Journal of Inflammation Research,
Год журнала:
2024,
Номер
Volume 17, С. 1211 - 1225
Опубликована: Фев. 1, 2024
Objective:
To
evaluate
the
prognostic
value
of
systemic
immune-inflammatory
index
(SII)
for
predicting
in-hospital
major
adverse
cardiovascular
events
(MACEs)
in
patients
with
acute
myocardial
infarction
(AMI)
and
establish
a
relevant
nomogram.
Methods:
This
study
included
954
AMI
patients.
We
examined
three
inflammatory
factors
(SII,
platelet
to
lymphocyte
ratio
(PLR)
neutrophil
(NLR))
see
which
one
predicts
MACEs
better.
The
predictors
were
subsequently
screened
using
bidirectional
stepwise
regression
method,
MACE
nomogram
was
constructed
via
logistic
analysis.
predictive
model
evaluated
area
under
curve
(AUC),
sensitivity
specificity.
In
addition,
clinical
utility
decision
also
compared
Global
Registry
Acute
Coronary
Events
(GRACE)
scoring
system.
Results:
334
(35.0%)
had
MACEs.
SII
(AUC
=0.684)
greater
than
PLR
=0.597,
P<
0.001)
or
NLR
(AUC=0.654,
P=0.01).
(AUC)
SII-based
multivariable
MACEs,
based
on
SII,
Killip
classification,
left
ventricular
ejection
fraction,
age,
urea
nitrogen
(BUN)
concentration
electrocardiogram-based
diagnosis,
0.862
(95%
CI:
0.833–
0.891).
Decision
calibration
analysis
revealed
that
demonstrated
good
fit
provided
positive
net
benefits
without
SII.
GRACE
system
(P<
0.001).
Conclusion:
is
promising,
reliable
biomarker
identifying
at
high
risk
may
serve
as
quick
easy
tool
identify
these
Keywords:
index,
events,
inflammation,
Medical Education,
Год журнала:
2020,
Номер
55(2), С. 174 - 184
Опубликована: Июль 22, 2020
Insufficient
sleep
affects
circadian
hormonal
profiles
and
inflammatory
markers
may
modulate
attention,
executive
functioning
decision-making.
Medical
professionals
specifically
resident
physicians,
who
are
involved
in
long-term
nightshift
schedules
during
their
post-graduate
training,
prone
to
acute
chronic
deprivation
disruption,
putting
them
at
risk
for
making
medical
errors.
The
aim
of
the
study
was
evaluate
impact
acute-on-chronic
disruption
among
residents
on
selected
physiological
cognitive
measures.Thirty-three
surgical
were
evaluated
twice
-
baseline
after
a
26-hour
shift.
Eighteen
young
attending
physicians
did
not
engage
served
as
controls
once.
Measures
included
morning
cortisol
high-sensitivity
C-reactive
protein
(hs-CRP),
computerised
tests
attention
behaviour,
Behaviour
Rating
Inventory
Executive
Function,
risk-taking
questionnaire
Pittsburgh
Sleep
Quality
Index.Residents,
but
attendings,
reported
deprivation.
Residents
exhibited
reduced
levels
elevated
hs-CRP
levels,
compared
attendings.
had
impaired
global
function
A
with
further
residents'
function.
demonstrated
increased
impulsivity
slower
processing
time
than
attendings
differ
tendencies
which
assessed
separate
cohort.In
real-life
setting,
exhibit
low-grade
systemic
inflammation
(hs-CRP)
HPA-axis
Their
curtailment
is
associated
greater
impulsivity,
processing,
Future
research
warranted
understand
how
improving
working
schedule
by
increasing
duration
minimise
short-term
potential
risks
training.
Engagement
in
healthy
lifestyle
behaviors
is
suboptimal.
The
vast
majority
of
the
US
population
does
not
meet
current
recommendations.
A
defined
by
consuming
a
dietary
pattern,
engaging
regular
physical
activity,
avoiding
exposure
to
tobacco
products,
habitually
attaining
adequate
amounts
sleep,
and
managing
stress
levels.
For
all
these
health
there
are
well-established
guidelines;
however,
promotion
clinical
settings
can
be
challenging.
It
critical
overcome
challenges
because
greater
heathy
practices
effectively
motivates
initiates
patient
behavior
change.
5A
Model
(assess,
advise,
agree,
assist,
arrange)
was
developed
provide
framework
for
counseling
with
requisite
attention
demands
settings.
In
this
science
advisory,
we
present
strategies,
based
on
Model,
that
clinicians
other
care
professionals
use
efficient
lifestyle-related
change
patients
at
levels
cardiovascular
disease
risk
every
visit.
addition,
discuss
underlying
role
psychological
well-being
counseling,
how
leverage
technologies
when
providing
brief
patient-centered
counseling.
Greater
during
routine
clinician
visits
will
contribute
promoting
health.
Oxidative Medicine and Cellular Longevity,
Год журнала:
2022,
Номер
2022, С. 1 - 20
Опубликована: Май 27, 2022
Myocardial
ischemia-reperfusion
injury
(MIRI)
is
a
type
of
severe
to
the
ischemic
myocardium
that
can
occur
following
recovery
blood
flow,
and
for
which,
there
no
effective
treatment.
