Publications by authors named "Jiachun Lang"

Background: Cardiovascular disease continues to be the leading cause of global mortality and disability, particularly posing elevated risks in patients diagnosed with multivessel disease (MVD). Efficient risk stratification in MVD patients is crucial for improving prognosis, prompting investigation into novel biomarkers such as the triglyceride-glucose index (TyG index) and the stress hyperglycemia ratio (SHR).

Methods: This study enrolled a cohort comprising 679 patients diagnosed with MVD who underwent coronary angiography at Tianjin Chest Hospital.

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Article Synopsis
  • - The study aims to determine how the Stress Hyperglycemia Ratio (SHR) and N-terminal pro-B-type Natriuretic Peptide (NT-proBNP) can predict all-cause mortality in diabetic patients with multivessel coronary artery disease (MVD).
  • - Researchers analyzed data from 1148 diabetic patients, finding that both SHR and NT-proBNP were strong independent predictors of mortality, with the highest risk observed in patients with elevated levels of both markers.
  • - The findings suggest that combining these biomarkers significantly improves the prediction of mortality risk, highlighting their importance in managing diabetic patients with MVD.
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Purpose: The incidence of prediabetes mellitus (pre-DM) is increasing among young individuals. Whether pre-DM can predict adverse cardiovascular events in acute coronary syndrome (ACS) patients remains controversial. This study aimed to investigate the impact of pre-DM on the long-term clinical outcomes of patients aged≤ 45 years with new-onset ACS.

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Background And Objective: There are a substantial proportion of elderly patients with ST-segment elevation myocardial infarction (STEMI) miss the optimal time window (12 h from symptom onset) of primary percutaneous coronary intervention (PCI). For these patients, the ideal timing of delayed PCI remains undetermined. Therefore, this study compared the clinical outcomes of early versus late delayed PCI in elderly patients with STEMI.

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Background And Aims: The optimal interventional strategy remains undetermined in hemodynamically stable patients with NSTEMI and MVD. This study aimed to examine clinical prognosis among culprit vessel, immediate multivessel, and staged percutaneous coronary intervention (PCI) in patients with NSTEMI and MVD.

Methods: This retrospective, observational, single-center study included 943 hemodynamically stable patients with NSTEMI and MVD who had undergone successful drug-eluting stent (DES) implantation from January 2014 to December 2019.

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Backgroundand Objective: Studies have highlighted the significant role of staged percutaneous coronary intervention (PCI) for a multivessel disease (MVD) among patients with ST-elevation myocardial infarction (STEMI). However, the relative benefit of staged vs. culprit-only PCI for MVD in elderly patients with STEMI remains undetermined.

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Article Synopsis
  • This study investigates the role of biomarkers in predicting outcomes for patients with acute coronary syndrome (ACS) who don’t have standard risk factors.
  • Researchers collected data from patients who underwent coronary angiography at Tianjin Chest Hospital, focusing on the occurrence of major adverse cardiovascular events (MACE) over five years.
  • The findings revealed that certain biomarkers like D-dimer, NT-proBNP, and lipoprotein (a) enhanced risk prediction for MACE in these patients, with a notable increase in risk associated with having multiple elevated biomarkers.
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