{"title":"The Influence of Smoking and Systemic Inflammation on Carotid Artery Disease: A Cross-Sectional Analysis of Stenosis, Plaque Surface Characteristics.","authors":"Taylan Altiparmak, Hale Zeynep Batur Caglayan, Sevcihan Kesen Ozbek, Fatih Oncu, Atiye Cenay Karabork Kilic, Tugba Erdogan, Serife Yaymaci, Bijen Nazliel","doi":"10.1177/00033197251356577","DOIUrl":"https://doi.org/10.1177/00033197251356577","url":null,"abstract":"<p><p>The role of inflammation in carotid plaque formation and instability has been highlighted in recent studies. We assessed the significance of smoking status on systemic inflammation and their relationships with carotid stenosis and carotid plaque surface characteristics. A total of 822 patients diagnosed with carotid artery stenosis were recruited and evaluated with systemic inflammation indices according to smoking status. Subgroups were balanced in terms of gender, age, and additional diseases. Systemic inflammation indices were found to be substantially higher in smokers (<i>P</i> < .001) and in patients with irregular-ulcerated surface plaques (<i>P</i> < .001). Plaque surfaces were more irregular and ulcerated in smokers (<i>P</i> < .001). No difference was detected between stenosis degree and smoking status or with systemic inflammation (<i>P</i> > .05). Pan-immune-inflammatory value (PIV) had a strong correlation with both smoking and plaque instability (<i>P</i> < .001, <i>r</i> = .771). Additionally, high PIV levels displayed a significant risk augmentation for irregular/ulcerated surface plaques (<i>P</i> < .001, Odds Ratio (OR):13.796; 95%CI, 5.647-33.701). These findings suggest that in patients with carotid atherosclerotic stenosis, systemic inflammatory markers especially PIV, alongside with plaque surface characteristics, may serve as valuable tools for evaluating and monitoring plaque inflammation. This may lead to more personalized and effective treatment strategies, particularly in smokers.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251356577"},"PeriodicalIF":2.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endocan, a Potential Biomarker of Endothelial Dysfunction: A Brief Overview.","authors":"Megha Bidlan, Mohit Kumar, Anurag Bhargava, Vrinda Goel, Vijay Kumar","doi":"10.1177/00033197251356576","DOIUrl":"https://doi.org/10.1177/00033197251356576","url":null,"abstract":"<p><p>Endocan (endothelial cell-specific molecule 1, ESM-1), is a proteoglycan produced by the vascular endothelium that modulates cellular functions such as adhesion, migration, and proliferation. Elevated serum endocan levels are associated with autoimmune and inflammatory disorders, acting as a marker of endothelial activation and dysfunction. This brief overview considers endocan's role in HTN, cirrhosis, diabetes, peripheral arterial disease (PAD), coronavirus Disease 2019 (COVID-19), erectile dysfunction (ED), and psoriasis vulgaris. Data were gathered from research reporting endocan levels, illness markers, and clinical outcomes. Elevated endocan levels are associated with endothelial dysfunction, which contributes to diabetes complications and associated with vascular endothelial growth factor A (VEGF-A) activation. In HTN, endocan promotes inflammatory signaling and lymphocyte infiltration. In liver disease, particularly cirrhosis, elevated levels correlate with hepatic fibrosis and poor prognosis. PAD patients show raised endocan correlating with disease severity. COVID-19 studies suggest coronavirus induces endotheliitis. In ED, higher endocan levels are linked with endothelial dysfunction and impaired vascular reactivity, serving as a potential biomarker for vascular-related ED. In psoriasis vulgaris, endocan levels correlate with disease severity and cardiovascular risk. The present brief overview supports that monitoring endocan levels may improve treatment and prognosis. Further research is required to define its clinical potential.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251356576"},"PeriodicalIF":2.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AngiologyPub Date : 2025-07-22DOI: 10.1177/00033197251360684
Hilal Tunçer, Özden Seçkin, Serkan Ünlü
{"title":"Letter: Association Between Anemia and Prognosis in Patients With Acute Coronary Syndrome and Atrial Fibrillation.","authors":"Hilal Tunçer, Özden Seçkin, Serkan Ünlü","doi":"10.1177/00033197251360684","DOIUrl":"https://doi.org/10.1177/00033197251360684","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251360684"},"PeriodicalIF":2.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latent Class Analysis Identifies Distinct Patient Phenotypes Associated With Mistaken Treatment Decisions and Adverse Outcomes in Coronary Artery Disease.","authors":"Jing Qi, Zhiqiang Wang, Xiaoteng Ma, Zhijian Wang, Yueping Li, Lixia Yang, Dongmei Shi, Yujie Zhou","doi":"10.1177/00033197251350182","DOIUrl":"https://doi.org/10.1177/00033197251350182","url":null,"abstract":"<p><p>This study aimed to identify patient characteristics linked to mistaken treatments and major adverse cardiovascular events (MACE) in percutaneous coronary intervention (PCI) for coronary artery disease (CAD) using deep learning-based fractional flow reserve (DEEPVESSEL-FFR, DVFFR). A retrospective cohort of 3,840 PCI patients was analyzed using latent class analysis (LCA) based on eight factors. Mistaken treatment was defined as negative DVFFR patients undergoing revascularization or positive DVFFR patients not receiving it. MACE included all-cause mortality, rehospitalization for unstable angina, and non-fatal myocardial infarction. Patients were classified into comorbidities (Class 1), smoking-drinking (Class 2), and relatively healthy (Class 3) groups. Mistaken treatment was highest in Class 2 (15.4% vs. 6.7%, <i>P</i> < .001), while MACE was highest in Class 1 (7.0% vs. 4.8%, <i>P</i> < .001). Adjusted analyses showed increased mistaken treatment risk in Class 1 (OR 1.96; 95% CI 1.49-2.57) and Class 2 (OR 1.69; 95% CI 1.28-2.25) compared with Class 3. Class 1 also had higher MACE risk (HR 1.53; 95% CI 1.10-2.12). In conclusion, comorbidities and smoking-drinking classes had higher mistaken treatment and MACE risks compared with the relatively healthy class.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251350182"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AngiologyPub Date : 2025-07-18DOI: 10.1177/00033197251359696
