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中国不同射血分数亚型心力衰竭住院患者临床特征分析
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作者 崔晓通 王鹏 +7 位作者 金雪娟 周俊 徐亚妹 michael fu 胡凯 孙爱军 周京敏 葛均波 《中国临床医学》 2023年第5期759-762,共4页
目的比较中国慢性心力衰竭(心衰,HF)患者3种不同左心室射血分数(LVEF)亚型的临床特征。方法基于中国住院患者心力衰竭(CN-HF)注册研究(NCT02079428)入组患者数据,根据LVEF将患者分为3组:LVEF降低(≤40%)组(HFrEF组)、LVEF轻度降低(41%~4... 目的比较中国慢性心力衰竭(心衰,HF)患者3种不同左心室射血分数(LVEF)亚型的临床特征。方法基于中国住院患者心力衰竭(CN-HF)注册研究(NCT02079428)入组患者数据,根据LVEF将患者分为3组:LVEF降低(≤40%)组(HFrEF组)、LVEF轻度降低(41%~49%)组(HFmrEF组),以及LVEF保留(≥50%)组(HFpEF组)。比较各组患者的临床特征。结果共纳入5605例住院心衰患者,男性占59.9%,平均年龄(69.5±13.5)岁。与HFrEF组(n=2068)相比,HFpEF组(n=2941)女性较多(48.5%vs 29.1%),且年龄[(71.1±12.9)岁vs(66.9±13.9)岁]较大,纽约心脏病协会(NYHA)心功能分级Ⅲ~Ⅳ患者较少(43.3%vs 73.7%),高血压更常见(74.3%vs 64.3%)。3组间性别、年龄、心功能分级及高血压发生率差异均有统计学意义(P<0.0001)。所有患者3年全因死亡率为20.7%,HFrEF组、HFmrEF组和HFpEF组患者依次为26.4%、21.6和16.5%(Z=8.5074;P<0.001)。结论与HFrEF患者相比,我国住院的HFpEF患者年龄大、女性多见、合并症发生率较高,但3年随访期间预后相对较好。 展开更多
关键词 心力衰竭 左心室射血分数 临床特征 预后
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Relationship between Physical Inactivity and Long-term Outcome in Patients Aged ≥80 Years with Acute Coronary Syndrome
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作者 李世军 Salim Barywani michael fu 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2018年第1期64-69,共6页
Physical inactivity is very common in octogenarians.However,association between physical inactivity and mortality in octogenarians with acute coronary syndrome(ACS) remains unclear.In this study,we aimed to investig... Physical inactivity is very common in octogenarians.However,association between physical inactivity and mortality in octogenarians with acute coronary syndrome(ACS) remains unclear.In this study,we aimed to investigate association between physical inactivity and allcause mortality in octogenarian patients with ACS.In this study,we included a total of 353 hospitalized patients,aged ≥80 years,with ACS during the period of 5-year follow-up.The association between physical inactivity and all-cause mortality was analyzed by multivariable Cox aggression.Of the enrolled patients,132(37.4%) were defined as physically inactive,and 221(62.6%) as physically active.Patients with physical inactivity tended to have lower survival rate(21.2% vs.56.5%,P〈0.001) and higher mortality rate(78.8% vs.43.5%,P〈0.001),and had a worse long-term outcome than those with physical activity(chi-square=27.52,and log rank P〈0.001).The physical inactivity was still an independent predictor for long-term allcause mortality independent of confounders including age,prior heart failure,stroke,ejection fraction,beta-blocker,clopidogrel and percutaneous coronary intervention(HR:2.35,95% CI:1.26–4.37,P=0.007).Our study demonstrates that physical inactivity is independently related to increased all-cause mortality in octogenarians with ACS. 展开更多
关键词 physical inactivity OCTOGENARIAN acute coronary syndrome MORTALITY
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心肌病的自身免疫发病机制
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作者 廖玉华 michael fu 《临床心血管病杂志》 CAS CSCD 北大核心 2002年第3期97-97,共1页
关键词 心肌病 自身免疫 发病机制
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Increased stromal-cell-derived factor 1 enhances the homing of bone marrow derived mesenchymal stem cells in dilated cardiomyopathy in rats 被引量:5
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作者 ZHOU Yan-li ZHANG Hai-feng +7 位作者 LI Xin-li DI Ruo-min YAO Wen-ming LI Dian-fu FENG Jian-lin HUANG Jun CAO Ke-jiang michael fu 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第22期3282-3287,共6页
