The correlation between subendocardial viability ratio and the degree of coronary artery stenosis in patients with coronary heart disease and its predictive value for the incidence of short-term cardiovascular events.

OBJECTIVES: This study aimed to analyze the ability of subendocardial viability ratio (SEVR) to predict the degree of coronary artery stenosis and the relationship between SEVR and the incidence of short-term cardiovascular endpoint events. METHOD: The indexes of 243 patients with chest pain were collected.. Binary logistic regression analyses were performed using the dichotomous outcome of high and non-high SYNTAX scores. Receiver operating characteristic curves were employed to comparatively analyze the diagnostic efficiencies of the indices and models. A survival analysis combined with the Cox regression analysis was performed using the Kaplan-Meier method to understand the relationship between the SEVR and the incidence of cardiovascular events within 1 year in patients with coronary heart disease (CHD). RESULTS: SEVR was significantly lower (P < 0.05) in the high-stenosis group than control and low-stenosis groups. The diagnostic efficacy of SEVR [area under the curve (AUC) = 0.861] was better than those of age (AUC = 0.745), ABI (AUC = 0.739), and AIx@HR75 (AUC = 0.659). The cutoff SEVR was 1.105. In patients with confirmed CHD who had been discharged from the hospital for 1 year, only SEVR affected survival outcomes (hazard ratio = 0.010; 95% confidence interval: 0.001-0.418; P = 0.016). CONCLUSION: A significant decrease in SEVR predicted severe coronary artery stenosis, with a cutoff value of 1.105 and an accuracy of 0.861. In patients with CHD, the lower the SEVR, the higher was the rate of cardiovascular events at 1 year after hospital discharge.

MRI investigation of water-oil two phase flow in straight capillary, bifurcate channel and monolayered glass bead pack.

The study of immiscible fluid displacement between aqueous-phase liquids and non-aqueous-phase liquids in porous media is of great importance to oil recovery, groundwater contamination, and underground pollutant migration. Moreover, the attendant viscous, capillary, and gravitational forces are essential to describing the two-phase flows. In this study, magnetic resonance imaging was used to experimentally examine the detailed effects of the viscous, capillary, and gravitational forces on water-oil flows through a vertical straight capillary, bifurcate channel, and monolayered glass-bead pack. Water flooding experiments were performed at atmospheric pressure and 37.8°C, and the evolution of the distribution and saturation of the oil as well as the characteristics of the two-phase flow were investigated and analyzed. The results showed that the flow paths, i.e., the fingers of the displacing phase, during the immiscible displacement in the porous medium were determined by the viscous, capillary, and gravitational forces as well as the sizes of the pores and throats. The experimental results afford a fundamental understanding of immiscible fluid displacement in a porous medium.

CO2 hydrate formation and dissociation in cooled porous media: a potential technology for CO2 capture and storage.

The purpose of this study was to investigate the hydrate formation and dissociation with CO2 flowing through cooled porous media at different flow rates, pressures, temperatures, and flow directions. CO2 hydrate saturation was quantified using the mean intensity of water. The experimental results showed that the hydrate block appeared frequently, and it could be avoided by stopping CO2 flooding early. Hydrate formed rapidly as the temperature was set to 274.15 or 275.15 K, but the hydrate formation delayed when it was 276.15 K. The flow rate was an important parameter for hydrate formation; a too high or too low rate was not suitable for CO2 hydration formation. A low operating pressure was also unacceptable. The gravity made hydrate form easily in the vertically upward flow direction. The pore water of the second cycle converted to hydrate more completely than that of the first cycle, which was a proof of the hydrate "memory effect". When the pressure was equal to atmospheric pressure, hydrate did not dissociate rapidly and abundantly, and a long time or reduplicate depressurization should be used in industrial application.