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  1. Article ; Online: B-type natriuretic peptide levels at admission predict the prognosis of patients with infective endocarditis undergoing cardiac surgery.

    Sun, Ning / Zhao, Junyong / Luo, Wenjian / Luo, Xiaolin / Wu, Shaofa / Wang, Zelan / Li, Pengda / Li, Jia / Zhou, Renjie / Ou, Shulin / Qin, Zhexue

    Biomarkers in medicine

    2024  Volume 18, Issue 2, Page(s) 93–102

    Abstract: Purpose: ...

    Abstract Purpose:
    MeSH term(s) Humans ; Natriuretic Peptide, Brain ; Endocarditis/diagnosis ; Endocarditis/surgery ; Prognosis ; Hospitalization ; Cardiac Surgical Procedures/adverse effects ; Biomarkers
    Chemical Substances Natriuretic Peptide, Brain (114471-18-0) ; Biomarkers
    Language English
    Publishing date 2024-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2481014-9
    ISSN 1752-0371 ; 1752-0363
    ISSN (online) 1752-0371
    ISSN 1752-0363
    DOI 10.2217/bmm-2023-0590
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Impact of coronary artery disease in patients with hypertrophic cardiomyopathy.

    Wu, Shaofa / Yang, Lili / Sun, Ning / Luo, Xiaolin / Li, Pingping / Wang, Ke / Li, Pengda / Zhao, Junyong / Wang, Zelan / Zhang, Qiuxia / Wen, Ruizhi / Luo, Wenjian / Gao, Zhichun / Hou, Changchun / Wang, Zebi / Yu, Yang / Qin, Zhexue

    Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese

    2023  

    Abstract: Background: Atherosclerotic coronary artery disease (CAD) often occurs concurrently with hypertrophic cardiomyopathy (HCM). However, the influence of concomitant CAD has not been fully assessed in patients with HCM.: Methods: Invasive or computed ... ...

    Abstract Background: Atherosclerotic coronary artery disease (CAD) often occurs concurrently with hypertrophic cardiomyopathy (HCM). However, the influence of concomitant CAD has not been fully assessed in patients with HCM.
    Methods: Invasive or computed tomography coronary angiography was performed in 461 patients with HCM at our hospital to determine the presence and severity of CAD from March 2010 to April 2022. The primary end points were all-cause, cardiovascular, and sudden cardiac deaths. The survival of HCM patients with severe CAD was compared with that of HCM patients without severe CAD.
    Results: Of 461 patients with HCM, 235 had concomitant CAD. During the median (interquartile range) follow-up of 49 (31-80) months, 75 patients (16.3%) died. The 5-year survival estimates were 64.3%, 82.5%, and 86.0% for the severe, mild-to-moderate, and no-CAD groups, respectively (log-rank, p = 0.010). Regarding the absence of cardiovascular death, the 5-year survival estimates were 68.5% for patients with severe CAD, 86.4% for patients with mild-to-moderate CAD, and 90.2% for HCM patients with no CAD (log-rank, p = 0.001). In multivariate analyses, severe CAD was associated with all-cause and cardiovascular death after adjusting for age, left ventricular ejection fraction, hypertension, and atrial fibrillation.
    Conclusions: This study showed a worse prognosis among HCM patients with severe CAD than among HCM patients without severe CAD. Therefore, timely recognition of severe CAD in HCM patients and appropriate treatment are important.
    Language English
    Publishing date 2023-08-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2215027-4
    ISSN 2241-5955 ; 1109-9666
    ISSN (online) 2241-5955
    ISSN 1109-9666
    DOI 10.1016/j.hjc.2023.08.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Hospitalized patients with isolated distal deep vein thrombosis: anticoagulation therapy or not?

    Luo, Xiaolin / Zhang, Liying / Hou, Changchun / Li, Pengda / Wu, Shaofa / Wang, Zebi / Yang, Enpu / Cui, Yun / Sun, Ning / Yu, Yang / An, Zhixia / Jin, Jun / Qin, Zhexue

    Thrombosis journal

    2022  Volume 20, Issue 1, Page(s) 52

    Abstract: Background: Isolated distal deep vein thrombosis (IDDVT), a disease frequently detected in hospitalized patients, can progress to proximal deep vein thrombosis (PDVT) and pulmonary embolism (PE). Here, we evaluated the effects of anticoagulation in ... ...

