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Central illustration. Balance between thrombosis and bleeding risks after out-of-hospital cardiac arrest related to acute coronary syndrome.
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Central Illustration: Characteristics of the study population and 5-year survival according to the presence or absence of DM and/or early AHF.
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Central illustration. Prevalence of familial hypercholesterolaemia (FH) among young adults with myocardial infarction (MI) (n = 457) and in the general control population (CARVAR 92 cohort) (n = 9900), and cardiovascular risk factors associated with premature acute MI.
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Central illustration. Anti-thrombotic strategies in patients with acute coronary syndrome. ACS: acute coronary syndrome; ADP: adenosine diphosphate; CAD: coronary artery disease; CRP: C-reactive protein; IL-6; interleukin-6; DAPT: dual antiplatelet therapy; GRACE: Global Registry of Acute Coronary Events; NSTEMI: non-ST-segment elevation myocardial infarction; PAI-1: plasminogen activator inhibitor-1; PCI: percutaneous coronary intervention; PG12: prostaglandin 12; PPI: proton pump inhibitor; PRECISE-DAPT: PREdicting bleeding Complications in patients undergoing stent Implantation and SubsequEnt Dual AntiPlatelet Therapy; REACH: REduction of Atherothrombosis for Continued Health; STEMI: ST-segment elevation myocardial infarction; TIMI: Thrombolysis In Myocardial Infarction; Vwf: von Willebrand factor.
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Central illustration. Six-month mortality according to category of coronary artery calcium (CAC). The mortality rate increased with the magnitude of calcifications according to a visual scoring of CAC on chest computed tomography. CAC was associated with 6-month mortality, independent of conventional cardiovascular risk-factors, in patients hospitalized for coronavirus disease 2019 without known atheromatous disease. CI: confidence interval; HR: hazard ratio.
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The difficult balance between thrombosis and bleeding after transcatheter aortic valve replacement. TAVR: transcatheter aortic valve replacement.
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Central illustration. Proportion of pulmonary hypertension (PH) in infantile scimitar syndrome, and distribution of causes according to the number of associated causes. L-R shunt: left-to-right shunt in congenital heart defect; PPHN: persistent pulmonary hypertension of the newborn.
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Proposed algorithm for management of coronary artery aneurysm (CAA).
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Central illustration. Endothelial progenitor cell (EPC) extraction, culture and characterisation, and adhesion, proliferation and haemocompatibility testing on three devices. ASD: atrial septal defect; NS: not significant; PC: positive control.
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Central illustration. Summary of strategies to improve atrial fibrillation (AF) ablation outcomes in obese patients. BMI: body mass index; BS: bariatric surgery; CT: computed tomography; CV: cardiovascular; EAM: electro-anatomical mapping system; EAT: epicardial adipose tissue; MRI: magnetic resonance imaging; NOAC: non-vitamin K antagonist oral anticoagulant; PAF: paroxysmal atrial fibrillation; TOE: transoesophageal echocardiography; TTE: transthoracic echocardiography; US: ultrasound; VKA: vitamin K antagonist.
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Background and aimsEpicardial adipose tissue (EAT) is the visceral fat between the myocardium and the visceral pericardium. Dysfunctional EAT can cause cardiovascular diseases. The aim of this study was to investigate the association between EAT and left ventricular function in type 2 diabetes mellitus (T2DM) patients by two-dimensional speckle tracking echocardiography (2D-STE).MethodsWe prospectively enrolled 116 T2DM patients who were divided into two groups according to their left ventricular global longitudinal strain (GLS): 53 with GLS <18% and 63 with GLS ≥18%. The thickness of EAT was measured as the echo-free space between the free wall of the right ventricle and the visceral layer of pericardium at end-systole. LV systolic function was evaluated by GLS measured by 2D-STE. LV diastolic function was defined as the ratio of the early diastolic transmitral flow velocity (E) to average mitral annular velocity (e¯).ResultsCompared with patients with GLS ≥18% group, the age, body mass index (BMI), waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP), low-density lipoprotein cholesterol (LDL-C), glycosylated hemoglobinA1c (HbA1c), E/e¯, and thickness of EAT were higher in patients with GLS <18% group (all P < 0.05). Multivariate linear regression analysis revealed that the thickness of EAT was independently associated with left ventricular GLS and E/e¯.ConclusionsThickened EAT is associated with impaired left ventricular function in T2DM patients. To investigate the association between EAT and left ventricular function can help us gain a deeper understanding of the pathogenesis of impaired cardiac function in T2DM patients.  相似文献   

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