Effects of renal denervation on cardiac function after percutaneous coronary intervention in patients with acute myocardial infarction.

Objective: To observe the effect of renal artery denervation (RDN) on cardiac function in patients with acute myocardial infarction after percutaneous coronary intervention (AMI-PCI). Methods: This is a single-centre, prospective randomized controlled study. A total of 108 AMI-PCI patients were randomly assigned to the RDN group or the control group at 1:1 ratio. All patients received standardized drug therapy after PCI, and patients in the RDN group underwent additional RDN at 4 weeks after the PCI. The follow-up period was 6 months after RDN. Echocardiography-derived parameters, cardiopulmonary exercise testing (CPET) data, Holter electrocardiogram, heart rate variability (HRV) at baseline and at the 6 months-follow up were analyzed. Results: Baseline indexes were similar between the two groups (all P > 0.05). After 6 months of follow-up, the echocardiography-derived left ventricular ejection fraction was significantly higher in the RDN group than those in the control group. Cardiopulmonary exercise test indicators VO2Max, metabolic equivalents were significantly higher in the RDN group than in the control group. HRV analysis showed that standard deviation of the normal-to-normal R-R intervals, levels of square root of the mean squared difference of successive RR intervals were significantly higher in the RDN group than those in the control group. Conclusions: RDN intervention after PCI in AMI patients is associated with improved cardiac function, improved exercise tolerance in AMI patients post PCI. The underlying mechanism of RDN induced beneficial effects may be related to the inhibition of sympathetic nerve activity and restoration of the sympathetic-vagal balance in these patients.

Effects of renal denervation therapy on cardiac function and malignant arrhythmia in patients with reduced left ventricular ejection fraction and narrow QRS complexes treated with implantable cardioverter defibrillator.

Objective : The purpose of this study was to explore the effects of renal denervation (RDN) on cardiac function and malignant arrhythmia in patients with reduced left ventricular ejection fraction (HFrEF) and narrow QRS treated with an implantable cardioverter defibrillator (ICD). Methods: A total of 20 eligible HFrEF patients [left ventricular ejection fraction (LVEF) <40%] and narrow QRS complexes (QRS duration <120 ms) were randomized into either the ICD plus RDN group or the ICD only group during 17 April 2014 to 22 November 2016. Clinical data, including clinical characteristics, blood biochemistry, B-type natriuretic peptide, echocardiographic indexes, 6-min walk distance (6MWD), New York Heart Association (NYHA) classification, and count of ICD discharge events before and after the operation were analyzed. Patients were followed up for up to 3 years post ICD or ICD plus RDN. Results: Baseline clinical data were comparable between the two groups. Higher LVEF (%) (mixed model repeated measure, p = 0.0306) (39.50% ± 9.63% vs. 31.20% ± 4.52% at 1 year; 41.57% ± 9.62% vs. 31.40% ± 8.14% at 3 years), systolic blood pressure (p = 0.0356), and longer 6MWD (p < 0.0001) as well as reduction of NYHA classification (p < 0.0001) were evidenced in the ICD plus RDN group compared to ICD only group during follow-up. Patients in the ICD plus RDN group experienced fewer ICD discharge events (2 vs. 40) and decreased diuretic use; rehospitalization rate (30% vs. 100%, p = 0.0031) and cardiogenic mortality rate (0% vs. 50%, p = 0.0325) were also significantly lower in the ICD plus RDN group than in the ICD only group during follow-up. Conclusion: ICD implantation plus RDN could significantly improve cardiac function and cardiac outcome as well as increase exercise capacity compared to ICD only for HFrEF patients with narrow QRS complexes.

[Investigation of chigger mites on the rat Eothenomys miletus in Yunnan].

OBJECTIVE: To understand the species, species distribution, the dominant species and their interspecies interaction of chigger mites on Eothenomys miletus(a dominant species of rats) in Yunnan. METHOD: The rats were captured with mouse traps in 16 counties (or cities) during 2000-2004. All mites on the surface of two auricles of the hosts were collected and identified. The patch index (m*/m) and the coefficient of association (V) were adopted to judge the spatial distribution patterns and interspecies interaction of the dominant chigger mite species among different individuals of the rats (E. miletus). RESULTS: 1157 individuals of E. miletus were captured from 16 counties (citys). 37613 chigger mites (belonging to 3 subfamily, 9 genus and 80 species) were collected from the auricles (body surface) of 1157 rat hosts with a high "overall mite infestation rate" (68.2%) and "overall mite index" (32.5). Six species of mites were found dominant on E. miletus: Leptotrombidium scutellare, Leptotrombidium sinicum, Helenicula simena, Leptotrombidium eothenomydis, Herpetacarus hastoclavus and Leptotrombidium hiemalis. The distribution of the chigger mites among different individuals of E.miletus showed an aggregation pattern. Both positive and negative association existed between each two dominant species of chigger mites. CONCLUSION: The species composition of chigger mites on Eothenomys miletus is complex with abundant individuals, which reflects a high species diversity of the mites. The main species of chigger mites tend to an aggregation on the body surface of E. miletus.

[Study of chigger communities on major species of rodents in Yunnan Province].

OBJECTIVE: To understand the characteristics of the chigger communities on the major species of rodent hosts. METHODS: Rats were captured in 16 counties (or towns) of Yunnan. All the mites on the two auricles of the host were collected and identified. Shannon-Weiner's indices (H,E), the richness indices and dominance indices were adopted to judge the diversity and community structure of chiggers on their hosts (7 species of rodents). RESULTS: From the 7 species of dominant rodent hosts, 131 species of chiggers were identified, belonging to 17 genera of Trombiculidae. Among them, abundant individuals were collected from 6 species which were considered to be dominant chigger species. Shannon-Weiner's indices (H) of the chigger communities showed the following sequence: Rattus norvegicus>Apodemus chevrieri>Eothenomys miletus>Mus pahari>Rattus nitidus>Rattus flavipectus>Mus caroli, and the richness indices were similar to this tendency. The niche breadth of the 6 dominant chigger species showed the following tendency: Herpetacarus hastoclavus>Leptotrombidium scutellare>Leptotrombidium sinicum>Helenicula siena>Leptotrombidium hiemalis>Leptotrombidium eothenomydis. There was a wide niche overlap between any two chigger species with all indices beyond 0.76. Slight positive association existed between each two dominant species of chigger mites by the coefficient of association (V). CONCLUSION: The community structure of chigger mites on the 7 major species of rodent hosts is complex, reflecting a high diversity of mite species. The niche breadth of the 6 dominant chigger species is different with a wide niche overlap.