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Management of Ventricular Pseudoaneurysms. 心室假性动脉瘤的处理。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-23 DOI: 10.14744/AnatolJCardiol.2024.4702
Cemal Köseoğlu, Can Ramazan Öncel
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引用次数: 0
Prevalence of Cardiovascular Disease and Comparison of Risk Category Predictions of Systemic Coronary Risk Evaluation Score-2 and 4 Other Cardiovascular Disease Risk Assessment Tools Among People Living with Human Immunodefficiency Virus in Türkiye. 图尔基耶人类免疫缺陷病毒感染者的心血管疾病患病率以及系统冠状动脉风险评估评分-2 和其他 4 种心血管疾病风险评估工具的风险类别预测比较。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-18 DOI: 10.14744/AnatolJCardiol.2024.4558
Elif Tükenmez Tigen, Deniz Gökengin, Hülya Özkan Özdemir, Halis Akalın, Bülent Kaya, Aydın Deveci, Asuman İnan, Dilara İnan, Adalet Altunsoy, Ayşe Serra Özel, İlkay Karaoğlan, Haluk Eraksoy, Tuna Demirdal, Taner Yıldırmak, Serhat Birengel, Ayşe İnci, Arzu Nazlı, Bircan Kayaaslan, Sevgi Özan Köse, Çiğdem Ataman Hatipoğlu, Yasemin Esen, Tuba Koç, Petek Gilik, Volkan Korten

Background: Cardiovascular disease (CVD) is a major cause of mortality among people living with HIV (PLWH). We aimed to assess the prevalence of diagnosed CVD and the risk of CVD among PLWH using 5 different tools.

Methods: This retrospective, cross-sectional study was conducted in 20 tertiary centers in Türkiye between October 2021 and March 2022, among 1425 PLWH aged 40-75 years. About 82.7% were male, with a median age of 51. Web-based tools for each score were used for CVD risk calculations.

Results: Of 1425 PLWH enrolled, 10.8% had confirmed CVD, and 1132 had their risk scores evaluated. Of those participants, 42.8% had a higher risk of CVD (10-year risk of atherosclerotic CVD risk score (ASCVD) above 7.5%), and according to the European Society of Cardiology systemic coronary risk evaluation 2 (SCORE2), 71.7% had a high- to very high-risk rate. The agreement between various CVD risk tools varied, with Framingham heart study risk score (FRS), modified FRS, data collection on adverse effects of anti-HIV drugs (DAD), and SCORE2 for high-risk countries showing overall agreement rates of 82%, 94%, 91%, and 36%, respectively, compared to ASCVD. According to the 2021 European and 2019 American Cardiology guidelines, 75.3% and 47.1% of PLWH would be eligible for lipid-lowering agents, respectively.

Conclusion: The diagnosed CVD prevalence highlighted the importance of monitoring cardiovascular health and comorbidities in this population. SCORE2 identified a greater number of individuals at high/very high risk compared to other prediction tools. The implementation of CVD prevention through lipid-lowering therapy was far from desired levels in our cohort.

背景:心血管疾病(CVD)是导致艾滋病病毒感染者(PLWH)死亡的主要原因。我们的目的是使用 5 种不同的工具评估已确诊心血管疾病的患病率以及艾滋病病毒感染者的心血管疾病风险:这项回顾性横断面研究于 2021 年 10 月至 2022 年 3 月期间在土耳其的 20 家三级医疗中心进行,共有 1425 名年龄在 40-75 岁之间的艾滋病毒感染者参加。男性约占 82.7%,中位年龄为 51 岁。计算心血管疾病风险时使用了各评分的网络工具:在 1425 名参与调查的 PLWH 中,10.8% 已确诊患有心血管疾病,1132 人接受了风险评分评估。其中,42.8%的参与者具有较高的心血管疾病风险(10年动脉粥样硬化性心血管疾病风险评分(ASCVD)高于7.5%),根据欧洲心脏病学会系统性冠状动脉风险评估2(SCORE2),71.7%的参与者具有高风险至极高风险。各种心血管疾病风险工具之间的一致性各不相同,与 ASCVD 相比,高风险国家的弗雷明汉心脏研究风险评分(FRS)、改良 FRS、抗 HIV 药物不良反应数据收集(DAD)和 SCORE2 的总体一致率分别为 82%、94%、91% 和 36%。根据 2021 年欧洲心脏病学指南和 2019 年美国心脏病学指南,分别有 75.3% 和 47.1% 的 PLWH 符合使用降脂药的条件:结论:已确诊的心血管疾病发病率凸显了监测该人群心血管健康和合并症的重要性。与其他预测工具相比,SCORE2 能识别出更多的高风险/极高风险人群。在我们的队列中,通过降脂治疗预防心血管疾病的实施远未达到预期水平。
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引用次数: 0
A Challenging and Rare Morphology in a Patient with Hypertrophic Cardiomyopathy: Quadricuspid Mitral Valve. 肥厚型心肌病患者的罕见病理形态:四尖瓣二尖瓣。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-17 DOI: 10.14744/AnatolJCardiol.2024.4741
Duygu İnan, Muhammet Tekin, Funda Özlem Pamuk, Sevil Tuğrul Yavuz, Ali Fuat Tekin, Serçin Özkök, Alev Kılıçgedik
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引用次数: 0
Atypical Myocardial Infarction Associated with Airbag Deployment: Insights from Electrocardiographic Changes and Intravascular Imaging. 与安全气囊展开有关的非典型心肌梗死:心电图变化和血管内成像的启示。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-17 DOI: 10.14744/AnatolJCardiol.2024.4701
Dong-Tao Li, Yu-Bin Wang, Yan Jiao, Yu Chen, Jian-Yong Zheng
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引用次数: 0
A Simple Method for Obtaining High-Fidelity Pressure Tracings. 获取高保真压力跟踪的简单方法。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-17 DOI: 10.14744/AnatolJCardiol.2024.4679
Emre Aslanger, Burcu Aggül, Emrah Bozbeyoğlu
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引用次数: 0
Reply to Letter to the Editor: "Management of Ventricular Pseudoaneurysms". 回复致编辑的信:"心室假性动脉瘤的治疗"。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-17 DOI: 10.14744/AnatolJCardiol.2024.4703
Muhammed İkbal Şaşmaz, Bülent Demir, Mustafa Uçar, Akkan Avci
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引用次数: 0
Reply to Letter to the Editor: "Critical Review: Methodological and Interpretative Issues in COVID-19 and Acute Coronary Syndrome Study". 回复致编辑的信:"批判性评论:COVID-19和急性冠状动脉综合征研究中的方法和解释问题"。
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-17 DOI: 10.14744/AnatolJCardiol.2024.4660
Özlem Özbek, Mehmet Mustafa Can
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引用次数: 0
Rare Gourd-Shaped Cardiac Hemangioma: Computed Tomography Imaging Characteristics and Clinical Management. 罕见的葫芦形心脏血管瘤:计算机断层扫描成像特征与临床治疗
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-08 DOI: 10.14744/AnatolJCardiol.2024.4860
Jie Wang, Dan Li, Ping Hu, Xiao-Jing Ma, Jun Xie
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引用次数: 0
Lithium Toxicity with Sinus Bradycardia and Takotsubo Syndrome in a Patient with Bipolar Disorder. 双相情感障碍患者锂中毒伴窦性心动过缓和塔克次氏综合征
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-08 DOI: 10.14744/AnatolJCardiol.2024.4749
Spyridon-Filippos Papadopoulos, Evdoxia Stavropoulou, Konstantinos C Theodoropoulos, Antonios Kouparanis, Antonios Ziakas, Theodoros Karamitsos, Matthaios Didagelos
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引用次数: 0
Hsa-circ-ACSL1 Enhances Apoptosis and Autophagy in Myocarditis Cardiomyocytes Through the miR-7-5p/XBP1 Axis. Hsa-circ-ACSL1通过miR-7-5p/XBP1轴增强心肌炎心肌细胞的凋亡和自噬作用
IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-08 DOI: 10.14744/AnatolJCardiol.2024.4472
Fu Li Liang, You Fu Tong, Xiao Chun Zhang, Xiao Feng Ma

