Angiology最新文献_第7页

Prognostic Value of Endothelin-1 or Related Peptides in Patients With Coronary Artery Disease: A Systematic Review and Meta-Analysis. 内皮素-1 或相关肽对冠心病患者的预后价值：系统回顾与元分析》。

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-12-21 DOI: 10.1177/00033197231223616

Hao Wang, Ci Wang

{"title":"Prognostic Value of Endothelin-1 or Related Peptides in Patients With Coronary Artery Disease: A Systematic Review and Meta-Analysis.","authors":"Hao Wang, Ci Wang","doi":"10.1177/00033197231223616","DOIUrl":"10.1177/00033197231223616","url":null,"abstract":"There is increasing evidence that endothelin-1 (ET-1) or related peptides play a prognostic value in coronary artery disease (CAD). The objective of this systematic review and meta-analysis was to evaluate the predictive role of ET-1 or related peptides in CAD patients. We comprehensively searched PubMed and Embase databases until January 15, 2023. Studies examining the association of ET-1, big ET-1, or C-terminal proendothelin-1 (CT-proET-1) level with all-cause mortality or major adverse cardiovascular events (MACEs) in CAD patients were included. Fourteen studies with 30,181 patients were identified. Comparison of the top and the lowest ET-1 level, the pooled risk ratio (RR) of all-cause mortality was 3.77 (95% confidence interval [CI] 1.59-8.94) for ET-1 and 1.65 (95% CI 1.25-2.18) for big ET-1. The pooled RR of MACEs was 2.24 (95% CI 1.85-2.72) for ET-1, 1.49 (95% CI 1.10-2.03) for big ET-1, and 3.55 (95% CI 2.12-5.96) for CT-proET-1, respectively. Subgroup analysis indicated that elevated ET-1 level was associated with 2.66-fold and 2.09-fold higher risk of in-hospital/30-day and long-term MACEs. Elevated ET-1, big ET-1, or CT-proET-1 may be independently associated with higher risk of all-cause mortality and MACEs in patients with CAD.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"108-116"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138827943","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}

引用次数: 0

Prognostic Value of Multiple Complete Blood Count-Derived Indices in Intermediate Coronary Lesions. 多种全血细胞计数衍生指标在中度冠状动脉病变中的预后价值。

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-08-30 DOI: 10.1177/00033197231198678

Yuxiu Yang, Chenxi Song, Lei Jia, Qiuting Dong, Weihua Song, Dong Yin, Kefei Dou

{"title":"Prognostic Value of Multiple Complete Blood Count-Derived Indices in Intermediate Coronary Lesions.","authors":"Yuxiu Yang, Chenxi Song, Lei Jia, Qiuting Dong, Weihua Song, Dong Yin, Kefei Dou","doi":"10.1177/00033197231198678","DOIUrl":"10.1177/00033197231198678","url":null,"abstract":"Complete blood count (CBC)-derived indices have been proposed as reliable inflammatory biomarkers to predict outcomes in the context of coronary artery disease. These indices have yet to be thoroughly validated in patients with intermediate coronary stenosis. Our study included 1527 patients only with intermediate coronary stenosis. The examined variables were neutrophil-lymphocyte ratio (NLR), derived NLR, monocyte-lymphocyte ratio (MLR), platelet-lymphocyte ratio (PLR), systemic immune inflammation index (SII), system inflammation response index (SIRI), and aggregate index of systemic inflammation (AISI). The primary endpoint was the composite of major adverse cardiovascular events (MACEs), including all-cause death, non-fatal myocardial infarction, and unplanned revascularization. Over a follow-up of 6.11 (5.73-6.55) years, MACEs occurred in 189 patients. Receiver operator characteristic curve analysis showed that SIRI outperformed other indices with the most significant area under the curve. In the multivariable analysis, SIRI (hazard ratio [HR] 1.588, 95% confidence interval [CI] 1.138-2.212) and AISI (HR 1.673, 95% CI 1.217-2.300) were the most important prognostic factors among all the indices. The discrimination ability of each index was strengthened in patients with less burden of modifiable cardiovascular risk factors. SIRI also exhibited the best incremental value beyond the traditional cardiovascular risk model.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"141-153"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10104298","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}

引用次数: 0

Comparative Evaluation of Intermountain Risk Score With Mehran Risk Score for Risk Estimation of Contrast-Induced Nephropathy and Short-Term Mortality in ST-Segment Elevation Myocardial Infarction Patients. 山间风险评分与Mehran风险评分在st段抬高型心肌梗死患者造影剂肾病及短期死亡率风险评估中的比较评价

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-09-06 DOI: 10.1177/00033197231201931