Background Stem cell transplantation has been shown to have beneficial effects on dilated cardiomyopathy. However, mechanism for stem cell homing to cardiac tissue in dilated cardiomyopathy has not yet been elucidated... Background Stem cell transplantation has been shown to have beneficial effects on dilated cardiomyopathy. However, mechanism for stem cell homing to cardiac tissue in dilated cardiomyopathy has not yet been elucidated. Methods Mesenchymal stem cells were obtained from rat bone marrow, expanded in vitro, and labeled with 99mmc. Cardiomyopathy model was induced by doxorubicin in rats. 9ernTC labeled cells were infused into the left ventricles in cardiomyopathy and control rats. Sixteen hours after injection, animals were sacrificed and different tissues were harvested to measure specific radioactivity. By use of real-time polymerase chain reaction and immunohistochemistry, mRNA and protein expressions for stromal-cell-derived factor 1 in cardiac tissue were measured. Results Labeling efficiency of mesenchymal stem cells was (70.0±11.2)%. Sixteen hours after mesenchymal stem cell transplantation, the heart-to-muscle radioactivity ratio was increased significantly in cardiomyopathy hearts as compared to control hearts. Both mRNA and protein expressions of cardiomyopathy hearts as compared with control hearts. Conclusion In dilated cardiomyopathy induced by doxorubicin in heart may induce mesenchymal stem cells home to the heart. stromal-cell-derived factor 1 were up-regulated in up-regulated expression of stromal-cell-derived factor I 展开更多
关键词 mesenchymal stem cells stromal-cell-derived factor 1 CARDIOMYOPATHY
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Impact-based forecasting for improving the capacity of typhoon-related disaster risk reduction in typhoon committee region 被引量:1
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作者 Jixin Yu Jinping Liu +2 位作者 Ji-Won Baek Clarence Fong michael fu 《Tropical Cyclone Research and Review》 2022年第3期163-173,共11页
The two most common types of disasters caused by natural hazards in the Asia-Pacific region are floods and storms,many of them associated with typhoon(tropical cyclone)related impacts.To improve the capacity of typhoo... The two most common types of disasters caused by natural hazards in the Asia-Pacific region are floods and storms,many of them associated with typhoon(tropical cyclone)related impacts.To improve the capacity of typhoon-related disaster risk reduction so as to maximum reduce the losses of people’s life and properties,the decision makers and the public are imminently demanding the information of the targeted impact caused by typhoon.As the front line in hydro-meteorological disaster prevention and mitigation against the typhoon-related disasters,National Meteorological and Hydrological Services(NMHSs)in TC Members have recognized that forecasting impact became more important than forecasting pure causing-disaster elements.Impact-based forecasting signals an evolution from“what the weather will be”to“what the weather will do”.Many things change as impact based forecasts evolve from previous weather forecasts.To enhance impact-based typhoon forecasting,the Typhoon Committee added it into the new updated Strategic Plan 2022–2026.This paper briefed generally the concept of impact based forecasting,introduced the implementation and progresses on typhoon impact based forecasting in TC Members in recent years,and initially discussed the measures and direction for enhancement of impact-based typhoon forecasting and early warning services in future. 展开更多
关键词 Impact-based forecast Early warning Hydro-meteorological service Typhoon-related disaster risk reduction
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