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HEART和HEARTS3评分体系对非ST段抬高胸痛患者心血管事件风险的评估价值对比 被引量:14
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作者 赵燕 张毅刚 +4 位作者 王海波 任淑红 曹秋玫 蒋春英 王森 《岭南心血管病杂志》 2017年第4期365-368,共4页
目的对比HEART和HEARTS3评分体系对非ST段抬高胸痛患者心血管事件风险的评估作用,探讨其临床应用价值。方法以徐州市中心医院2012年8月至2015年8月收治的351例非ST段抬高胸痛患者为研究对象,进行回顾性分析。记录患者发病后30 d内心血... 目的对比HEART和HEARTS3评分体系对非ST段抬高胸痛患者心血管事件风险的评估作用,探讨其临床应用价值。方法以徐州市中心医院2012年8月至2015年8月收治的351例非ST段抬高胸痛患者为研究对象,进行回顾性分析。记录患者发病后30 d内心血管事件(急性冠脉综合征)发生情况,并分别应用HEART、HEARTS3评分体系评价其危险分层,运用受试者工作特征(receiver operator characteristic,ROC)曲线及曲线下面积(AUC)计算两种评分体系评估患者预后的灵敏度、特异性,并比较。结果治疗30 d后共有42例患者发生急性冠脉综合征,发生率为11.97%,其中急性心肌梗死26例,不稳定型心绞痛16例。发生组年龄及糖尿病、原发性高血压(高血压)、吸烟、高脂血症、冠状动脉粥样硬化性心脏病(冠心病)家族史、心肌梗死史、经皮冠状动脉介入(PCI)治疗史、冠状动脉疾病史患者比例均高于未发生组,差异有统计学意义(P<0.05)。HEART评分体系高危者,其预测急性冠脉综合征、急性心肌梗死的准确率分别为70.37%、44.44%,均低于HEARTS3评分的83.78%%、67.57%,差异有统计学意义(P<0.05)。HEART预测治疗30 d后急性冠脉综合征、急性心肌梗死的灵敏度、特异性、曲线下面积均低于HEARTS3评分体系,差异有统计学意义(P<0.05)。结论 HEART和HEARTS3评分体系均可有效评估非ST段抬高胸痛患者心血管事件发生风险,HEARTS3评分准确性更高,对胸痛患者疾病的快速诊断及预后判断具有更高的价值。 展开更多
关键词 HEART评分 非ST段抬高 胸痛 心血管事件 风险评估
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The Impacts of Maternal Gestational Diabetes Mellitus (GDM) on Fetal Hearts 被引量:20
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作者 CHU Chen GUI Yong Hao +1 位作者 PEN Yun Yun SHI Li Ye 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2012年第1期15-22,共8页
Objective To evaluate the fetal cardiac function in gestational diabetes mellitus (GDM) pregnancies under different maternal glycemic controls. Methods Forty four GDM mothers received 78 fetal echocardiographic eval... Objective To evaluate the fetal cardiac function in gestational diabetes mellitus (GDM) pregnancies under different maternal glycemic controls. Methods Forty four GDM mothers received 78 fetal echocardiographic evaluations at three gestational periods (〈28, 28-34 and ≥34 weeks) and were divided into poorly-(DM1) and well-(DM2) controlled groups according to their glycemic control at examination. Seventy uncomplicated mothers were selected as controls. Parameters of fetal cardiac anatomy and function were measured and analyzed. Results GDM fetuses' cardiac ventricular walls were thicker than controls', and the differences between DM1 and DM2 were not significant except for end-diastolic left ventricular walls. In both GDM groups, the aortic flow velocities increased earlier than pulmonary artery and DM1 fetuses changed earlier than DM2 ones. GDM fetuses' left atrial shortening fraction was smaller than the controls' in the period of ≥34 weeks and negatively correlated with thicknesses of left ventricular walls and interventricular septum in DM1 fetuses (r=-0.438 and -0.506). The right ventricular diastolic function in DM1 and DM2 fetuses decreased after the period of 28-34 weeks and in the period of ≥34 weeks respectively. Tel index of both left and right ventricles increased in DM1 group after the period of 〈28 weeks and in DM2 group only in the period of ≥ 34 weeks, with no significant differences between DM1 and DM2 groups in this period. Conclusion Fetuses of GDM mothers showed cardiac function impairments. Good maternal glycemic control may delay the impairments, but cannot reduce the degree. Some cardiac changes in GDM fetuses were similar to those in pregestational diabetic pregnancies except for several parameters and their changing time. 展开更多
关键词 Gestational diabetes mellitus (GDM) FETAL hearts Tel Index Glycemic contro
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HEARTS3评分系统对急性胸痛患者重大心血管不良事件的预测价值 被引量:10
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作者 黄志明 刘红 《中国循证心血管医学杂志》 2019年第10期1244-1247,共4页