Panaxatriol
saponin
(PTS),
major
active
component
P.
notoginseng,
has
been
used
clinically
treat
ischemia-related
encephalopathy
due
its
antioxidant
activity,
but
effect
on
cardiomyopathy
underlying
mechanism
action
still
unclear.
This
study
was
performed
investigate
protective
PTS
against
MIRI
explore
potential
mechanisms.
Hydrogen
peroxide
(H2O2)
stimulate
cardiomyocytes,
mimic
in
vitro.
Cell
viability
tested
using
CCK-8
method.
The
activity
H9c2
rat
cardiomyocyte
cell
line
examined
2',7'-dichlorodihydrofluorescein
diacetate
(DCFH-DA).
levels
superoxide
dismutase-1
(SOD1),
SOD2,
heme
oxygenase
(HO-1)
were
determined
by
Western
blotting
and/or
immunofluorescence.
antiapoptotic
determined.
In
addition,
mitochondrial
permeability
transition
pore
(mPTP)
opening
membrane
(ΔΨm)
changes
assessed.
Changes
Keap1/Nrf2
activation
evaluated
analysis,
molecular
docking,
immunoprecipitation.
An
vivo
model
established
rats,
myocardial
infarct
size
measured
2,3,5-triphenyltetrazolium
chloride
(TTC)
staining.
enzyme
activities
ELISA
or
biochemical
analyses.
Furthermore,
Nrf2
evaluated,
regulatory
apoptosis
blocker,
ML385.
results
showed
ameliorated
induced
H2O2,
characterized
increased
viability,
decreased
reactive
oxygen
species
(ROS)
production,
promotion
SOD1,
HO1
expression.
inhibited
also
reduced
mPTP
stabilized
ΔΨm
cells.
Molecular
docking
immunoprecipitation
revealed
disrupt
interaction
directly
blocking
binding
site
Keap1
protein.
vivo,
area
infarction
attenuated
pathological
damage
(I/R)
rats.
markers
PTS.
Finally,
regulated
nuclear
translocation
Nrf2,
ML385
blocked
therapeutic
These
suggested
targeting
activity.
Nutrients,
Год журнала:
2022,
Номер
14(21), С. 4553 - 4553
Опубликована: Окт. 28, 2022
Inflammation
plays
a
pivotal
in
the
occurrence
and
development
of
coronary
heart
disease
(CHD).
We
aim
to
investigate
association
between
Dietary
Inflammatory
Index
(DII)
CHD
present
study.
In
this
cross-sectional
study,
adult
participants
from
National
Health
Nutrition
Examination
Survey
(NHANES)
(1999–2018)
were
enrolled.
The
social
demographic
information,
lifestyle
factors,
blood
biochemical
measurements,
dietary
status
all
systematically
collected.
Multivariable
logistic
regression
was
adopted
risk
DII.
Besides,
restricted
cubic
spline
(RCS)
analysis
used
explore
whether
there
nonlinear
DII
CHD.
Subgroup
stratified
by
sex,
age,
race/ethnicity,
BMI
conducted
evaluate
among
different
populations.
A
total
45,306
adults
NHANES
included.
Compared
with
individuals
without
CHD,
DIIs
significantly
elevated.
positive
observed
multivariable
after
adjusting
for
education
levels,
smoking,
drinking,
diabetes,
hypertension,
body
mass
index
(BMI).
Results
RCS
suggested
relationship
addition,
increment
had
greater
impact
on
female
compared
male
individuals.
is
closely
associated
For
better
prevention
treatment
more
attention
should
be
paid
controlling
inflammation.
The American Journal of Medicine,
Год журнала:
2022,
Номер
135(6), С. 688 - 696
Опубликована: Март 9, 2022
Abstract
For
at
least
a
few
centuries,
if
not
millennia,
psychological
stress
has
been
popularly
believed
to
contribute
heart
disease.
Does
really
disease?
Are
anecdotal,
patient,
and
lay
press
reports
that
angina,
attack,
even
cardiac
death
are
caused
by
based
on
fact,
or
they
just
folklore?
In
this
review,
the
study
data
supporting
associations
between
cardiovascular
risk,
as
well
potential
mechanisms
which
might
disease
precipitate
myocardial
ischemia
infarction,
critically
reviewed
summarized.
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
23(16), С. 8939 - 8939
Опубликована: Авг. 11, 2022
Coronary
atherosclerosis
is
a
potentially
chronic
circulatory
condition
that
endangers
human
health.
The
biological
cause
underpinning
cardiovascular
disease
coronary
atherosclerosis,
and
acute
events
can
develop
due
to
thrombosis,
platelet
aggregation,
unstable
atherosclerotic
plaque
rupture.
progressive,
three
specific
changes
appear,
with
fat
spots
stripes,
thin-walled
fiber
then
complex
in
arteries.
progression
severity
of
are
correlated
various
levels
calcium
accumulation
the
artery.
therapy
diagnosis
benefit
from
initial
assessment
size
degree
calcification.
This
article
will
discuss
new
progress
early
terms
aspects:
imaging,
gene
protein
markers,
trace
elements.
study
intends
present
latest
methods
for
diagnosing
patients
through
literature
review.