Jian-Yong Wang, Ai-Min Li, Na Gao
{"title":"Letter: Is AISI a Reliable Predictor of Prognosis in Patients With CAD and CKD?","authors":"Jian-Yong Wang, Ai-Min Li, Na Gao","doi":"10.1177/00033197251359696","DOIUrl":"https://doi.org/10.1177/00033197251359696","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251359696"},"PeriodicalIF":2.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AngiologyPub Date : 2025-07-14DOI: 10.1177/00033197251359695
Nuo Li, De-Gang Mo
{"title":"Letter: Role of AISI in Prognosis of CAD With CKD: An Inflammatory Perspective.","authors":"Nuo Li, De-Gang Mo","doi":"10.1177/00033197251359695","DOIUrl":"https://doi.org/10.1177/00033197251359695","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251359695"},"PeriodicalIF":2.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Connexin 43 and Atypical Chemokine Receptor 3 in Peripheral Blood Mononuclear Cells of Patients With Aneurysmal Subarachnoid Hemorrhage.","authors":"Jian Yan, DianDa Chen, JinLin Xiao, XuYe Wu, ErMing Zeng, Tao Hong, Jian Duan","doi":"10.1177/00033197251350186","DOIUrl":"https://doi.org/10.1177/00033197251350186","url":null,"abstract":"<p><p>The expression levels of connexin 43 (Cx43) and atypical chemokine receptor 3 (ACKR3) in peripheral blood mononuclear cells (PBMCs) of patients with aneurysmal subarachnoid hemorrhage (aSAH) and their predictive value for cerebral vasospasm (CVS) were retrospectively analyzed. A total of 131 patients with aSAH were included in this study (49 males and 82 females) all of whom had headache as the first manifestation. The results showed that the mRNA expression of Cx43 and ACKR3 in PBMCs of patients with aSAH was significantly increased. The results of ROC curve showed that the combination of the two indicators was expected to assist clinical judgement in predicting the occurrence of CVS in patients with aSAH, which could be helpful for screening patients with high risk of CVS.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251350186"},"PeriodicalIF":2.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AngiologyPub Date : 2025-07-06DOI: 10.1177/00033197251356582
Aykut Demirkıran, Cihan Aydın, Hüseyin Orta
{"title":"Letter: Comment on Cap et al., 2025: A Promising Coronary Flow Assessment Tool; However, Gaps Remain.","authors":"Aykut Demirkıran, Cihan Aydın, Hüseyin Orta","doi":"10.1177/00033197251356582","DOIUrl":"https://doi.org/10.1177/00033197251356582","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251356582"},"PeriodicalIF":2.6,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AngiologyPub Date : 2025-07-05DOI: 10.1177/00033197251355348
Cihan Aydın, Aykut Demirkıran, Hüseyin Orta
{"title":"C-Reactive Protein-Albumin-Lymphocyte (CALLY) Index and Length of Hospital Stay in Patients With Heart Failure.","authors":"Cihan Aydın, Aykut Demirkıran, Hüseyin Orta","doi":"10.1177/00033197251355348","DOIUrl":"https://doi.org/10.1177/00033197251355348","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251355348"},"PeriodicalIF":2.6,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Low Bone Mineral Content Index on Cardiovascular Outcomes in Patients With Coronary Artery Disease Undergoing Percutaneous Coronary Intervention.","authors":"Tadashi Itagaki, Yasushi Ueki, Daisuke Sunohara, Moeko Aoki, Fumika Nomoto, Toshifumi Takamatsu, Tomoaki Mochidome, Takashi Miura, Toshio Kasai, Koichiro Kuwahara, Uichi Ikeda","doi":"10.1177/00033197231226348","DOIUrl":"10.1177/00033197231226348","url":null,"abstract":"<p><p>The prognostic value of bone mineral content (BMC) for the clinical outcomes of patients with coronary artery disease (CAD) remains unknown. The present study evaluated the association between BMC index (BMCI) and cardiovascular events between January 2020 to June 2021, in consecutive patients (n = 257) with CAD undergoing percutaneous coronary intervention (PCI) at the Nagano Municipal Hospital. BMCI was measured using bioelectrical impedance analysis and calculated as the BMC divided by height squared. Patients were classified as low (<0.918) or high BMCI (≥0.918) groups according to the receiver operating characteristics curve analysis for the primary endpoint, major adverse cardiovascular events (MACE), including cardiovascular death, spontaneous myocardial infarction, stroke, and any revascularization. During a median follow-up of 744 days, the low BMCI group (n = 152) had an increased risk of MACE compared with the high group (n = 105) (19.7 <i>vs</i> 6.7%, <i>P</i> = .004). A low BMCI was significantly associated with MACE in the multivariable Cox and the Inverse Probability of Treatment Weighting analyses (hazard ratio: 3.16, 95% confidence interval: 1.15-8.67, <i>P</i> = .025). In conclusion, among patients with CAD undergoing PCI, BMCI was a predictor for cardiovascular events. Further research is required to determine whether medical interventions for BMC can improve patient prognosis.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"580-588"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139085655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}