目的探讨HEARTS3评分系统对急性胸痛患者30 d重大心血管不良事件(MACE)的预测价值。方法选取2016年1月至2019年5月于洪湖市人民医院心血管内科收治的620例急性胸痛患者为研究对象,所有患者均使用HEART和HEARTS3评分系统对患者病情的危... 目的探讨HEARTS3评分系统对急性胸痛患者30 d重大心血管不良事件(MACE)的预测价值。方法选取2016年1月至2019年5月于洪湖市人民医院心血管内科收治的620例急性胸痛患者为研究对象,所有患者均使用HEART和HEARTS3评分系统对患者病情的危险程度评分,并对两组发病后30 d内的MACE发生情况随访。分析评分结果与MACE发生的关系,并比较两种评分系统对MACE的预测价值。结果发病后30 d内共75例(12.10%)患者发生MACE,非MACE患者545例(87.90%)。MACE组的平均年龄明显大于非MACE组,男性占比及糖尿病、高血压、吸烟、血脂异常、心肌梗死病史、冠心病家族史、经皮冠状动脉介入治疗(PCI)史发生率均显著高于非MACE组(P<0.05)。HEART与HEARTS3评分低危者均未发生MACE。HEARTS3评分高危者中的MACE发生率显著高于HEART评分高危者,中危者的MACE发生率显著低于HEART评分中危者(P<0.05)。ROC曲线显示HEART评分为6分时,AUC值最大(0.909),预测的敏感性、特异性分别为71.85%、97.60%;HEARTS3评分为10分时,AUC值最大(0.974),预测的敏感性、特异性分别为85.82%、97.82%。HEART与HEARTS3评分系统预测MACE的特异性接近(P>0.05),与HEART评分系统相比,HEARTS3评分系统对MACE的预测敏感性更高(P<0.05)。结论 HEART和HEARTS3评分系统均可用于急性胸痛患者的危险分层,但HEART3评分系统对患者MACE发生风险的预测敏感性更高。 展开更多
关键词 重大心血管不良事件 急性胸痛 hearts3评分系统 预测价值
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HEART和HEARTS_(3)评分危险分层对非ST段抬高胸痛患者预后判断的应用研究 被引量:1
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作者 陈志华 陈旭侠 +2 位作者 张薛晖 陈杰 江涛 《全科医学临床与教育》 2022年第9期798-801,共4页
目的比较心脏评分(HEART)与改良心脏评分(HEARTS_(3))对非ST段抬高胸痛患者(NSTECP)预后判断的准确性和敏感性。方法收集2018年6月至2020年8月期间就诊于三家医院急诊的胸痛患者数据,≥20岁的非创伤性NSTECP患者进入研究队列。应用HEART... 目的比较心脏评分(HEART)与改良心脏评分(HEARTS_(3))对非ST段抬高胸痛患者(NSTECP)预后判断的准确性和敏感性。方法收集2018年6月至2020年8月期间就诊于三家医院急诊的胸痛患者数据,≥20岁的非创伤性NSTECP患者进入研究队列。应用HEART和HEARTS_(3)两种方法进行评分和危险分层,将患者分为低危(HEARTS_(3)和HEART评分均为0~3分)、中危(HEARTS_(3)4~7分和HEART评分4~6分)、高危(HEARTS_(3)为8~14分,HEART评分为7~10分)、极高危(HEARTS_(3)评分15~25分),统计分析两种评分各危险层患者出院后30 d内急性冠脉综合征(ACS)发生率,并运用受试者工作特征(ROC)曲线及曲线下面积(AUC)对照分析两种评分体系评估患者预后的灵敏度、特异度。结果共有208名患者被纳入评分研究,在HEART评分低、中、高危及以上患者的ACS发生率分别为3.37%、17.64%和70.58%,HEARTS_(3)评分分别为1.68%、16.67%、86.96%,高危组ACS发生率比较,差异有统计学意义(χ^(2)=3.88,P<0.05)。HEART与HEARTS_(3)评分预测出院后30 d内发生ACS的AUC分别为0.88(95%CI 0.81~0.94,P<0.05)和0.94(95%CI 0.90~0.98,P<0.05),灵敏度分别为81.82%和87.88%,特异度分别为76.00%和86.28%。结论在医院急诊,HEARTS_(3)和HEART评分可有效判别NSTECP中高危患者,HEARTS_(3)比HEART评分有更高的预后判断灵敏度和准确度。 展开更多
关键词 急性冠脉综合征 急性胸痛 HEART评分 风险评估
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Upregulation of Zip14 correlates with induction of endoplasmic reticulum stress(ERS)in hypertrophied hearts of Dahl saltsensitive rats
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作者 JINYONG HUANG TIANMING TENG +5 位作者 BO BIAN YUCHEN XUE LONGFEI HUANG ZHELONG XU QING YANG YUEMIN SUN 《BIOCELL》 SCIE 2022年第3期667-675,共9页
Zinc is a trace element involved in maintaining cellular structure and function.Although zinc is associated with left ventricular hypertrophy(LVH),there have been few reports on this association.This study aimed to ev... Zinc is a trace element involved in maintaining cellular structure and function.Although zinc is associated with left ventricular hypertrophy(LVH),there have been few reports on this association.This study aimed to evaluate the correlation between Zip14 and expression of endoplasmic reticulum stress(ERS)associated molecules in hypertrophied hearts of rats.Dahl salt-sensitive rats were fed a high salt diet to establish a left ventricular hypertrophy(LVH)rat model.RT-PCR was used to determine Zip14,activating transcription factor(ATF4),ATF6,x-box-binding protein 1(xBP1),C/EBP homologous protein(CHOP),immunoglobulin-binding protein(BiP)mRNA expression.Western blotting was used to evaluate Zip14,BiP,CHOP,GAPDH expression.Zinc levels were measured by Inductively Coupled Plasma Optical Emission Spectroscopy.The results indicated that compared with the Control group,Zip14 mRNA and protein expression in LVH rat hearts were markedly increased(P<0.01).Zinc content in rat heart tissue was significantly increased in the LVH group compared with the Control group(P<0.05).ATF4,ATF6,xBP1 mRNA expressions were increased in LVH rat hearts compared with Control hearts(P<0.001).Compared with the Control group,CHOP and BiP mRNA and protein expression were markedly increased in LVH rat hearts(P<0.05,P<0.01).Linear regression models showed that Zip14 mRNA expressions were positively correlated with zinc concentration,ATF4 and ATF6 mRNA expressions in Control hearts(P=0.0005,P=0.0052,P=0.0026,respectively)and LVH rat hearts(P<0.0001,P=0.0119,P=0.0033,respectively).In conclusion,upregulation of Zip14 in LVH rat hearts correlated with zinc accumulation and induction of ERS. 展开更多
