract":"Background and purpose: Nucleotide-binding domain leucine-rich repeat containing protein (NLRP3) inflammasome contributes to the development and progression of atherosclerosis and cardiovascular diseases. Enhanced expression of NLRP3 in monocytes has been reported in patients with coronary artery disease (CAD). However, NLRP3 expression in platelets, an important link between inflammation and atherosclerosis/thrombosis in CAD patients has not been evaluated. The purpose of this study was to explore the expression of NLRP3 in platelets with acute coronary syndrome (ACS) and stable CAD. Methods: This prospective observational study included 60 treatment-naïve patients with newly diagnosed ACS, 60 patients with stable CAD, and 60 age- and sex-matched healthy individuals with normal coronary arteries (NCA). Platelet NLRP3 expression was evaluated by flow cytometry in venous blood samples, and compared among the 3 groups. Multivariate regression analysis was conducted to identify the risk of ACS. Results: Platelet NLRP3 expression was highest in the ACS group, followed by the stable CAD, and lowest in the NCA group (P < 0.001 for ACS vs. stable CAD, 44.7 ± 21.3 vs. 25.9 ± 15.9, as well as for stable CAD, vs. NCA, 25.9 ± 15.9 vs. 12.4 ± 7.2). Higher platelet NLRP3 correlated with higher plasma interleukin-1β and interleukin-18 (r = 0.662 and 0.324, respectively; P < 0.001 for both). In multivariate regression analysis, higher platelet NLRP3 was independently associated with ACS (odds ratio 1.06, 95% CI: 1.02–1.10 vs. stable CAD; odds ratio 1.23, 95% CI: 1.06–1.42 vs. NCA). Conclusion: Platelet NLRP3 expression was highest in the ACS group, followed by the stable CAD group, and lowest in the NCA group. Also, higher platelet NLRP3 expression was independently associated the ACS.","PeriodicalId":52908,"journal":{"name":"Cardiology Plus","volume":"7 1","pages":"132 - 137"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49525575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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