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Objective: To analyze influencing factors of percutaneous coronary intervention (PCI) on therapeutic effect in patients with coronary chronic total occlusions (CTO). Methods: Clinical data, lesion features and PCI therapeutic results of 65 patients with 72 CTO lesions, who received PCI in our hospital from Jan 2010 to Dec 2012, were retrospectively analyzed. Results: PCI success rate of CTO lesion was 91.67% (66/72); compared with patients with CTO occlusion 3~12 months, there was significant decrease in PCI success rate (97.78% vs. 81.48%) in those with CTO occlusion >12 months; compared with patients with occlusion length ≤15mm, there was significant decrease in PCI success rate (97.96% vs. 78.26%) in those with occlusion length >15mm; compared with patients with mouse tail-like broken ends, there was significant decrease in PCI success rate (96.55% vs. 71.43%) in those with knife cut-like broken ends, P<0.05 all; PCI failed in six lesions, in which four because guidewire failed to pass through lesions and two because balloon failed to pass through lesions; incidence rate of complications was 7.69% during PCI, there were no major adverse cardiovascular events during admission in all patients; symptoms relieving rate of angina pectoris was 90.16% after PCI. Conclusion: Success rate of percutaneous coronary intervention is related to lesion features, CTO occlusion duration etc.
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AIM:To explore the effect of atorvastatin on the function of carotid artery after adventitia removal in SHR.METHODS:16-week old male SHR(n=36) with left carotid artery adventitia removed were randomly divided into 3 groups(n=12,each):SHR control group,atorvastatin group,valsartan group and the half rats of each group were put to death at the 4th and 8th weeks respectively.The systolic blood pressure(SBP) was assessed before and after treatment with atorvastatin every 2 weeks.The velocity of carotid artery was detected by electromagnetic rheometer while vasotension changes to NE was measured using a force transducer connected with a polygraph.RESULTS:Compared with SHR control group,the SBP of atorvastatin group began declining at the 4th week,and was reduced significantly at the 6th and 8th weeks(P0.05).Vasotension to NE of carotid artery was reduced significantly after adventitia removal(P
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Aim To explore inhibitory effects and mechanism of engineering endostatin on growth and metastasis of melanoma cells in mice. Methods Melanoma cells(2× 106/mouse)were inoculated sabcutaneously to C57BL/6 mice. After tumorigenesis,endostatin(8mg/kg.d)was administrated to tumor-bearing mice,once a day ,twenty-one in all.Dietetic state and weight change of the tumor-bearing mice were observed and tumorous sige was measured during administration of endostatin. On 26thday,the tumor-bearing mice were sacrificed,subcutaneously tumorous weight was weighed and brain,lung ,liver,spleen and kidney were excised and sections were made to supply the pathological examination. Results Area under curve in the endostatin-treated group was obviously less than that in tamor control group(P∨ 0.01). Pathological study revealed that lavge areal necrosis arose in tumor and newborn cappillaries around the tumor disapeared. Conclusion Endostatin possosses strongly inhibitory effects on growth and metastasis of mouse melanoma and formation of newborn capillaries around tumor.
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Objective: To highly express rh-Endostatin from Pichia pastoris and purify it to homogeneity. Methods: Constructed Pichia pastoris X33/pLW202 was amplified and inoculated to ferment media. The supernatant of the strain was collected after induction. Through ultrafiltration, affinity and gel chromatography, rh-Endostatin with high purication was obtained. Results: 60mg/L rh-Endostatin was obstained from supernatant. HPLC showed its purity was above 98%. Conclusion: High level expression of secreted rh-Endostatin has been successfully achieved in Pichia pastoris expression system.
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Dogs were bled and maintained at the mean arterial pressure(MAP)of 6.67 kPa(moderate shock)or of 5.33 kPa(severe shock)for 2 hours.Then the blood shed was transfused back to the animals and observation on the dogs was carried on for 2 more hours.26 mongrel dogs,weighing 10~16 kg,were randomized into Group I of normoxia and moderate shock(NMS,n=7),Group I of normoxia and severe shock(NSS,n=7).Group I of hypoxia at a simulated alti- tude of 4 000 m and moderate shock(HMS,n=6),and Group IV of hypoxia and severe shock(HSS,n=6).The changes of the cardiovascular function and the oxygen transport were observed in these animals after anesthetization.It was found that the cardiovascular function was similar in HMS and NMS groups.The decrease of VO2 of HMS animals was similar to that of NSS dogs.Decompensation occurred earlier in HSS animals and resulted in high mortality.
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Left ventricular function change was investigated in dogs during the postin-fusion period of experimental hemorrhagic shock. Hemodynamic parameters and the first derivative of left ventricular pressure (dp/dt) were recorded with an 4-channal polygraph and LVP-dp/dt loop was displayed on an attached oscilloscope simultaneously. In the study, LV function was assessed by + dp/dtmax, dp/dt/DP5.33, VCE at +dp/dtmax, Vmax, - dp/dtmax, - dp/dtmax/LVSP and VCE at -dp/dtmax. The results show that hemodynamic and LV function parameters approximate to the control levels 10 min after reinfusion. The performance then depresses significantly 60 min after renfusion and cardiac function deteriorates soon thereafter. The data are interpreted as direct evidence for a seriously-depressing myocardial performance during the early postin-fusion period of hemorrhagic shock in the dog.
