Publications by authors named "YaLing Han"

The triglyceride to high density lipoprotein cholesterol (TG/HDL-C) ratio has been consistently linked with the risk of coronary heart disease (CHD). Nevertheless, there is a paucity of studies focusing on acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) or experiencing bleeding events. The study encompassed 17,643 ACS participants who underwent PCI.

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Background: Low-density lipoprotein cholesterol (LDL-C) is a well-recognized risk factor for cardiovascular diseases. However, several clinical studies demonstrated an inverse association between LDL-C and mortality risk in patients with acute myocardial infarction (AMI), known as the lipid paradox. This study aims to investigate the potential impact of inflammation on the association between LDL-C levels and mortality risks.

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Background: The consensus on whether acute ST-segment elevation myocardial infarction (STEMI) patients with multivessel coronary artery disease (MVD) benefit from complete revascularization during primary percutaneous coronary intervention (PCI) is unclear.

Aims: This study aims to assess the impact of multivessel PCI (MV-PCI) versus culprit-vessel-only PCI (CV-PCI) on in-hospital outcomes in a Chinese population.

Methods: We evaluated STEMI patients with MVD undergoing PCI, registered in the Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome (CCC-ACS) project, from November 2014 to December 2019.

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The causal relationship between visceral adipose tissue (VAT) and hypertension remains unclear. We aimed to examine the potential association between them using observational and two-sample Mendelian randomization (MR) analyses. Data from the National Health and Nutrition Examination Survey (NHANES) 2011-2018 were used, applying multivariable logistic regression analysis to investigate the association between VAT mass and hypertension risk.

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Although serum uric acid (SUA) is a risk factor for cardiometabolic outcome, but it remains unclear which patients with coronary artery disease (CAD) benefit the most from SUA lowering therapy (ULT). The association of SUA level, systemic inflammation and cardiometabolic risk is still unclear. The current study is aimed to examine whether SUA-associated cardiometabolic risk is modulated by systemic inflammation in CAD patients.

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Background: The optimal glycosylated hemoglobin (HbA1c) target in type 2 diabetes mellitus (T2DM) patients remains controversial, especially in patients with concomitant coronary heart disease (CHD). This study aimed to investigate the correlation between baseline HbA1c and long-term prognosis in CHD patients with T2DM.

Methods: The study enrolled 6,839 CHD patients with T2DM and measured HbA1c at admission in a multicenter prospective observational cohort.

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Article Synopsis
  • The study aimed to investigate the effectiveness and safety of Yangxinshi tablets compared to trimetazidine in enhancing exercise tolerance for coronary heart disease (CHD) patients who had undergone percutaneous coronary intervention (PCI).
  • A total of 681 patients were enrolled in a randomized trial, with results showing similar improvements in exercise capacity between the Yangxinshi and trimetazidine groups after 24 weeks, indicating non-inferiority of Yangxinshi.
  • Additionally, patients taking Yangxinshi reported significantly greater reductions in depression and anxiety symptoms than those taking trimetazidine, with adverse events being comparable in both groups.
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Article Synopsis
  • Hypertension and type 2 diabetes contribute to an increased risk of premature death and related diseases, particularly affecting the same population.
  • An expert consensus using the GRADE approach was formed to create strategies aimed at reducing cardiovascular and kidney-related deaths while minimizing treatment burdens for adults with type 2 diabetes.
  • A multidisciplinary team developed 12 evidence-based recommendations focusing on screening, monitoring, lifestyle changes, and medication for individuals with type 2 diabetes, specifically addressing those who also have hypertension.
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Percutaneous coronary intervention (PCI) for coronary bifurcation disease remains one of the most challenging situations in interventional cardiology in terms of procedural success rates and long-term cardiac events. Optical coherence tomography (OCT), with a higher signal-to-noise ratio and the ability to distinguish plaque components, can display the true condition of bifurcation lesions without overlapping or shortening and achieve detailed visualization of vascular structures, which is superior to those of other imaging modalities. Three-dimensional (3D) reconstruction of OCT images (3D-OCT) helps to gain a more informed understanding of the geometry and morphology of bifurcation lesions and provide additive information on plaque distribution.

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Background: Multivessel disease(MVD) is linked to a poorer prognosis, increased complications, longer hospital stays, and higher in-hospital mortality when compared to single-vessel disease(SVD).The purpose of this study is to explore the clinically relevant predictors of acute cornary syndrome (ACS) combined with MVD.

Methods: This multicenter retrospective study included 68,378 ACS patients from 240 hospitals.

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Tripartite motif-containing 55 (Trim55) is mainly expressed in myocardium and skeletal muscle, which plays an important role in promoting the embryonic development of the mouse heart. We investigated the role of Trim55 in myocardial infarction and the associated molecular mechanisms. We studied both gain and loss of function in vivo and in vitro.

