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Diabetes, the kidney and the heart-A tale of metabolic mayhem 糖尿病、肾脏和心脏——一个新陈代谢混乱的故事
Pub Date : 2021-02-24 DOI: 10.15406/JCCR.2021.14.00500
J. Morales, Merces Assumpcao-Morales
specifically, cholesterol, cigarette smoking status, and systolic blood pressure. It is interesting to note that age adjusted cardiovascular death risk per 10,000 person years escalates at a near hyperbolic response in patients with multiple of these aforementioned risk factors after suffering with diabetes over 10years.6 Likewise, the converse may apply where intensive treatment with reduction of risk factors mentioned lit led to significant reduction in cumulative death and cardiovascular events as was demonstrated in the historic STENO 2 trial.7
特别是胆固醇、吸烟状况和收缩压。有趣的是,在患有糖尿病超过10年后,具有上述多种风险因素的患者中,年龄调整后的每10,000人年心血管死亡风险以接近双曲线的方式上升同样,在具有历史意义的STENO 2试验中,如果强化治疗减少了上述风险因素,则累积死亡和心血管事件显著减少,情况也可能相反
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引用次数: 0
Staged rotational atherectomy in a patient with acute ST-elevation myocardial infarction: a case report 急性st段抬高型心肌梗死患者的分期旋转动脉粥样硬化切除术:1例报告
Pub Date : 2021-02-23 DOI: 10.15406/JCCR.2021.14.00499
A. Franchina, S. D. Tomasello, S. Azzarelli, F. Scardaci, V. Argentino, F. Amico
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引用次数: 1
The influence of type a personality in cardiovascular disease a型人格对心血管疾病的影响
Pub Date : 2021-01-01 DOI: 10.15406/JCCR.2021.14.00498
A. Silva
The correlations among the psychic repercussions of acute and chronic stress on the atherosclerotic process due to psychosomatic disorders were described more consistently since the middle of the 20th century. The revival of the attentions to them has been revitalized by the necessity to understand, diagnose and treat the effects of the Covid-19 pandemics in the cardiac patients. A pivotal exemplary work demonstrated the relationship of stress and atherosclerosis was experimentally compared when rabbits were placed on a lipid-rich diet in which atherosclerosis was developed (about 40%); however, if in addition to the diet, the animals were submitted to a continuous stress or the administration of benzedrine, about 90% of them presented generalized atheromas The increased risk of coronary heart disease in stress patients is well known. However, prisoners in concentration and war camps, under a strong state of stress, did not present the risk of coronary heart disease, but those who suffered an impact from a hurricane, earthquake or deprivation or even ignominy are deeply affected, bringing harm to the body. Attention must be payed to the importance of the peculiarities of each individually; responses to the stressful factor may depend on their genetic predisposition and specific unconscious fantasies, own and characteristics of each person. Unconscious conflicts would prepare their responses to stressful factors. Studies presented from different perspectives to link them the environmental stress as is presently the Covid-19 occurrence.
自20世纪中期以来,心身疾病引起的急性和慢性应激对动脉粥样硬化过程的心理影响的相关性得到了更一致的描述。由于有必要了解、诊断和治疗Covid-19大流行对心脏病患者的影响,对他们的关注重新焕发了活力。一项关键的示范工作证明了压力和动脉粥样硬化之间的关系,实验比较了当兔子被放置在富含脂质的饮食中,动脉粥样硬化发展(约40%);然而,如果在正常饮食的基础上,给予动物持续的应激或苯丙胺,大约90%的动物会出现广泛性动脉粥样硬化。然而,在集中营和战俘营的囚犯,在强烈的压力状态下,没有冠心病的风险,但那些遭受飓风、地震或剥夺甚至羞辱的人受到严重影响,对身体造成伤害。必须注意每个个体的特点的重要性;对压力因素的反应可能取决于他们的遗传倾向和特定的无意识幻想,每个人的自己和特点。无意识的冲突会让他们对压力因素做出反应。从不同角度提出的研究将它们与环境压力联系起来,就像目前发生的Covid-19一样。
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引用次数: 0
Renovascular disease: a common cause of secondary hypertension 肾血管疾病:继发性高血压的常见原因
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00515
C. Kairis, Stavroula Kamtsiki, M. Tselegkidi, G. Trellopoulos, Achilleas Siozopoulos
A 56-year-old female patient came at the end of August to the office due to uncontrolled hypertension. Since she was a thin person without a family history of persistant hypertension, suspicion of secondary hypertension was induced and advised for biochemical end imaging tests. The final diagnosis was renovascular hypertension, the most common cause of secondary hypertension. Renal arteriography indicated a 99% stenosis to the left and the patient underwent a successful stent implantation. After angioplasty, blood pressure returned to normal and the patient did not receive medication. Invasive therapy is recommended for resistant hypertension (at least 4 antihypertensive drugs), aggravation of renal function and patients with flash pulmonary edema or congestive heart failure with preserved ejection fraction (EF).
