Publications by authors named "Guan-Yi Li"

Current treatments of inflammatory bowel disease (IBD) largely depend on anti-inflammatory and immunosuppressive strategies with unacceptable efficacy and adverse events. Resolution or repair agents to treat IBD are not available but potential targets like formyl peptide receptor 2 (FPR2/ALX) may fill the gap. In this study we evaluated the therapeutic effects of two small molecule FPR2/ALX modulators (agonist Quin-C1 and antagonist Quin-C7) against IBD.

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Aims: Sodium-glucose co-transporter 2 inhibitors (SGLT2i) enhance cardiovascular outcomes in individuals with type 2 diabetes mellitus (T2DM). Whether such effects also occur in T2DM patients with atrial fibrillation (AF) remains unknown. We aimed to investigate SGLT2i use on cardiovascular outcomes in patients with concomitant AF and T2DM.

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Background: Atrial fibrillation (AF) increases the risks of stroke and mortality. It remains unclear whether rhythm control reduces the risk of stroke in patients with AF concomitant with hypertrophic cardiomyopathy (HCM).

Methods: We identified AF patients with HCM who were ≥ 18 years old in the Taiwan National Health Insurance Database.

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Article Synopsis
  • - The study investigated the relationship between the distance from the descending aorta to the left inferior pulmonary vein (Dao-LIPV) and the presence of triggers and drivers in atrial fibrillation (AF) during ablation procedures.
  • - A total of 886 patients with drug-refractory AF were analyzed; 63 were found to have LIPV triggers or drivers, with Dao-LIPV distance proving to be a strong predictor for these occurrences.
  • - The research developed a risk score model indicating that patients with a Dao-LIPV distance of 2.5 mm or less and persistent AF have a significantly higher risk of LIPV triggers or drivers, which can help electrophysiologists plan ablation treatments more effectively.*
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  • Signal-averaged electrocardiography (SAECG) was studied in patients with nonischemic cardiomyopathies (NICMs) to determine its diagnostic and prognostic value regarding ventricular arrhythmia (VA).
  • In a study of 58 NICM patients, those who met at least one SAECG criterion showed larger areas of scar tissue and more frequently had extremely low-voltage zones than those who did not meet the criteria.
  • The findings suggest that a positive SAECG indicates a greater risk for arrhythmogenic issues in NICM patients, although it did not significantly correlate with long-term recurrence of ventricular arrhythmias.
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This study develops an efficient approach for precise channel frame detection in complex backgrounds, addressing the critical need for accurate drone navigation. Leveraging YOLACT and group regression, our method outperforms conventional techniques that rely solely on color information. We conducted extensive experiments involving channel frames placed at various angles and within intricate backgrounds, training the algorithm to effectively recognize them.

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Background: The aim of this study was to build an auto-segmented artificial intelligence model of the atria and epicardial adipose tissue (EAT) on computed tomography (CT) images, and examine the prognostic significance of auto-quantified left atrium (LA) and EAT volumes for AF.

Methods and results: This retrospective study included 334 patients with AF who were referred for catheter ablation (CA) between 2015 and 2017. Atria and EAT volumes were auto-quantified using a pre-trained 3-dimensional (3D) U-Net model from pre-ablation CT images.

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Introduction: Catheter ablation is an effective and safe strategy for treating atrial fibrillation patients. Nevertheless, studies on the long-term outcomes of catheter ablation in patients with dilated cardiomyopathy are limited. This study aimed to assess the electrophysiological characteristics of atrial fibrillation patients with dilated cardiomyopathy and compare the long-term clinical outcomes between patients undergoing catheter ablation and medical therapy.

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Article Synopsis
  • The study examines how catheter ablation (CA) of atrial fibrillation (AF) affects the severity of mitral regurgitation (MR) in patients who have both conditions, analyzing data from 2011 to 2021.
  • Of the 50 patients analyzed, those with improved MR after CA (group 1) had fewer risk factors like hypertension and diabetes, and less scar tissue in the left atrium compared to those with refractory MR (group 2).
  • The results indicate that while most patients experience improved MR post-ablation, the presence of scar tissue in the posterior bottom of the left atrium predicts a poorer outcome in terms of MR recovery.
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  • This study compares the effectiveness of circumferential pulmonary vein isolation (CPVI) and segmental pulmonary vein isolation (SPVI) in patients undergoing redo ablations for recurrent atrial fibrillation (AF).
  • 543 patients who had AF ablation were analyzed, with 141 included in the final assessment; the results showed similar AF-free survival rates for both techniques, but a significant difference in atrial flutter recurrence favoring CPVI.
  • The findings suggest that while SPVI and CPVI are comparable for AF recurrence, SPVI has a higher rate of atrial flutter, potentially linked to more residual pulmonary vein gaps over time.
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Background: Modifying the autonomic system after catheter ablation may prevent the recurrence of atrial fibrillation (AF). Evaluation of skin sympathetic nerve activity (SKNA) is a noninvasive method for the assessment of sympathetic activity. However, there are few studies on the effects of different energy settings on SKNA.