Kenan Toprak, Mustafa Kaplangoray, Tolga Memioğlu, Mehmet İnanır, Mehmet Fatih Ermiş, İbrahim Halil Toprak, Osman Acar, Mustafa Begenç Taşcanov, Asuman Biçer, Recep Demirbağ

{"title":"Comparative Evaluation of Intermountain Risk Score With Mehran Risk Score for Risk Estimation of Contrast-Induced Nephropathy and Short-Term Mortality in ST-Segment Elevation Myocardial Infarction Patients.","authors":"Kenan Toprak, Mustafa Kaplangoray, Tolga Memioğlu, Mehmet İnanır, Mehmet Fatih Ermiş, İbrahim Halil Toprak, Osman Acar, Mustafa Begenç Taşcanov, Asuman Biçer, Recep Demirbağ","doi":"10.1177/00033197231201931","DOIUrl":"10.1177/00033197231201931","url":null,"abstract":"Contrast-induced nephropathy (CIN) has become one of the most important causes of in-hospital acute renal failure with the increasing use of contrast-mediated imaging tools. This significantly increases the morbidity and mortality of the affected subjects and causes a financial burden on the health system. In this context, prediction of CIN is important and some risk scores have been developed to predict CIN. The most frequently used and popular among these is the Mehran Score (MS), which is based on a number of hemodynamic and metabolic parameters. The Intermountain Risk Score (IMRS) is a recently developed risk score that highly predicts short-term mortality based on common laboratory parameters, and many parameters of this risk score have been found to be closely associated with CIN. In this context, we aimed to compare MS and IMRS in terms of CIN and short-term mortality estimation. The study included 931 patients who underwent percutaneous coronary intervention. CIN developed in 21.5% of patients. Both MS and IMRS independently predicted CIN. In receiver operating characteristic analysis, IMRS was found to be non-inferior to MS in predicting CIN and IMRS was superior to MS in predicting short-term mortality. IMRS and MS were independently associated with short-term mortality.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"154-165"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167427","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}

引用次数: 0

FT3/FT4 Enhances Risk Assessment in Patients With Non-ST-Segment Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Based on GRACE 2.0 Score. 基于GRACE 2.0评分FT3/FT4增强经皮冠状动脉介入治疗非st段抬高急性冠状动脉综合征患者的风险评估

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-10-24 DOI: 10.1177/00033197231199228

Chuyi Han, Le Wang, Chunwei Liu, Wei Qi, Rui Zhang, Ao Wei, Hua Yang, Chen Wang, Yuecheng Hu, Jinghan Xu, Yingyi Zhang, Wenyu Li, Tingting Li, Dongxia Jin, Hongliang Cong, Jingxia Zhang

{"title":"FT3/FT4 Enhances Risk Assessment in Patients With Non-ST-Segment Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Based on GRACE 2.0 Score.","authors":"Chuyi Han, Le Wang, Chunwei Liu, Wei Qi, Rui Zhang, Ao Wei, Hua Yang, Chen Wang, Yuecheng Hu, Jinghan Xu, Yingyi Zhang, Wenyu Li, Tingting Li, Dongxia Jin, Hongliang Cong, Jingxia Zhang","doi":"10.1177/00033197231199228","DOIUrl":"10.1177/00033197231199228","url":null,"abstract":"Little is known about the association between the free triiodothyronine/free thyroxine (FT3/FT4) ratio and clinical outcomes in euthyroid patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) undergoing percutaneous coronary intervention (PCI). A total of 1448 euthyroid patients with NSTE-ACS who underwent PCI were included in this prospective study. Multivariate Cox regression analysis revealed that there was a significantly increased risk of stroke (hazard ratio [HR] 11.380, 95% confidence interval [CI]: 1.386-93.410, P = .024) and major adverse cardiovascular and cerebrovascular events (MACCEs) (HR 3.364, 95% CI: 1.595-7.098, P = .001) in patients in lower FT3/FT4 tertiles. The combined model of FT3/FT4 ratio and the Global Registry of Acute Coronary Events (GRACE) score provided the added value of risk assessment by improving C-statistics, integrated discrimination improvement (IDI), and the net reclassification index (NRI) (all P < .05). Thus, in euthyroid patients with NSTE-ACS undergoing PCI, the FT3/FT4 ratio was not only an independent prognostic indicator of long-term MACCE but also enhanced risk discrimination when combined with the GRACE risk score, which suggests that the calculation of FT3/FT4 before and after PCI may contribute to risk stratification in this particular patient group.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"125-140"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50156910","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}

引用次数: 0

The Association Between Hemoglobin Glycation Index and Carotid Artery Plaque in Patients With Coronary Heart Disease. 冠心病患者颈动脉斑块与血红蛋白糖化指数的关系