一名56岁女性患者因高血压失控于8月底就诊。由于患者身材瘦弱,无持续性高血压家族史,故怀疑继发性高血压,建议行生化末端影像学检查。最终诊断为肾血管性高血压,这是继发性高血压最常见的原因。肾动脉造影显示左侧狭窄99%,患者接受了成功的支架植入。血管成形术后,血压恢复正常,患者未接受药物治疗。对于顽固性高血压(至少4种降压药)、肾功能加重和伴有闪发性肺水肿或充血性心力衰竭并保留射血分数(EF)的患者,建议采用有创治疗。
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引用次数: 0
eral carotid dissection in a patient with a previous surgical treatment for aortic dissection 曾因主动脉夹层手术治疗的患者的颈动脉总动脉夹层
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00510
G. Fazio, M. Campione
Aortic dissection is often reported in association with carotid or other vessel dissection. We report a case of 75-year old patient who underwent surgical treatment for aortic dissection in 2001. A routine carotid doppler shows bilateral carotid dissection even though the repaired aortic arch is normal.
主动脉夹层常与颈动脉或其他血管夹层合并报道。我们报告一例75岁的病人于2001年因主动脉夹层接受手术治疗。常规颈动脉多普勒显示双侧颈动脉夹层,即使修复的主动脉弓是正常的。
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引用次数: 0
Diabetes and hypercholesterolemia experimental study on inhibition of liver fibrosis by angiotensin converting enzymes 血管紧张素转换酶抑制糖尿病和高胆固醇血症肝纤维化的实验研究
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00524
D. Pomaro, Francisco A H Fonseca, A. Saldanha, V. Lanzoni, D. Casarini, A. Margeotto, André Lv, T. Bellincanta, Tania Leme da Rocha Martinez, Silvia SM Ihara
Purpose: The aim of this study was to evaluate the effect of angiotensin-converting enzyme (ACE) inhibitor on the liver histopathological changes in hypercholesterolemic and diabetic rabbits. Methods: New Zealand rabbits were treated by a single dose of alloxan (100mg iv) and were fed a chow with 0.5% cholesterol for 12weeks. The animals were divided into four groups according to the level of blood glucose: ≥250 mg/dL for groups I (n =10) and II (n=8) or <250mg/dL for groups III (n=12) and IV (n=12) and the groups II and IV were treated with an ACE inhibitor, quinapril (30mg/d) added to the diet. Total serum cholesterol and glucose levels and ACE activity were determined. Histological analysis was performed on liver samples stained with hematoxylin and eosin and picrosirius red. Liver fibrosis was analyzed by Metavir classification and was quantified by Image Tool software in picrosirius polarized images. Results: The four groups were hypercholesterolemic, without significant statistical differences in cholesterol levels among them. ACE activity was lower in the plasma of animals treated with ACE inhibitor (groups II and IV, p<0,01). We observed lower collagen area determined histomorphometrically in the both groups treated with ACE inhibitors, although only in the group with blood glucose control, there have been statistically significant. (p<0.05; group IV
目的:探讨血管紧张素转换酶(ACE)抑制剂对高胆固醇血症和糖尿病家兔肝脏组织病理学改变的影响。方法:用单剂量四氧嘧啶(100mg iv)治疗新西兰兔,以含0.5%胆固醇的饲料喂养12周。根据血糖水平分为4组:ⅰ组(n= 10)和ⅱ组(n=8)≥250mg/dL,ⅲ组(n=12)和ⅳ组(n=12) <250mg/dL,ⅱ组和ⅳ组在日粮中添加ACE抑制剂喹诺普利(30mg/d)。测定血清总胆固醇、葡萄糖水平及ACE活性。对苏木精、伊红、小天狼星红染色的肝脏标本进行组织学分析。用Metavir分类分析肝纤维化,并用Image Tool软件对微天狼星偏振图像进行量化。结果:四组患者均为高胆固醇血症,各组胆固醇水平差异无统计学意义。ACE抑制剂组血浆ACE活性降低(II组和IV组,p< 0.01)。我们观察到,在ACE抑制剂治疗的两组中,组织形态学测定的胶原面积都较低,尽管只有血糖控制组有统计学意义。(p < 0.05;第四组< III)。结论:我们的研究结果表明,在高胆固醇血症和糖尿病家兔中使用ACE抑制剂对肝脏有保护作用。这项研究强调了肾素-血管紧张素系统在保护受高水平脂质和葡萄糖影响的器官中的重要性。内皮素1被认为是该细胞系最强大的收缩剂,在刺激这些细胞后观察到。抑制不同组织中胶原类型和扩张间质。一些研究显示,卡托普利治疗大鼠胆总管结扎后肝脏中TGF-β 1和前胶原I信使RNA水平降低,支持Ang II在肝星状细胞中的作用假说。24日,30
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引用次数: 0
Is cigarette smoking damaging more severely cardiovascular system in COVID-19 era? COVID-19时代吸烟对心血管系统的损害更严重吗?