关键词 ZINC Zip14 Endoplasmic reticulum stress(ERS) Left ventricular hypertrophy(LVH) Rat hearts
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Stem cell therapy for failing hearts:there is somethingelse beyond the cells
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作者 Gianluca Rigatelli Francesco Zanon 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2006年第3期162-164,共3页
关键词 CELL Stem cell therapy for failing hearts
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Muscling up damaged hearts through cell therapy
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作者 Chi Van Dang 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2006年第3期161-,共1页
关键词 CELL Muscling up damaged hearts through cell therapy
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Connecting Hearts——The BRI Brings People Closer
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作者 MA LI 《China Today》 2019年第5期34-37,共4页
"Since childhood, my hometown had been suffering power outages. Later I went to China to study hydropower. After graduation, I came to work at the Nam Phay Hydropower Station built by China North Industries Corpo... "Since childhood, my hometown had been suffering power outages. Later I went to China to study hydropower. After graduation, I came to work at the Nam Phay Hydropower Station built by China North Industries Corporation (NORINCO), and witnessed tremendous changes in my hometown,” said Xaysee, a young man from Laos. This is an example of the change brought by the Belt and Road Initiative to the partner countries, the epitome of strengthening people-to-people ties. 展开更多
关键词 Connecting hearts BRI
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Capturing Young People’s Hearts with Music——A Sketch of Composer Gu Jianfen
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《China & The World Cultural Exchange》 1992年第1期15-16,共2页
Cu Jianfen,a notedChinese composer,has written manysongs covering many topics.Her songs are easy to under-stand and sing and are verypopular.It is fair to say thather songs are both artisticpop songs and popular artso... Cu Jianfen,a notedChinese composer,has written manysongs covering many topics.Her songs are easy to under-stand and sing and are verypopular.It is fair to say thather songs are both artisticpop songs and popular artsongs,and that that is thegoal of her career.Gu has written about 800songs for Chinese singersand audiences in the past10 years,revealing both herpassion for composing andher diligent work ethic.Hersongs are especially lovedby young people,and she iswell Known as “an intimatefriend of young people”inChina.One of her earlysongs,“Let Us YoungFriends Meet,”struck achord in the hearts of youngpeople and made a stir 展开更多
关键词 COMPOSER STAND COVERING young CAREER composing posed rider hearts REVEALING
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Wings of Dream Spread, Hearts Soar above Sea——Review on A Dream by the Sea
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作者 尹志成 《杂技与魔术》 2007年第1期36-37,共2页
In any case, it shows that over thousands of hundreds of years, the inseparable connection between human beings and the sea has been generating enormous curiosity, yearning, romances and ardors. Even for someone who w... In any case, it shows that over thousands of hundreds of years, the inseparable connection between human beings and the sea has been generating enormous curiosity, yearning, romances and ardors. Even for someone who was brought 展开更多