Background: Viral myocarditis (VMC) is a common cardiovascular disease, and circular RNAs (circRNAs) have been identified to play an important role in the pathophysiology of cardiovascular disease. However, the clinical significance, biological functions, and regulatory mechanisms of circRNAs in VMC remain poorly understood. Therefore, this study explored the biological functions and regulatory mechanisms of circ-ACSL1 in VMC.

Methods: The animal and cell models of VMC were established by infecting BABL/C mice and interleukin-2 cells with coxsackievirus B3 (CVB3). Pro-inflammatory factors, markers of myocardial injury, apoptosis, and autophagy were detected to evaluate the degree of myocardial inflammation and myocardial injury after altering circ-ACSL1, microRNA-7-5p (miR-7-5p), and X-box binding protein 1 (XBP1) expression alone or in combination.

Results: Knocking down circ-ACSL1 could inhibit inflammation, autophagy, and apoptosis in VMC animals and cells. Mechanistically, circ-ACSL1 targeted miR-7-5p to regulate the downstream target XBP1. In addition, depleting miR-7-5p rescued the therapeutic effect of depleting circ-ACSL1. Overexpression of circ-ACSL1 aggravated VMC; however, this effect was saved by knocking down XBP1.

Conclusion: By competitively absorbing miR-7-5p, circ-ACSL1 increases XBP1 expression and aggravates myocardial inflammation. Meaningfully, VMC treatment may benefit from circ-ACSL1 as a potential biomarker for precise diagnosis and as a potential therapeutic target.

背景:病毒性心肌炎(VMC)是一种常见的心血管疾病:病毒性心肌炎(VMC)是一种常见的心血管疾病,循环 RNA(circRNA)已被确认在心血管疾病的病理生理学中发挥重要作用。然而,人们对 circRNAs 在 VMC 中的临床意义、生物学功能和调控机制仍知之甚少。因此,本研究探讨了 circ-ACSL1 在 VMC 中的生物学功能和调控机制:方法:用柯萨奇病毒 B3(CVB3)感染 BABL/C 小鼠和白细胞介素-2 细胞,建立 VMC 动物模型和细胞模型。检测促炎因子、心肌损伤标志物、细胞凋亡和自噬,以评估单独或联合改变 circ-ACSL1、microRNA-7-5p(miR-7-5p)和 X-box 结合蛋白 1(XBP1)表达后的心肌炎症和心肌损伤程度:结果:敲除 circ-ACSL1 可抑制 VMC 动物和细胞的炎症、自噬和细胞凋亡。从机理上讲,circ-ACSL1以miR-7-5p为靶标,调控下游靶标XBP1。此外,消耗 miR-7-5p 能挽救消耗 circ-ACSL1 的治疗效果。过量表达 circ-ACSL1 会加重 VMC 的病情;然而,通过敲除 XBP1 可以挽救这种效果:结论:通过竞争性吸收 miR-7-5p,circ-ACSL1 增加了 XBP1 的表达并加剧了心肌炎症。因此,将 circ-ACSL1 作为精确诊断的潜在生物标志物和潜在的治疗靶点可能会使 VMC 的治疗受益。
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Anatolian Journal of Cardiology
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