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-08-29 DOI: 10.1177/00033197231198688

Ruiying Guo, Xu Wang, Yijia Liu, Mengnan Huang, Mei Ma, Yuanyuan He, Rongrong Yang, Shan Gao, Mingchi Luo, Guoyuan Zhao, Lin Li, Chunquan Yu

{"title":"The Association Between Hemoglobin Glycation Index and Carotid Artery Plaque in Patients With Coronary Heart Disease.","authors":"Ruiying Guo, Xu Wang, Yijia Liu, Mengnan Huang, Mei Ma, Yuanyuan He, Rongrong Yang, Shan Gao, Mingchi Luo, Guoyuan Zhao, Lin Li, Chunquan Yu","doi":"10.1177/00033197231198688","DOIUrl":"10.1177/00033197231198688","url":null,"abstract":"This study aimed to examine the association between the hemoglobin glycation index (HGI) and carotid artery plaque (CAP) in patients with coronary heart disease (CHD). We conducted a cross-sectional analysis of 10,778 patients with CHD. The participants were divided into three groups by HGI tertiles (T1 HGI<-0.44, T2 -0.44 ≤ HGI ≤ 0.15, T3 HGI>0.15). The presence of CAP was used to diagnose by carotid ultrasonography. Logistic regression analysis was used to analyze the association between the HGI and CAP. The association between HGI and CAP was also assessed according to sex, age, smoking status, and drinking status. We further assessed the association between HGI and the ultrasound characteristics of CAP. The baseline analysis showed substantial differences in relevant parameters between the three groups of patients with CHD according to the tertiles of the HGI. Multivariate logistic regression analysis showed that HGI was significantly associated with CAP (odds ratio [OR] 1.32; 95% confidence interval [CI] 1.26-1.39). The association between HGI and CAP exists among different sex, age, smoking, and drinking status. Furthermore, there was a significant and positive association between HGI and all four different echogenicities of the CAP.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"183-192"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112219","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}

引用次数: 0

Letter: Systemic Immune-Inflammation Index Is a Potential Biomarker for Cardiovascular Disease Development. 信：全身免疫炎症指数是心血管疾病发展的潜在生物标志物。

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-09-30 DOI: 10.1177/00033197231205133

Zhanwei Tang, Lanhua Wang, Qingbo Wang

引用次数: 0

Caught Between Heart and Limbs: Navigating the Treatment of Patients With CAD and PAD in an Overwhelmed Healthcare System. 夹在心脏和四肢之间：在不堪重负的医疗系统中指导CAD和PAD患者的治疗。

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-09-25 DOI: 10.1177/00033197231204087

Petar Dabic, Jovan Petrovic, Bojan Vucurevic, Andriana Bucic, Danica Bajcetic, Nenad Ilijevski, Milorad Sevkovic

{"title":"Caught Between Heart and Limbs: Navigating the Treatment of Patients With CAD and PAD in an Overwhelmed Healthcare System.","authors":"Petar Dabic, Jovan Petrovic, Bojan Vucurevic, Andriana Bucic, Danica Bajcetic, Nenad Ilijevski, Milorad Sevkovic","doi":"10.1177/00033197231204087","DOIUrl":"10.1177/00033197231204087","url":null,"abstract":"Peripheral arterial disease (PAD) and coronary artery disease (CAD) are manifestations of atherosclerosis, affecting a substantial proportion of the population. Despite their interrelation, the prevalence of CAD in severe PAD varies, prompting the need to understand their complex relationship. This study retrospectively analyzes prospectively collected data from a high-volume vascular center to assess CAD prevalence, risk factors, and implications for patients undergoing vascular surgery. Among 667 arterial disease patients, 19.5% underwent coronary angiography, with CAD detected in 61.5% of cases. CAD varied across vascular beds. Decision-making around preoperative coronary angiography and revascularization remains complex, with benefits for high-risk patients still being debated. In accordance with current guidelines, the routine practice of coronary revascularization preceding vascular surgery is generally discouraged. This study underscores the need for risk stratification to identify patients who might benefit from coronary revascularization prior to vascular surgery while adhering to cost-effectiveness and avoiding unnecessary and time-consuming diagnostics in the majority of patients. Patient demographics, risk factors, and clinical presentation were analyzed alongside hospital stay, mortality, and complications. The study highlights the challenges in managing patients with concurrent CAD and PAD and calls for improved protocols for treating this high-risk group.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"193-199"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41095232","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}

引用次数: 0

Prognostic Implications of Changes in Total Physiological Atherosclerotic Burden in Patients With Coronary Artery Disease-A Serial QFR Study. 冠状动脉疾病患者总生理性动脉粥样硬化负荷变化的预后意义——QFR系列研究

