Objective:To evaluate the immediate effect of Kuanxiong Aerosol(KXA)on perioperative coronary microcirculation in patients with unstable angina(UA)suffering from elective percutaneous coronary intervention(PCI).Method...Objective:To evaluate the immediate effect of Kuanxiong Aerosol(KXA)on perioperative coronary microcirculation in patients with unstable angina(UA)suffering from elective percutaneous coronary intervention(PCI).Methods:From February 2021 to July 2023,UA inpatients who underwent PCI alone in the left anterior descending(LAD)branch were included.Random numbers were generated to divide patients into the trial group and the control group at a ratio of 1:1.The index of coronary microcirculation resistance(IMR)was measured before PCI,and the trial group was given two sprays of KXA,while the control group was not given.IMR was measured again after PCI,cardiac troponin I(cTnI)and creatine kinase isoenzyme-MB(CK-MB)were detected before and 24 h after surgery,and major cardiovascular adverse events(MACEs)were recorded for 30 days.The data statistics and analysis personnel were blinded.Results:Totally 859 patients were screened,and 62 of them were involved into this study.Finally,1 patient in the trial group failed to complete the post-PCI IMR and was excluded,30 patients were included for data analysis,while 31 patients in the control group were enrolled in data analysis.There was no significant difference in baseline data(age,gender,risk factors,previous history,biochemical index,and drug therapy,etc.)between the two groups.In addition,differences in IMR,cTnI and CK-MB were not statistically significant between the two groups before surgery.After PCI,the IMR level of the trial group was significantly lower than that of the control group(19.56±14.37 vs.27.15±15.03,P=0.048).Besides,the incidence of perioperative myocardial injury(PMI)was lower in the trial group,but the difference was not statistically significant(6.67%vs.16.13%,P=0.425).No MACEs were reported in either group.Conclusions:KXA has the potential of improving coronary microvascular dysfunction.This study provides reference for the application of KXA in UA patients undergoing elective PCI.展开更多
Objective:To study the effect of Shexiang Tongxin Dropping Pill(STDP)on angiogenesis in diabetic cardiomyopathy mice with coronary microcirculation dysfunction(CMD).Methods:According to a random number table,6 of 36 S...Objective:To study the effect of Shexiang Tongxin Dropping Pill(STDP)on angiogenesis in diabetic cardiomyopathy mice with coronary microcirculation dysfunction(CMD).Methods:According to a random number table,6 of 36 SPF male C57BL/6 mice were randomly selected as the control group,and the remaining 30 mice were injected with streptozotocin intraperitoneally to replicate the type 1 diabetes model.Mice successfully copied the diabetes model were randomly divided into the model group,STDP low-dose group[15 mg/(kg·d)],medium-dose group[30 mg/(kg·d)],high-dose group[60 mg/(kg·d)],and nicorandil group[15 mg/(kg·d)],6 in each group.The drug was given by continuous gavage for 12 weeks.The cardiac function of mice in each group was detected at the end of the experiment,and coronary flow reserve(CFR)was detected by chest Doppler technique.Pathological changes of myocardium were observed by hematoxylin-eosin staining,collagen fiber deposition was detected by masson staining,the number of myocardial capillaries was detected by platelet endothelial cell adhesion molecule-1 staining,and the degree of myocardial hypertrophy was detected by wheat germ agglutinin staining.The expression of the vascular endothlial growth factor(VEGF)/endothelial nitric oxide synthase(eNOS)signaling pathway-related proteins in myocardial tissue was detected by Western blot.Results:Compared with the model group,medium-and high-dose STDP significantly increased the left ventricular ejection fraction and left ventricular fraction shortening(P<0.01),obviously repaired the disordered cardiac muscle structure,reduced myocardial fibrosis,reduced myocardial cell area,increased capillary density,and increased CFR level(all P<0.01).Western blot showed that high-dose STDP could significantly increase the expression of VEGF and promote the phosphorylation of vascular endothelial growth factor receptor 2,phosphoinositide 3-kinase,protein kinase B,and eNOS(P<0.05 or P<0.01).Conclusion:STDP has a definite therapeutic effect on diabetic CMD,and its mechanism may be related to promoting angiogenesis through the VEGF/eNOS signaling pathway.展开更多
