BACKGROUND Current treatments for chronic heart failure(CHF)are therapeutically ineffective.The optimization of treatments for this disease needs to be explored and analyzed.AIM To analyze the effect of using Luhong F...BACKGROUND Current treatments for chronic heart failure(CHF)are therapeutically ineffective.The optimization of treatments for this disease needs to be explored and analyzed.AIM To analyze the effect of using Luhong Formula in the cardiac rehabilitation of patients with CHF and its influence on cardiopulmonary function(CPF)and prognosis.METHODS In total,160 patients with CHF admitted between June 2022 and June 2023 were selected,including 75 receiving perindopril(control group)and 85 receiving Luhong Formula(research group).We conducted comparative analyses on the curative effects of traditional Chinese medicine(TCM)syndromes and cardiac function,CPF[oxygen consumption at the anaerobic threshold(VO2 AT)and at peak exercise(peak VO2)],echocardiographic indexes[left atrial volume index(LAVI),left ventricular muscle mass index(LVMI),left ventricular ejection fraction(LVEF)],and prognosis[major adverse cardiovascular events(MACEs)at 6 months follow-up].RESULTS The research group showed markedly higher curative effects of TCM syndromes and cardiac function than the control group.In addition,post-treatment VO2 AT,peak VO2,LVMI and LVEF in the research group were significantly higher,whereas LAVI was significantly lower,than those of the control group.Furthermore,fewer patients in the research group developed MACEs at the 6-month follow-up.CONCLUSION Luhong Formula is more therapeutically effective than perindopril for the cardiac rehabilitation of patients with CHF,specifically in enhancing CPF and prognosis.展开更多
Objective:To probe into the intervening action of polysaccharides of Zhu Zi Shen(Rhizoma Panacis Majoris)(PZZS) on oxidative stress and hemodynamics in rats with adriamycin-induced chronic congestive heart failure(CHF...Objective:To probe into the intervening action of polysaccharides of Zhu Zi Shen(Rhizoma Panacis Majoris)(PZZS) on oxidative stress and hemodynamics in rats with adriamycin-induced chronic congestive heart failure(CHF).Methods:After SD rats were successfully modeled with adriamycin,they were randomly divided into a normal control group,a model group,a PZZS group,and a captopril group,and were administrated respectively.At the end of experiment,the hemodynamic function,whole heart weight index,and the blood CK,SOD,MDA,NO,NOS were detected;and the myocardial morphological examinations were carried out.Results:Compared with the normal control group,the arterial systolic pressure(SBP),diastolic pressure(DBP),mean arterial pressure(MAP),heart rate(HR),left ventricular systolic peak(LVSP),and left ventricular pressure change rate(dp/dtmax) significantly decreased,and left ventricular end diastolic pressure(LVEDP),whole heart weight index,the blood CK,MDA,NO,NOS significantly increased in the model group.PZZS significantly improved the hemodynamic function,lowered the MDA and NO levels,and decreased the CK and NOS activities in the CHF rats.Conclusion:PZZS can improve the hemodynamic function,and alleviate the oxidative stress reaction in the CHF rat.展开更多
Chronic heart failure(CHF)is a severe public health problem with increasing morbidity and mortality,any treatment targeting a single session is insufficient to tackle this.CHF is characterized by reduced cardiac outpu...Chronic heart failure(CHF)is a severe public health problem with increasing morbidity and mortality,any treatment targeting a single session is insufficient to tackle this.CHF is characterized by reduced cardiac output resulting from neurohumoral dysregulation and cardiac remodeling,which might be related to oxidative stress,inflammation,endoplasmic reticulum stress,apoptosis,autophagy,mitochondrial function,and angiogenesis.These