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-11-23 DOI: 10.1177/00033197231218616

Jiapeng Chu, Deqiang Yuan, Yan Lai, Wen Ye, Lei Liu, Hao Lin, Fan Ping, Guoqi Zhu, Fei Chen, Yian Yao, Wenwen Yan, Xuebo Liu

{"title":"Prognostic Implications of Changes in Total Physiological Atherosclerotic Burden in Patients With Coronary Artery Disease-A Serial QFR Study.","authors":"Jiapeng Chu, Deqiang Yuan, Yan Lai, Wen Ye, Lei Liu, Hao Lin, Fan Ping, Guoqi Zhu, Fei Chen, Yian Yao, Wenwen Yan, Xuebo Liu","doi":"10.1177/00033197231218616","DOIUrl":"10.1177/00033197231218616","url":null,"abstract":"The association between coronary physiological progression and clinical outcomes has not been investigated. A total of 421 patients who underwent serial coronary angiography at least 6 months apart were included. Total physiological atherosclerotic burden was characterized by sum of quantitative flow ratio in 3 epicardial vessels (3V-QFR). The relationships of the 3V-QFR and its longitudinal change (△3V-QFR) with major adverse cardiovascular events (MACE) were explored. 3V-QFR values derived from follow-up angiograms were slightly lower compared with baseline (2.85 [2.77, 2.90] vs 2.86 [2.80, 2.90], P < .001). The median △3V-QFR value was -0.01 (-0.05, 0.02). The multivariable models demonstrated that follow-up 3V-QFR and △3V-QFR were independently associated with MACE (both P < .05). Patients with both low follow-up 3V-QFR (≤2.78) and low △3V-QFR (≤-0.05) presented 3 times higher risk of MACE than those without (hazard ratio: 2.953, 95% confidence interval 1.428-6.104, P = .003). Furthermore, adding patient-level 3V-QFR and △3V-QFR to clinical model significantly improved the predictability for MACE. In conclusion, total physiological atherosclerotic burden and its progression can provide incremental prognostic value over clinical characteristics, supporting the use of coronary physiology in the evaluation of disease progression and for the identification of vulnerable patients.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"174-182"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138294546","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}

引用次数: 0

Unveiling the Prognostic Power of Coronary Physiological Progression. 揭示冠状动脉生理进展的预后力

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-12-21 DOI: 10.1177/00033197231224049

Saurav Chatterjee, Rebecca Easly-Merski, Debabrata Mukherjee

引用次数: 0

Endovascular Occlusive or Sclerosing Agent Monotherapy for Varicose Veins: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials. 血管内闭塞或硬化剂单一治疗静脉曲张:随机对照试验的系统评价和网络荟萃分析。

IF 2.6 3区医学

Angiology Pub Date : 2025-02-01 Epub Date: 2023-08-30 DOI: 10.1177/00033197231199027

I-Chun Chen, Ya-Li Huang, Yi-No Kang, Wen-Kuan Chiu, Hsian-Jenn Wang, Chiehfeng Chen

{"title":"Endovascular Occlusive or Sclerosing Agent Monotherapy for Varicose Veins: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.","authors":"I-Chun Chen, Ya-Li Huang, Yi-No Kang, Wen-Kuan Chiu, Hsian-Jenn Wang, Chiehfeng Chen","doi":"10.1177/00033197231199027","DOIUrl":"10.1177/00033197231199027","url":null,"abstract":"This systematic review and network meta-analysis investigated the clinical efficacy and safety of chemical agent injections in patients with varicose veins. PubMed, Embase, and Cochrane databases were searched for eligible studies where patients administered endovascular agents comprised an intervention group, and patients administered other interventions comprised the comparison group. The endovascular agents included foam and liquid form sclerotherapy or cyanoacrylate glue. The other interventions in this study included surgery, endovenous laser ablation (EVLA), radiofrequency ablation (RFA), and placebo. A network meta-analysis for treatment effectiveness was performed. In addition, we illustrated the P-score lines of success rate and complication rate sorted by the P-score. Our results showed that at all postprocedural time intervals, cyanoacrylate glue therapy exhibited a significantly higher success rate compared with foam and liquid sclerotherapy. According to the plot of P-score lines, cyanoacrylate glue had an overall tendency of higher success rate and lower complication rate compared with foam and liquid sclerotherapy. Comparing with the other invasive treatments, cyanoacrylate glue may be non-inferior and could be considered as an option for treating varicose veins. However, the clinical benefits and safety of endovascular agents for the treatment of varicose veins require further corroboration through randomized control trials.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"117-124"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177472","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}

引用次数: 0