Peripheral Artery Disease: Molecular Mechanisms and Novel Therapies
Arteriosclerosis Thrombosis and Vascular Biology,
Journal Year:
2024,
Volume and Issue:
44(6), P. 1165 - 1170
Published: May 22, 2024
Language: Английский
Percutaneous Left Atrial Appendage Closure: Supporting Evidence, Limitations and Future Directions
G. Imperatore,
No information about this author
Stijn Lochy,
No information about this author
Mohamed Ben Yedder
No information about this author
et al.
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(7), P. 2300 - 2300
Published: March 27, 2025
Percutaneous
Left
Atrial
Appendage
Occlusion
(LAAO)
has
emerged
as
a
promising
intervention
for
stroke
prevention
in
patients
with
atrial
fibrillation
who
are
contraindicated
long-term
anticoagulation
therapy.
Despite
its
growing
adoption,
comprehensive
review
of
the
LAAO
procedure
is
essential
to
consolidate
supporting
evidence,
identify
limitations,
and
outline
future
directions.
This
aims
evaluate
efficacy
safety
LAAO,
drawing
on
clinical
trials
real-world
studies
provide
balanced
perspective.
Additionally,
we
address
limitations
current
research,
including
variability
patient
selection,
procedural
techniques,
follow-up
protocols.
By
highlighting
gaps
knowledge
areas
improvement,
this
guide
research
efforts
optimize
expand
therapeutic
potential
LAAO.
Language: Английский
Unraveling the Paradox: Can Anticoagulation Improve Outcomes in Patients With Heart Failure and Increased Bleeding Risk?
Danish Saeed,
No information about this author
Daniel Fuenmayor,
No information about this author
Jose A Niño Medina
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et al.
Cureus,
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 3, 2024
Heart
failure
(HF)
patients
frequently
present
with
comorbidities
such
as
atrial
fibrillation
(AF)
or
other
cardiovascular
conditions,
elevating
their
risk
of
thromboembolic
events.
Consequently,
anticoagulation
therapy
is
often
considered
for
thromboprophylaxis,
although
its
initiation
in
HF
complicated
by
concomitant
bleeding
factors.
This
review
explores
the
paradoxical
relationship
between
HF,
increased
risk,
and
potential
benefits
anticoagulation.
Through
an
examination
existing
evidence
from
clinical
trials,
observational
studies,
meta-analyses,
we
aim
to
elucidate
role
risk.
Despite
guidelines
recommending
certain
AF
factors,
uncertainty
persists
regarding
optimal
management
strategy
those
at
heightened
bleeding.
The
discusses
pathophysiological
mechanisms
linking
thrombosis,
challenges
assessment,
strategies
minimize
while
optimizing
thromboprophylaxis.
Shared
decision-making
clinicians
emphasized
essential
individualized
treatment
plans
that
balance
against
complications.
Furthermore,
it
examines
emerging
anticoagulant
agents
management,
highlighting
need
further
research
delineate
inform
evidence-based
practice.
In
conclusion,
holds
promise
improving
outcomes
patients,
careful
consideration
patient-specific
factors
ongoing
efforts
are
optimize
therapeutic
this
population.
Language: Английский
Early versus Later Anticoagulation in Post-Stroke patients with Atrial Fibrillation: A systematic review and Meta-analysis
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 22, 2024
ABSTRACT
Background
Atrial
fibrillation
(AF)
is
the
most
common
cardiac
arrhythmia
and
significantly
increases
risk
of
ischemic
stroke,
one
its
serious
complications.
The
intricate
relationship
between
AF
stroke
necessitates
careful
consideration
in
timing
anticoagulant
therapy
initiation
to
prevent
recurrence,
hemorrhagic
transformation,
other
Aim
This
study
aims
evaluate
efficacy
safety
early
versus
late
treatment
patients
with
after
an
addressing
critical
gap
optimal
balance
recurrent
against
bleeding
risks.
Methods
A
systematic
review
meta-analysis
was
conducted
following
PRISMA-2020
guidelines,
searches
performed
across
multiple
databases
including
PubMed,
Scopus,
Web
Science,
EMBASE,
Cochrane.
Randomized
controlled
trials
comparing
later
anticoagulation
post-stroke
were
included.
Data
synthesis
using
a
random-effects
model,
considering
symptomatic
intracerebral
hemorrhage,
mortality
as
primary
outcomes.
Results
From
1444
identified
records,
three
studies
2989
included,
comprising
diverse
population
terms
geography
demographics.
Meta-analysis
revealed
that
might
be
associated
reduced
(RR
0.72,
95%
CI
[0.51-1.00])(p=0.05),
although
statistical
significance
borderline.
No
significant
differences
found
hemorrhage
or
rates
initiation.
Early
intervention
was,
however,
reduction
adverse
outcomes
[0.54-0.96])(p=0.03).
Conclusions
post-ischemic
may
offer
protective
effect
events
no
increase
suggests
can
safely
considered,
particularly
light
reducing
Language: Английский
Rice Husk Derived Activated Carbon‐Catalyzed Synthesis of Coumarin Derivatives: Study of Anti‐Cancer Activity
ChemistrySelect,
Journal Year:
2024,
Volume and Issue:
9(37)
Published: Sept. 26, 2024
Abstract
Herein,
we
report
the
fabrication
of
biomass
rice
husk‐derived
chemically
activated
carbon
(RCAC)
sheets
which
are
self‐assembled
to
2D
hollow
porous
materials
and
demonstrated
their
catalytic
efficiency
in
domino
Knoevenagel−Michael
addition
reaction
for
synthesis
various
bio‐active
coumarin
derivatives
excellent
yields
under
metal‐free
conditions
mild
conditions.
Particularly,
have
illustrated
a
facile,
eco‐friendly,
economical,
sustainable
method
bis‐(4‐hydroxycoumarin)methanes,
bis‐dimedones,
4‐hydroxy‐3‐thiomethylcoumarins,
via
three‐component
reactions
4‐hydroxy
coumarin/demedone,
aldehydes
or
thiophenols.
Moreover,
Michael
chalcone
leading
warfarin
has
also
been
using
RCAC
as
catalyst.
The
cytotoxicity
potential
performed
against
human
liver
cancer
cell
line
Hep‐G2
cells
all
synthesized
products
by
3‐(4,5‐dimethylthiazol‐2‐yl)‐2,5‐diphenyl
tetrazolium
bromide
(MTT)
method.
study
results
indicates
that
compounds
capable
killing
line.
most
potent
anti‐proliferative
activity
was
observed
3
g
,
5
b
c
9
cells.
Language: Английский