    Abstract Background: Isolated distal deep vein thrombosis (IDDVT), a disease frequently detected in hospitalized patients, can progress to proximal deep vein thrombosis (PDVT) and pulmonary embolism (PE). Here, we evaluated the effects of anticoagulation in hospitalized IDDVT patients.
    Methods: We conducted a retrospective study in our hospital and enrolled hospitalized IDDVT patients diagnosed by compression ultrasonography (CUS) from January to December 2020. Participants were divided into anticoagulation (AC) and non-anticoagulation (non-AC) groups. After propensity score matching (PSM), multivariate Cox regression analyses were performed to assess whether anticoagulation was associated with PDVT/PE, and all-cause mortality.
    Results: A total of 426 IDDVT inpatients with CUS follow-up were screened from 1502 distal DVT patients and finally enrolled. The median age was 67 years with 51.4% males and 15.5% cancer patients. The median follow-up was 11.6 months. There were 288 and 138 patients treated with or without anticoagulants, respectively. Patients in the non-AC group had less body mass index and more comorbidities. Patients in the AC group were treated with rivaroxaban or dabigatran (52.1%), low molecular weight heparin (42.7%), and warfarin (5.2%). The PSM generated 111 pairs of well-matched IDDVT patients with or without anticoagulation. The Kaplan-Meier analysis demonstrated that neither the incidence of PDVT/PE (5.4% vs. 2.7%, log-rank p = 0.313) nor all-cause mortality (27.9% vs. 18.9%, log-rank p = 0.098) was significant different between groups. Anticoagulation was not associated with PDVT/PE and all-cause mortality in the multivariable Cox regression analyses using the matched cohorts. The main risk factors for all-cause mortality were age, malignancy history, BMI, sepsis, heart failure, and white blood cell (WBC) count.
    Conclusions: In hospitalized IDDVT patients, the thrombosis extension rate to PDVT/PE was low. Anticoagulation did not reduce the incidence of thrombosis extension of IDDVT and was not associated with all-cause mortality.
    Language English
    Publishing date 2022-09-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2118392-2
    ISSN 1477-9560
    ISSN 1477-9560
    DOI 10.1186/s12959-022-00410-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Maintenance of recovered dilated cardiomyopathy patients with half-dose neurohumoral blockades (MED-CHARM): A protocol for an open-label, pilot, randomized trial.

    Li, Pengda / Luo, Xiaolin / Hou, Changchun / Wu, Shaofa / Wang, Luyu / Sun, Ning / Wang, Zebi / Wang, Zelan / Jin, Jun / Wang, Jiang / Qin, Zhexue

    Frontiers in cardiovascular medicine

    2022  Volume 9, Page(s) 966537

    Abstract: Dilated cardiomyopathy (DCM) has brought great damage to the patients' health and social economy. The number of patients with recovered dilated cardiomyopathy (recDCM) has increased over the years as treatment progresses. However, there is a lack of ... ...

    Abstract Dilated cardiomyopathy (DCM) has brought great damage to the patients' health and social economy. The number of patients with recovered dilated cardiomyopathy (recDCM) has increased over the years as treatment progresses. However, there is a lack of relevant evidence to support the clinical management of patients with recDCM, thereby, the recommendations in guidelines remains sparse. Accordingly, the exploration of recDCM is important to improve patient prognosis and reduce societal burden. This is an open-label, randomized controlled, prospective study that will compare the safety and efficacy of original dose and halved dose of neurohumoral blockades for patients with recDCM.
    Methods: An open-label, randomized controlled, prospective study will be conducted among eligible patients with recDCM. During the pilot study phase, we will recruit 50 patients. The primary endpoint is hospitalization for heart failure or heart failure relapse within 12 months. Secondary endpoint is major adverse cardiovascular events, including cardiovascular mortality, myocardial infarction, stroke, sustained atrial tachycardia, or ventricular tachycardia. The results will be analyzed using intention-to-treatment analysis.
    Discussion: The study will provide important evidence of whether it is safe and effective to halve the dosage of neurohumoral blockades in recDCM patients.
    Trial registration number: ChiCTR2100054051 (www.chictr.org.cn).
    Language English
    Publishing date 2022-08-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2022.966537
    Database MEDical Literature Analysis and Retrieval System OnLINE

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