关键词 hearts Soar above Sea Review on A Dream by the Sea Wings of Dream Spread show
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Cooking Class:Stir-Fried Rape Hearts in White Sauce(Naiyou Caixin)
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《China Today》 2001年第10期72-72,共1页
关键词 Naiyou Caixin MSG Cooking Class:Stir-Fried Rape hearts in White Sauce
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Building a Bridge Connecting the Hearts of People in Japan and China
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作者 Nakata Sen Bai Ruijun 《International Understanding》 2012年第3期51-51,共1页
At the time marking the 40th anniversary of the normalization of Japan-China diplomatic relationship the public show of Hiroshima Kagura was successfully staged in China. As the sponsor on the Japanese side, first of ... At the time marking the 40th anniversary of the normalization of Japan-China diplomatic relationship the public show of Hiroshima Kagura was successfully staged in China. As the sponsor on the Japanese side, first of all, I would like to express 展开更多
关键词 Building a Bridge Connecting the hearts of People in Japan and China SHOW
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MAKE CONCERTED EFFORTS TO BRING OUR HEARTS CLOSER FOR JOINTLY BUILDING BELT AND ROAD KEYNOTE ADDRESS AT THE THEMATIC SESSION ON PEOPLE-TO-PEOPLE CONNECTIVITY, BELT AND ROAD FORUM FOR INTERNATIONAL COOPERATION
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作者 SONG TAO 《Contemporary World》 2017年第3期5-7,共3页
Distinguished Guests,Ladies and gentlemen,Dear friends,Good afternoon.Let me begin by extending my warmest welcome to all of you to this thematic session on peopleto-people connectivity on behalf of the International ... Distinguished Guests,Ladies and gentlemen,Dear friends,Good afternoon.Let me begin by extending my warmest welcome to all of you to this thematic session on peopleto-people connectivity on behalf of the International Department of the CPC Central Committee,the organizer of this event.Thanks to the concerted efforts 展开更多
关键词 In BELT AND ROAD FORUM FOR INTERNATIONAL COOPERATION MAKE CONCERTED EFFORTS TO BRING OUR hearts CLOSER FOR JOINTLY BUILDING BELT AND ROAD KEYNOTE ADDRESS AT THE THEMATIC SESSION ON PEOPLE-TO-PEOPLE CONNECTIVITY
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周生生情人节系列Hearts & Arrows拥抱
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《半岛新生活》 2008年第3期11-11,共1页
周生生为一年一度的情人节推出多款钻石吊饰,让大家可以一系列别出心裁的设计,向挚爱表达关怀和爱意,令佳节变得更加难忘。周生生情人节吊饰系列由日本设计师主理,着重精细的手工,巧妙地运用周边的金属承托中间的Hearts&Arrows主石。
关键词 Arrows hearts 八心八箭 承托 花纹图案 客户服务热线 花形
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The protective effect of diazoxide on rat hearts during hypothermic preservation
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作者 严志焜 《外科研究与新技术》 2005年第3期196-197,共2页
To assess whether diazoxide could enhance myocardial protection during hypothermic preservation of the rat heart.Methods Langendorff model of isolated rat heart was used.After 30 minutes stabilization,the hearts were ... To assess whether diazoxide could enhance myocardial protection during hypothermic preservation of the rat heart.Methods Langendorff model of isolated rat heart was used.After 30 minutes stabilization,the hearts were stored in 4 ℃ Celsior cardioplegia solution or Celsior solution containing mitoK ATP opener diazoxide (30 μmol/L) with or without mitoK ATP blocker 5-hydroxydecanoate (5-HD,100 μmol/L) for 3,5 or 10 hours followed by 60 minutes reperfusion.The recovery of cardiac function,myocardial enzyme leakage in the coronary effluent and myocardial water content were observed.The myocardial ultrastructure was also determined.Results (1) Diazoxide improved the recovery percent age of left ventricular developed pressure and ± dp/dt max .Moreover,left ventricular end-diastolic pressure was significantly lower in dizoxide treated hearts than hearts in control group after cold preservation for 5,10 hours,respectively.