Objective:To explore the effectiveness of Danhong Injection(丹红注射液)on improving microcirculatory injury after percutaneous coronary intervention(PCI)in patients with coronary heart disease(CHD).Methods:A randomize...Objective:To explore the effectiveness of Danhong Injection(丹红注射液)on improving microcirculatory injury after percutaneous coronary intervention(PCI)in patients with coronary heart disease(CHD).Methods:A randomized controlled trial was conducted and 90 patients were enrolled.A random sequence was generated using statistical analysis software.Patients with microcirculatory injuries after PCI were randomly divided into 3 groups for treatment(30 subjects in each group):Danhong Injection group:after PCI,Danghong Injections were given with intravenous administration with 40 mL twice a day for a week;statins intensive group:after PCI,atorvastatin calcium tablets were given oral medication with 80 mg once,and then atorvastatin 40 mg daily for 1 week;the control group:after PCI,atorvastatin calcium tablets were given oral medication with 10–20 mg daily for 1 week.The index of microcirculation resistance(IMR)was used to assess microcirculatory injury during PCI.The IMR of the target vessel was reexamined after 1 week of drug treatment.Results:After one week's drug treatment,IMR was significantly decreased in both statins intensive group and Danhong Injection group compared with the control group(P<0.01),but no difference was found between statins intensive group and Danhong injection group(14.03±2.54 vs.16.03±5.72 U,P=0.080).Conclusions:The efficacy of Danhong Injection is non-inferior to statin.Early use of Danhong Injection after PCI can effectively improve coronary microcirculation injury after PCI.展开更多
The left anterior descending （LAD） coronary artery is the main vessel of human coronary circulation, and life-threa- tening consequences are seen when flow in this area is im- paired, Noninvasive measurement of coro...The left anterior descending （LAD） coronary artery is the main vessel of human coronary circulation, and life-threa- tening consequences are seen when flow in this area is im- paired, Noninvasive measurement of coronary flow re- serve （CFR）, defined as the ratio of maximal to baseline coronary blood flow, has been repeatedly shown to be a feasible technique by ultrasound transthoracic Doppler （TTD） both in the LAD and, with some limitations, in the posterior descending （PD） coronary artery.展开更多
基金Supported by Capital's Funds for Health Improvement and Research(No.2022-1-2231)Beijing Science and Technology Program(No.Z221100007422127)Beijing Municipal Hospital Administration Green Seedling Talent Project(No.QML20231003)。
文摘Objective:To evaluate the immediate effect of Kuanxiong Aerosol(KXA)on perioperative coronary microcirculation in patients with unstable angina(UA)suffering from elective percutaneous coronary intervention(PCI).Methods:From February 2021 to July 2023,UA inpatients who underwent PCI alone in the left anterior descending(LAD)branch were included.Random numbers were generated to divide patients into the trial group and the control group at a ratio of 1:1.The index of coronary microcirculation resistance(IMR)was measured before PCI,and the trial group was given two sprays of KXA,while the control group was not given.IMR was measured again after PCI,cardiac troponin I(cTnI)and creatine kinase isoenzyme-MB(CK-MB)were detected before and 24 h after surgery,and major cardiovascular adverse events(MACEs)were recorded for 30 days.The data statistics and analysis personnel were blinded.Results:Totally 859 patients were screened,and 62 of them were involved into this study.Finally,1 patient in the trial group failed to complete the post-PCI IMR and was excluded,30 patients were included for data analysis,while 31 patients in the control group were enrolled in data analysis.There was no significant difference in baseline data(age,gender,risk factors,previous history,biochemical index,and drug therapy,etc.)between the two groups.In addition,differences in IMR,cTnI and CK-MB were not statistically significant between the two groups before surgery.After PCI,the IMR level of the trial group was significantly lower than that of the control group(19.56±14.37 vs.27.15±15.03,P=0.048).Besides,the incidence of perioperative myocardial injury(PMI)was lower in the trial group,but the difference was not statistically significant(6.67%vs.16.13%,P=0.425).No MACEs were reported in either group.Conclusions:KXA has the potential of improving coronary microvascular dysfunction.This study provides reference for the application of KXA in UA patients undergoing elective PCI.