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00517
A. Leone
Carbon monoxide and nicotine are the main compounds able to cause cardiovascular damage. The first chemical is primarily responsible of irreversible cardiovascular damage in the time, whereas nicotine causes primarily a functional and reversible harm to the heart and blood vessels in both active smokers and individuals passively exposed to tobacco smoking. However, an irreversible damage is the final result of nicotine effects Evidence also indicates that carbon monoxide damages heavily respiratory system.
一氧化碳和尼古丁是导致心血管损伤的主要化合物。第一种化学物质主要造成不可逆的心血管损伤,而尼古丁主要对主动吸烟者和被动接触烟草的人的心脏和血管造成功能性和可逆性的伤害。然而,不可逆转的损害是尼古丁作用的最终结果,证据也表明一氧化碳严重损害呼吸系统。
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引用次数: 0
Subaortic membrane in a turner syndrome: A case report 特纳综合征的主动脉下膜1例
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00521
Djeinaba Kane, Soukaina Benbakh, I. Zallé, Mouhcine El Mardouli, Z. Zouizra, D. Boumzebra
Cardiovascular abnormalities are common in Turner syndrome. Coarctation of the aorta and aortic bicuspid valve are more commonly found. The presence of a subaortic membrane in patients with Turner syndrome has rarely been reported in the literature. We report a case of an isolated subaortic membrane responsible for severe sub valvular stenosis in a 26-year-old woman. The patient underwent surgical excision phase of the membrane under cardiopulmonary bypass. The post-operative course was uneventful.
心血管异常在特纳综合征中很常见。主动脉缩窄和主动脉二尖瓣更为常见。特纳综合征患者主动脉下膜的存在在文献中很少有报道。我们报告一例孤立的主动脉下膜导致严重瓣下狭窄的26岁女性。患者在体外循环下接受了手术切除阶段的膜。术后过程平淡无奇。
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引用次数: 0
The new antidiabetics in heart disease: can a glycemic holter predict the drug success? 新的心脏病降糖药:血糖监测能预测药物成功吗?
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00536
G. Fazio
In 2014 it was estimated at 8.5% of the world population, compared to 4.7% in 1980. According to these estimates, there were about 422million people affected by diabetes mellitus in the world, 64million within the WHO European Region (Global report on diabetes, WHO 2016). In Italy, based on ISTAT data, in 2016 a prevalence of known diabetes was estimated to be 5.3% (5.4% in men, 5.2% in women) equal to over 3million people. The prevalence increases with increasing age to a value of about 20% in people aged 75years or older.
据估计,2014年非洲人口占世界人口的8.5%,而1980年这一比例为4.7%。根据这些估计,全世界约有4.22亿人患有糖尿病,其中世卫组织欧洲区域有6400万人(世卫组织2016年全球糖尿病报告)。根据ISTAT的数据,2016年意大利已知糖尿病患病率估计为5.3%(男性5.4%,女性5.2%),相当于300多万人。患病率随着年龄的增长而增加,在75岁或以上的人群中约为20%。
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引用次数: 0
A nuanced diagnosis with grave implications: importance of a rare ECG Pattern 具有重大意义的细微诊断:罕见心电图模式的重要性
Pub Date : 2021-01-01 DOI: 10.15406/jccr.2021.14.00520
S. Limaye
A 63-year-old man with a history of hypertension, hyperlipidemia, tobacco use, and hepatitis C status-post treatment presented to the Emergency Department with a two-hour history of sudden-onset stabbing central chest pain with radiation to the back. He experienced diaphoresis and nausea during the onset of chest pain. The patient was given aspirin and experienced some relief with the third tablet of nitroglycerin. Chest X-ray showed no acute findings. An ECG was performed (Figure 1) and showed upsloping ST-segment depression at the J point in the precordial leads with progression into tall, symmetric T waves in these leads and mild ST-segment elevation in lead aVR.
一名63岁男性,有高血压、高脂血症、吸烟和丙型肝炎病史,治疗后就诊于急诊科,有两小时突然发作的刺痛性胸痛,背部放射。他在胸痛发作时出现出汗和恶心。病人服用阿司匹林,服用第三片硝酸甘油后症状有所缓解。胸部x线未见急性表现。心电图(图1)显示心前导联J点上斜st段下降,这些导联发展为高对称T波,导联aVR中st段轻度升高。
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引用次数: 0
期刊
Journal of Cardiology & Current Research
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