molecular mechanisms interact with each other through crosstalk.Historically,Chinese medicinal herbs have been widely applied in the treatment of CHF,and therapeutic effects of Chinese medicinal herbs and their ingredients have been scientifically confirmed over the past decades.Traditional Chinese medicine(TCM)with multiple components can confront the different pathogenesis of CHF through multiple targets.This review analyzes commonly used TCM patent drugs and TCM decoctions that are applicable to different stages of CHF based on clinical trials.Diverse bioactive ingredients in Chinese medicinal herbs have been found to treat CHF via multiple molecular mechanisms.This review comprehensively covers the key works on the effects and underlying mechanisms of TCM,herbal ingredients and synergistic effects of constituent compatibility in treating CHF,providing additional ideas to address this threat.展开更多
Heart failure and kidney disease share common pathophysiological pathways which can lead to mutual dysfunction,known as cardiorenal syndrome.In heart failure patients,renal impairment is related to hemodynamic and non...Heart failure and kidney disease share common pathophysiological pathways which can lead to mutual dysfunction,known as cardiorenal syndrome.In heart failure patients,renal impairment is related to hemodynamic and nonhemodynamic factors.Both decreased renal blood flow and renal venous congestion due to heart failure could lead to impaired renal function.Kidney disease and worsening renal function are independently associated with poor prognosis in heart failure patients,both in acute and chronic clinical settings.The aim of this review is to assess the role of renal imaging modalities in the evaluation and management of heart failure patients.Renal imaging techniques could complete laboratory data,as estimated glomerular filtration rate,exploring different pathophysiological factors involved in kidney disease and adding valuable information about renal structure and function.In particular,Doppler examination of arterial and venous hemodynamics is a feasible and non invasive technique,which has proven to be a reliable method for prognostic stratification in patients with cardiorenal syndrome.The renal resistance index,a measure related to renal hemodynamics,can be calculated from the Doppler evaluation of arterial flow.Moreover,the analysis of Doppler venous flow patterns can integrate information from the arterial study and evaluate renal congestion.Other imaging modalities are promising,but still confined to research purposes.展开更多
[目的]研究鹿红方改善心肌梗死后心肌纤维化的作用机制。[方法]采用冠状动脉结扎法制备心肌梗死后心肌纤维化模型。将60只SD大鼠随机分配至假手术组、模型组、鹿红方组以及培哚普利组,干预4周后用心脏彩色多普勒超声检查测量心脏结构和...[目的]研究鹿红方改善心肌梗死后心肌纤维化的作用机制。[方法]采用冠状动脉结扎法制备心肌梗死后心肌纤维化模型。将60只SD大鼠随机分配至假手术组、模型组、鹿红方组以及培哚普利组,干预4周后用心脏彩色多普勒超声检查测量心脏结构和左室射血分数,苏木精-伊红(hematoxylin-eosin,HE)染色、Masson和天狼星红染色观察心脏组织纤维化病理改变,免疫印迹检测心脏信号转导及转录激活因子3(signal transducer and activator of transcription 3,STAT3)分泌情况,酶联免疫吸附分析(enzymelinked immunosorbent assay,ELISA)检测血清促纤维化因子结缔组织生长因子(connective tissue growth factor,CTGF)、血小板反应蛋白-1(thrombospondin-1,TSP-1)、基质金属蛋白酶抑制剂-1(tissue inhibitor of metalloproteinase-1,TIMP-1)的水平。[结果]心脏彩色多普勒超声检查提示,与模型组比较,鹿红方和培哚普利干预均可抑制左室舒张末容积和左室舒张末内径的增大,而且使左室射血分数明显提升(P<0.05)。与培哚普利组比较,鹿红方组改善心室不良扩大与提高左室射血分数作用相近。HE染色结果显示,与模型组比较,鹿红方组和培哚普利组异常形态的心肌细胞数目明显减少,细胞间质肿胀减轻,炎症细胞浸润减少。Masson和天狼星红染色结果显示,与模型组比较,鹿红方组和培哚普利组干预均可减轻心肌纤维化病变程度。鹿红方组改善上述心肌病理改变和减轻心肌纤维化作用与培哚普利组相近。免疫印迹检测显示,与模型组比较,鹿红方和培哚普利干预均可增加心肌STAT3分泌(P<0.05),鹿红方组促进心肌分泌STAT3的作用与培哚普利组相近,差异无统计学意义(P>0.05)。ELISA结果显示,与模型组比较,鹿红方组与培哚普利组CTGF、TSP-1、TIMP-1水平显著降低(P<0.05),鹿红方组抑制CTGF、TSP-1和TIMP-1分泌作用与培哚普利组相近,差异无统计学意义(P>0.05)。[结论]鹿红方可显著抑制心肌梗死后心肌纤维化,其机制与上调STAT3水平,抑制促纤维化因子CTGF、TSP-1和TIMP-1分泌有关。展开更多
基金Supported by Science and Technology Commission of Shanghai Municipality,No.21Y11920100National Natural Science Foundation of China,No.81904016Baoshan District Health Commission,No.BSZK-2023-Z02.