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AIM:To study the effect of adventitia removal on vascular structure and function in spontaneously hypertensive rats(SHR).METHODS: Thirteen-week-old male SHR(n=8) were removed their right carotid artery adventitia(SHR control group),8 age-matched male Wistar-Kyoto rats were selected as normal control group(WKY group).With all rats,the right carotid artery adventitia was removed by mechanical and chemical means,and the left carotid artery adventitia was conducted with fake operation for control.After 4 weeks,the velocity of carotid artery was detected by electromagnetic rheometer.Plasma and carotid artery angiotensin Ⅱ(AngⅡ) levels were measured by radioimmunoassay.Lumen cross section area(LA),intraelastic layer area(IELA) and extraelastic layer area(EELA) were measured by computed video processing.The ratio of(IELA-LA)/(EELA-IELA) was calculated.The expression of angiotensin converting enzyme(ACE2),extracellular signal-regulated kinase 1/2(ERK1/2) and protein kinase C-?(PKC-?) protein were determined by immunohistochemistry method.The expression of ACE2 mRNA was evaluated by reverse transcription-polymerase chain reaction(RT-PCR).RESULTS:(1) The hyperplasia of intima in adventitia removal was more significantly exacerbated than that in adventitia integrity(P
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The changes of pulmonary rheography of 12 bikers were investigated after they had been physically trained under hypoxic condition in a hypobaric chamber simulating altitudes of 2000 m, 3000m, and 4000m respectively. All the bikers were permanent inhabitants at 1895 meters above sea level.The changes were most marked on the rheographies taken at the simulated altitude of 4000m. Comparing with the control values at the sea level, the authors found that tonic interval (Q-a interval) on the bikers' pulmonary rheographies was prolonged. The amplitude, the mean rate of filling and the rate of maximal ascending of the systolic wave were decreased.The results showed that hypoxic physical training could result in the contraction of pulmonary vessels. In turn it caused pulmonary arterial hypertension and reduced the amount of blood circulating through the lungs. Pulmonary arterial hypertension could further increase the afterload of the right ventricle.Eight days after the bikers returned to the sea level, all the indices also returned to their original levels except the tonic interval. It is apparent that these changes are most likely to be functional rather than organic.
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The effects of the alterations of high altitude(at 4 000m for 48h and then at 5 000m for 24h)on the pulmonary rheography were investigated in 13 healthy male volunteers.It was found that the tonic interval index(Q-aI)was gradually prolonged jthe amplitude,the mean rate of filling and the maximal ascending rate of the systolic wave were gradually decreased.When the volunteers were exposed to 5 000m,the Q-aI/RVET was increased from the sea-level value to 0.319?.010 to 0.400?.016(P
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The combined effect of stepwise intermittent hypoxia and physical training was investigated with ultrasonic cardiography on 12 bikers who were permanent inhabitants at 1895 meters above sea level and were subjecting to physical training under hypoxic condition in a hypobaric chamber. It was found that the internal diameters of the right ventricle and right pulmonary artery of the bikers increased proportionally with the increase of both the altitude and the duration of the physical training. At a simulated altitude of 4000 meters, the cardiac stroke volume and cardiac cutput, the internal diameter of the left ventricle and the left ventricular mass increased markedly as compared with those at sea level. The thickness of the interventricular septum and the posterior wall of the left ventricle also increased. The stroke volume and cardiac output of the bikers increased more significantly at the simulated altitude of 4000m., that at the altitude of 3000m. All these change are still within the physiologic ranges and can be considered as adaptation changes to highaltitude training. NO case of acute mountain sickness occurred in any of the trained bikers.These findings suggest that this intermittent stepwise hypoxic physical training can improve the cardiac function and increase its adaptibility towards hypo-xic conditions.
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The dynamic changes of the functions and the weight index of the 2 ventricles and the density of ?-adrenoceptors in the myocardium were observed and the correlation between the changes of ?-adrenoceptors of the myocardium and.the peripheral lymphocytes was investigated during and after intermittent chronic hypbxia in rabbits.The fingings were as follows.(1)Chronic hypoxia resulted in an increase of systolic pressure,dp/dtmas and weight index of the right ventricle.25 days after the restoration of normal oxygen supply,systolic pressure and dp/dtomas of the right ventricle became normal but its weight index remained increased.(2)The density of ?-adrenoceptors of the 2 ventricles was reduced on the 7th,15th and 30th day of hypoxia as compared with that of the control.25 days after the restoration of oxygen supply,the density of ?-adrenoceptors became normal in the left ventricle but remained decreased in the right ventricle.(3)There was a positive correlation between the changes of ?-adrenoceptors in the 2 ventricles and peripheral lymphocytes.The findings suggest that hypoxia-induced hypertrophy of the right ventricle is usually accompanied with a decreased density of its ?-adrenoceptors and thedensity of ?-adrenoceptors of peripheral lymphocytes can reflect the changes of ?-adrenoceptors in the myocardium.