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  • A study investigated why some patients with paroxysmal atrial fibrillation (PAF) progress to persistent atrial fibrillation (PersAF) despite catheter ablation, focusing on predictors of this progression.
  • The study included 400 PAF patients, categorizing them into three outcome groups, and monitored them for 3 years post-ablation to assess AF recurrence and progression.
  • Key findings showed that a larger left atrial diameter, presence of non-pulmonary vein triggers, and a history of thyroid disease were significant predictors for both recurrence of AF and progression to PersAF.*
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Background: Catheter ablation (CA) is a treatment strategy for atrial fibrillation (AF) in patients with hypertrophic cardiomyopathy (HCM). We investigated the electrophysiological characteristics of recurrence in a tertiary referral center and compared long-term clinical outcomes after CA therapy with patients who did not undergo CA.

Methods: Patients with HCM and AF who underwent CA (group 1,  = 60) or pharmacological treatment (group 2,  = 298) between 2006 and 2021 were enrolled in this study.

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  • This study looked at new-onset dementia in patients with atrial fibrillation (AF) and how catheter ablation might affect dementia risk.
  • Using a large database from Taiwan, researchers followed over 136,000 patients for about 6.6 years and found that those with AF had a significantly higher risk of developing dementia, especially Alzheimer's disease.
  • The results showed that patients with AF who underwent catheter ablation had a lower overall risk of dementia, although this did not apply to vascular dementia types.
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The association of SARS-CoV-2 messenger ribonucleic acid vaccines with pericarditis in young adults has been reported. However, data regarding other types of vaccines are extremely limited. We presented a 94-year-old man with rapidly progressive dyspnea and fatigue six days after his first ChAdOx1 nCoV-19 vaccination.

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Identification of sinus node dysfunction (SND) before termination of persistent AFL by catheter ablation (CA) is challenging. This study aimed to investigate the characteristics and predictors of acute and delayed SND after AFL ablation. We retrospectively enrolled 221 patients undergoing CA of persistent AFL in a tertiary referral center.

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Valve replacement is associated with worse outcomes in individuals who have end-stage renal disease (ESRD) and require a long-term renal replacement therapy. Prosthetic valve selection in patients with ESRD has remained controversial. We aimed to investigate long-term outcomes of mechanical and bioprosthetic valve replacement in individuals with ESRD.

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The clinical significance and outcomes of ventricular tachyarrhythmias (VTa) in patients undergoing valve replacement have rarely been reported. This study aimed to investigate the incidence and outcome of VTa after surgical valve replacement. We conducted a population-based retrospective cohort study using data obtained from the Taiwan National Health Insurance Research Database.

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A novel single-step sol-gel approach for the preparation of beta-CD-bonded silica monolithic electrochromatographic columns is established. The porous silica networks were fabricated inside fused-silica capillaries using sol-gel processing of tetramethoxysilane and an organfunctional silicon alkoxide that contains beta-CD. Scanning electron micrographs and nitrogen adsorption-desorption data showed that these functional monolithic columns have double pores structures with micrometer-size co-continuous through-pores and silica skeletons with open mesopores.

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A single-step approach has been used to prepare a monolithic electrochromatographic column by sol-gel processing of an organofunctional silicon alkoxide precursor that contains a propyl-N,N,N-trimethylammonium group. We have found that the time of adding the porogen, poly(ethylene glycol), during the sol-gel reaction affected the separation performance. Since the surface charge of this material is switchable in sign upon manipulation of solution pH, the direction and magnitude of the electroosmotic flow (EOF) can be controlled by adjusting the pH of the running electrolyte.

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Soil salinity is an important issue, as most crop plants are low in salt tolerance. Salt tolerance, a complex, multifactorial, and multigenic process, has been known to be a quantitative trait. The identification of the salt stress responsive genes or salt tolerance genes is essential for the breeding programs.

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Two cDNA fragments, named for SRGKC2 and SRGKC3, encoding cyclophilin in Kandelia candel were isolated by Representational Difference Analysis of cDNA. The two cDNA fragments were 282 bp and 160 bp, respectively. Sequence analysis shows that both of the SRGKC2 and SRGKC3 come from the same gene region, and SRGKC3 is a part of SRGKC2.

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