文摘BACKGROUND Current treatments for chronic heart failure(CHF)are therapeutically ineffective.The optimization of treatments for this disease needs to be explored and analyzed.AIM To analyze the effect of using Luhong Formula in the cardiac rehabilitation of patients with CHF and its influence on cardiopulmonary function(CPF)and prognosis.METHODS In total,160 patients with CHF admitted between June 2022 and June 2023 were selected,including 75 receiving perindopril(control group)and 85 receiving Luhong Formula(research group).We conducted comparative analyses on the curative effects of traditional Chinese medicine(TCM)syndromes and cardiac function,CPF[oxygen consumption at the anaerobic threshold(VO2 AT)and at peak exercise(peak VO2)],echocardiographic indexes[left atrial volume index(LAVI),left ventricular muscle mass index(LVMI),left ventricular ejection fraction(LVEF)],and prognosis[major adverse cardiovascular events(MACEs)at 6 months follow-up].RESULTS The research group showed markedly higher curative effects of TCM syndromes and cardiac function than the control group.In addition,post-treatment VO2 AT,peak VO2,LVMI and LVEF in the research group were significantly higher,whereas LAVI was significantly lower,than those of the control group.Furthermore,fewer patients in the research group developed MACEs at the 6-month follow-up.CONCLUSION Luhong Formula is more therapeutically effective than perindopril for the cardiac rehabilitation of patients with CHF,specifically in enhancing CPF and prognosis.
文摘Objective:To probe into the intervening action of polysaccharides of Zhu Zi Shen(Rhizoma Panacis Majoris)(PZZS) on oxidative stress and hemodynamics in rats with adriamycin-induced chronic congestive heart failure(CHF).Methods:After SD rats were successfully modeled with adriamycin,they were randomly divided into a normal control group,a model group,a PZZS group,and a captopril group,and were administrated respectively.At the end of experiment,the hemodynamic function,whole heart weight index,and the blood CK,SOD,MDA,NO,NOS were detected;and the myocardial morphological examinations were carried out.Results:Compared with the normal control group,the arterial systolic pressure(SBP),diastolic pressure(DBP),mean arterial pressure(MAP),heart rate(HR),left ventricular systolic peak(LVSP),and left ventricular pressure change rate(dp/dtmax) significantly decreased,and left ventricular end diastolic pressure(LVEDP),whole heart weight index,the blood CK,MDA,NO,NOS significantly increased in the model group.PZZS significantly improved the hemodynamic function,lowered the MDA and NO levels,and decreased the CK and NOS activities in the CHF rats.Conclusion:PZZS can improve the hemodynamic function,and alleviate the oxidative stress reaction in the CHF rat.
基金the National Key Research&Development Program of China(Grant Nos.2017YFC1700400,2017YFC1700403)National Natural Science Foundation of China(NNSFC+1 种基金Grant Nos.82073978,81725024,and 82104441)Beijing Natural Science Foundation(Grant No.JQ18026,China)。
文摘Chronic heart failure(CHF)is a severe public health problem with increasing morbidity and mortality,any treatment targeting a single session is insufficient to tackle this.CHF is characterized by reduced cardiac output resulting from neurohumoral dysregulation and cardiac remodeling,which might be related to oxidative stress,inflammation,endoplasmic reticulum stress,apoptosis,autophagy,mitochondrial function,and angiogenesis.These molecular mechanisms interact with each other through crosstalk.Historically,Chinese medicinal herbs have been widely applied in the treatment of CHF,and therapeutic effects of Chinese medicinal herbs and their ingredients have been scientifically confirmed over the past decades.Traditional Chinese medicine(TCM)with multiple components can confront the different pathogenesis of CHF through multiple targets.This review analyzes commonly used TCM patent drugs and TCM decoctions that are applicable to different stages of CHF based on clinical trials.Diverse bioactive ingredients in Chinese medicinal herbs have been found to treat CHF via multiple molecular mechanisms.This review comprehensively covers the key works on the effects and underlying mechanisms of TCM,herbal ingredients and synergistic effects of constituent compatibility in treating CHF,providing additional ideas to address this threat.