(2) Compared with the preservation in Celsior solution only,the myocardial enzyme leakage in the coronary effluent was significantly reduced in diazoxide groups.(3) Diazoxide significantly decreased the water content of myocardium and increased coronary flow of the hearts compared to control rat hearts.(4) The cardiac effects of diazoxide were attenuated by 5-HD.(5) Myocardial ultrastructure injury was alleviated.Conclusion The results suggest that diazoxide could enhance myocardial protection during hypothermic preservation of the rat heart,involving the activation of Mitochondrial ATP-sensitive potassium channel.5 refs,1 fig, 1 tab. 展开更多
关键词 protective hearts PRESERVATION
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Winning Foreign Hearts
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作者 Tang Yuankai 《ChinAfrica》 2015年第11期26-27,共2页
the global market, Chinese TV dramas have seen more success in Africa than in any other region. A family comedy, A Beautiful Daughter-in-Law Era, which tells the story of a newly married couple coping with meddling i... the global market, Chinese TV dramas have seen more success in Africa than in any other region. A family comedy, A Beautiful Daughter-in-Law Era, which tells the story of a newly married couple coping with meddling in-laws, became a hit in Tanzania after premiering there in 2013. 展开更多
关键词 Winning Foreign hearts RADIO
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Hearts and Minds
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作者 Yu Nan 《ChinAfrica》 2015年第12期60-61,共2页
PROFESSIONAL ballerina Yu Chuanya sets high standards for herself. After a recent long haul flight from Beijing to Johannesburg, the 25-year-old went straight into intensive rehearsals soon after landing, ignoring the... PROFESSIONAL ballerina Yu Chuanya sets high standards for herself. After a recent long haul flight from Beijing to Johannesburg, the 25-year-old went straight into intensive rehearsals soon after landing, ignoring the effects of jet lag in pursuit of her craft. What drove her passion was the unique collaboration on the ballet classic Swan Lake, iointly presented by Joburg Ballet of South Africa and Liaoning Ballet of China. 展开更多
关键词 hearts and Minds
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Cardioprotective Effects of Melatonin on Recovery of Rat Donor Hearts after 12-Hour Preservation
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作者 高思海 李平 +1 位作者 潘铁成 杨辰垣 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2003年第4期407-410,共4页
The cardioprotective effects of melatonin on recovery of rat donor hearts after 12 h of preservation were investigated. Wistar rats weighing 200 to 250 g ( n =24) were randomly divided into 3 groups. In the non sto... The cardioprotective effects of melatonin on recovery of rat donor hearts after 12 h of preservation were investigated. Wistar rats weighing 200 to 250 g ( n =24) were randomly divided into 3 groups. In the non storage group ( n =8), donor hearts were not stored. In the melatonin group ( n =8), donor hearts were stored in 4 ℃ St. Thomas solution with melatonin (0.1 mmo1/L). In the control group ( n =8), donor hearts were stored in 4 ℃ St. Thomas solution only. The coronary flow (CF), cardiac function, coronary vasodilatory response, creatine kinase (CK) and high