基金Supported by the National Natural Science Foundation of China(No.81930113)。
文摘Objective:To study the effect of Shexiang Tongxin Dropping Pill(STDP)on angiogenesis in diabetic cardiomyopathy mice with coronary microcirculation dysfunction(CMD).Methods:According to a random number table,6 of 36 SPF male C57BL/6 mice were randomly selected as the control group,and the remaining 30 mice were injected with streptozotocin intraperitoneally to replicate the type 1 diabetes model.Mice successfully copied the diabetes model were randomly divided into the model group,STDP low-dose group[15 mg/(kg·d)],medium-dose group[30 mg/(kg·d)],high-dose group[60 mg/(kg·d)],and nicorandil group[15 mg/(kg·d)],6 in each group.The drug was given by continuous gavage for 12 weeks.The cardiac function of mice in each group was detected at the end of the experiment,and coronary flow reserve(CFR)was detected by chest Doppler technique.Pathological changes of myocardium were observed by hematoxylin-eosin staining,collagen fiber deposition was detected by masson staining,the number of myocardial capillaries was detected by platelet endothelial cell adhesion molecule-1 staining,and the degree of myocardial hypertrophy was detected by wheat germ agglutinin staining.The expression of the vascular endothlial growth factor(VEGF)/endothelial nitric oxide synthase(eNOS)signaling pathway-related proteins in myocardial tissue was detected by Western blot.Results:Compared with the model group,medium-and high-dose STDP significantly increased the left ventricular ejection fraction and left ventricular fraction shortening(P<0.01),obviously repaired the disordered cardiac muscle structure,reduced myocardial fibrosis,reduced myocardial cell area,increased capillary density,and increased CFR level(all P<0.01).Western blot showed that high-dose STDP could significantly increase the expression of VEGF and promote the phosphorylation of vascular endothelial growth factor receptor 2,phosphoinositide 3-kinase,protein kinase B,and eNOS(P<0.05 or P<0.01).Conclusion:STDP has a definite therapeutic effect on diabetic CMD,and its mechanism may be related to promoting angiogenesis through the VEGF/eNOS signaling pathway.
基金Supported by Capital Health Development Research Project(No.2014-2-4032)。
文摘Objective:To explore the effectiveness of Danhong Injection(丹红注射液)on improving microcirculatory injury after percutaneous coronary intervention(PCI)in patients with coronary heart disease(CHD).Methods:A randomized controlled trial was conducted and 90 patients were enrolled.A random sequence was generated using statistical analysis software.Patients with microcirculatory injuries after PCI were randomly divided into 3 groups for treatment(30 subjects in each group):Danhong Injection group:after PCI,Danghong Injections were given with intravenous administration with 40 mL twice a day for a week;statins intensive group:after PCI,atorvastatin calcium tablets were given oral medication with 80 mg once,and then atorvastatin 40 mg daily for 1 week;the control group:after PCI,atorvastatin calcium tablets were given oral medication with 10–20 mg daily for 1 week.The index of microcirculation resistance(IMR)was used to assess microcirculatory injury during PCI.The IMR of the target vessel was reexamined after 1 week of drug treatment.Results:After one week's drug treatment,IMR was significantly decreased in both statins intensive group and Danhong Injection group compared with the control group(P<0.01),but no difference was found between statins intensive group and Danhong injection group(14.03±2.54 vs.16.03±5.72 U,P=0.080).Conclusions:The efficacy of Danhong Injection is non-inferior to statin.Early use of Danhong Injection after PCI can effectively improve coronary microcirculation injury after PCI.
文摘The left anterior descending （LAD） coronary artery is the main vessel of human coronary circulation, and life-threa- tening consequences are seen when flow in this area is im- paired, Noninvasive measurement of coronary flow re- serve （CFR）, defined as the ratio of maximal to baseline coronary blood flow, has been repeatedly shown to be a feasible technique by ultrasound transthoracic Doppler （TTD） both in the LAD and, with some limitations, in the posterior descending （PD） coronary artery.