文摘Heart failure and kidney disease share common pathophysiological pathways which can lead to mutual dysfunction,known as cardiorenal syndrome.In heart failure patients,renal impairment is related to hemodynamic and nonhemodynamic factors.Both decreased renal blood flow and renal venous congestion due to heart failure could lead to impaired renal function.Kidney disease and worsening renal function are independently associated with poor prognosis in heart failure patients,both in acute and chronic clinical settings.The aim of this review is to assess the role of renal imaging modalities in the evaluation and management of heart failure patients.Renal imaging techniques could complete laboratory data,as estimated glomerular filtration rate,exploring different pathophysiological factors involved in kidney disease and adding valuable information about renal structure and function.In particular,Doppler examination of arterial and venous hemodynamics is a feasible and non invasive technique,which has proven to be a reliable method for prognostic stratification in patients with cardiorenal syndrome.The renal resistance index,a measure related to renal hemodynamics,can be calculated from the Doppler evaluation of arterial flow.Moreover,the analysis of Doppler venous flow patterns can integrate information from the arterial study and evaluate renal congestion.Other imaging modalities are promising,but still confined to research purposes.
文摘[目的]研究鹿红方改善心肌梗死后心肌纤维化的作用机制。[方法]采用冠状动脉结扎法制备心肌梗死后心肌纤维化模型。将60只SD大鼠随机分配至假手术组、模型组、鹿红方组以及培哚普利组,干预4周后用心脏彩色多普勒超声检查测量心脏结构和左室射血分数,苏木精-伊红(hematoxylin-eosin,HE)染色、Masson和天狼星红染色观察心脏组织纤维化病理改变,免疫印迹检测心脏信号转导及转录激活因子3(signal transducer and activator of transcription 3,STAT3)分泌情况,酶联免疫吸附分析(enzymelinked immunosorbent assay,ELISA)检测血清促纤维化因子结缔组织生长因子(connective tissue growth factor,CTGF)、血小板反应蛋白-1(thrombospondin-1,TSP-1)、基质金属蛋白酶抑制剂-1(tissue inhibitor of metalloproteinase-1,TIMP-1)的水平。[结果]心脏彩色多普勒超声检查提示,与模型组比较,鹿红方和培哚普利干预均可抑制左室舒张末容积和左室舒张末内径的增大,而且使左室射血分数明显提升(P<0.05)。与培哚普利组比较,鹿红方组改善心室不良扩大与提高左室射血分数作用相近。HE染色结果显示,与模型组比较,鹿红方组和培哚普利组异常形态的心肌细胞数目明显减少,细胞间质肿胀减轻,炎症细胞浸润减少。Masson和天狼星红染色结果显示,与模型组比较,鹿红方组和培哚普利组干预均可减轻心肌纤维化病变程度。鹿红方组改善上述心肌病理改变和减轻心肌纤维化作用与培哚普利组相近。免疫印迹检测显示,与模型组比较,鹿红方和培哚普利干预均可增加心肌STAT3分泌(P<0.05),鹿红方组促进心肌分泌STAT3的作用与培哚普利组相近,差异无统计学意义(P>0.05)。ELISA结果显示,与模型组比较,鹿红方组与培哚普利组CTGF、TSP-1、TIMP-1水平显著降低(P<0.05),鹿红方组抑制CTGF、TSP-1和TIMP-1分泌作用与培哚普利组相近,差异无统计学意义(P>0.05)。[结论]鹿红方可显著抑制心肌梗死后心肌纤维化,其机制与上调STAT3水平,抑制促纤维化因子CTGF、TSP-1和TIMP-1分泌有关。