energy phosphate levels were measured after the hearts had been preserved for 12 h. Transmission electron microscopy was used to examine the microstructural changes after 12 h of preservation. The recovery of cardiac function and coronary vasodilatory response were significantly improved in the melatonin group ( P <0.01). CK release decreased greatly in the melatonin group ( P <0.01). High energy phosphate levels were significantly better preserved in the melatonin group ( P <0.01). Histological findings were much better in the melatonin group than in the control group. These results suggest that melatonin has cardioprotective effects on the recovery of rat donor hearts after 12 h of preservation. 展开更多
关键词 MELATONIN donor heart preservation TRANSPLANTATION ischemia reperfusion
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Bone marrow mesenchymal stem cell transplantation retards the natural senescence of rat hearts
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期196-196,共1页
Aim Aging is an independent risk factor for heart disease, however the effective intervention has not been found so far. Bone marrow mesenchymal stem cells (BMSCs) have been shown to offer a wide variety of cel- l... Aim Aging is an independent risk factor for heart disease, however the effective intervention has not been found so far. Bone marrow mesenchymal stem cells (BMSCs) have been shown to offer a wide variety of cel- lular functions including the protective effects on damaged hearts. Here we investigated the antiaging properties of BMSCs and the underlying mechanism in a cellular model of cardiomyocyte senescence and a rat model of aging hearts. Methods In vitro study, neonatal rat ventricular cells (NRVCs) and BMSCs were cocultured in the same dish with a semipermeable membrane to separate the two populations. In vivo, the BMSCs were injected into the rat hearts to observe their antiaging effects. The expression of β-galactosidase and aging-related proteins, and the lev- els of oxidative stress were determined in vivo and in vitro. The heart function was measured by the High-Resolution Imaging System. Results Monocultured NRVCs displayed the senescence-associated phenotypes, characterized by an increase in the number of β-galaetosidase-positive cells and decreases in the degradation and disappearance of cellular organelles in a time-dependent manner. The levels of reactive oxygen species and malondialdehyde were el- evated, whereas the activities of antioxidant enzymes superoxide dismutase and glutathione peroxidase were de- creased, along with upregulation of p53, p21cipl/wafl and p16INK4a in the aging eardiomyoeytes. These deleterious alterations were abrogated in aging NRVCs cocultured with BMSCs. Qualitatively, the same senescent phenotypes were consistently observed in aging rat hearts. Notably, BMSC transplantation significantly prevented these detri- mental alterations and improved the impaired cardiac function in the aging rats. Conclusions BMSCs possess strong antiseneseence action on the aging NRVCs and hearts and can improve cardiac function after transplantation in aging rats. The present study, therefore, provides an alternative approach for the treatment of heart failure in the elderly population. 展开更多
关键词 Key words: SENESCENCE bone MARROW MESENCHYMAL stem cells HEART REACTIVE oxygen species p53 p21Cipl/Wafl
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Metabolic vs. functional effects of endothelin on isolated perfused working rat hearts
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作者 夏照帆 史胜军 陈玉林 《Journal of Medical Colleges of PLA(China)》 CAS 1999年第3期188-192,共5页
关键词 ENDOTHELIN-1 HEART NMR SPECTROSCOPY
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