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The Guanxin Shutong capsule (GXST), a traditional Chinese medicine, is commonly used for treating cardiovascular disease, it has shown efficacy in improving symptoms and enhancing the quality of life for patients with heart failure (HF). However, the specific mechanism of action of GXST in HF remains unclear. In this study, we employed a comprehensive approach combining network pharmacology, molecular dynamics (MD) simulations, and in vitro validations to investigate the potential targets and molecular mechanisms of GXST against HF.

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Article Synopsis
  • - The BRIGHT-4 study showed that using bivalirudin with a high-dose infusion after PCI led to lower overall mortality and bleeding risks compared to heparin, without raising rates of reinfarction or stent thrombosis in STEMI patients.
  • - A meta-analysis of six trials involving over 15,000 patients found that while bivalirudin reduced overall and cardiac mortality and major bleeding, it was associated with higher rates of reinfarction and stent thrombosis compared to heparin.
  • - When specifically looking at a subset of trials similar to the BRIGHT-4 approach, bivalirudin also showed a decrease in 30-day mortality and major bleeding, with comparable rates of reinfar
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Article Synopsis
  • The study looked at two medicines, bivalirudin and heparin, to see which one is safer and better for patients with a serious heart problem called STEMI who are getting a treatment called PCI.
  • Many patients didn't use a certain type of medicine (GPI) during the treatment, and those on bivalirudin had better results with fewer deaths and less bleeding.
  • However, for those who needed the GPI medicine, there weren't big differences in the results between the two treatments.
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Background: Patients with acute coronary syndrome without standard modifiable cardiovascular risk factors (SMuRFs; hypertension, smoking, dyslipidemia, diabetes) have not been well studied, with little known about their characteristics, quality of care, or outcomes. We sought to systematically analyze patients with ACS without SMuRFs, especially to evaluate the effectiveness of guideline-directed medical therapy for these patients.

Methods And Results: In the CCC-ACS (Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome) project (2014-2019), we examined the presence and absence of SMuRFs and features among 89 462 patients with initial acute coronary syndrome.

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Background: Pulsed-field ablation (PFA) technique is a nonthermal ablation technique. No study has yet evaluated the effect of the positional relationship between the ablation electrode (AE) and the coronary metal stent (CMS) on the electric field distribution and temperature distribution in epicardial ablation. Our study aimed to evaluate the effect of the CMS on the electric field as well as the temperature distribution in different models.

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Article Synopsis
  • The study compares the effectiveness of drug-coated balloon (DCB) angioplasty and drug-eluting stents (DES) in treating in-stent restenosis (ISR) in patients with acute coronary syndrome (ACS), focusing on focal and non-focal ISR types.
  • Results show that for focal ISR, both DCB and DES had similar rates of target lesion failure (TLF) at 24 months, while DES significantly reduced TLF for non-focal ISR lesions compared to DCB.
  • The findings suggest that while both treatments work for focal ISR, DES is notably more effective for non-focal ISR due to reducing the need for additional procedures.
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Heart failure (HF) is a terminal condition of multiple cardiovascular disorders. Cancer is a deadly disease worldwide. The relationship between HF and cancer remains poorly understood.

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Article Synopsis
  • The study investigates how the triglyceride-glucose (TyG) index and high-sensitivity C-reactive protein (hsCRP) relate to major cardiovascular events in patients with chronic coronary syndrome (CCS).
  • Over a 2-year follow-up of 9,421 patients with CCS, a higher risk of major adverse cardiovascular events (MACE) was found in those with elevated TyG levels and hsCRP >3 mg/L.
  • The findings indicate that assessing both TyG and hsCRP together can help identify patients at higher risk for cardiovascular issues, aiding in better management strategies.
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Objective: Doxorubicin (DOX)-induced cardiotoxicity limits the application of DOX in cancer patients. Currently, there is no effective prevention or treatment for DOX-induced cardiotoxicity. The cellular repressor of E1A-stimulated genes (CREG1) is a cardioprotective factor that plays an important role in the maintenance of cardiomyocytes differentiation and homeostasis.

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Background: Patients with coronary artery disease (CAD) often experience pulmonary ventilation dysfunction following their initial event. However, there is insufficient research exploring the relationship between this dysfunction and CAD prognosis.

Methods: To address this gap, a retrospective observational study was conducted involving 3800 CAD patients without prior pulmonary ventilation disease who underwent cardiopulmonary exercise testing (CPET) during hospitalization between November 2015 and September 2021.

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Perovskite solar cells (PSCs) have led to distinguished achievements and become one of the state-of-the-art photovoltaic technologies. Undoubtedly, reliable preparation of large area high-quality perovskite (PVK) films with uniform optoelectronic properties has become a critical and challenging task to transition PSCs from lab to market. Here, methyldiphenylphosphine oxide (MDPPO) is employed as an additive in a PVK precursor solution to promote uniform conductivity and carrier transport of PVK films.

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Psoriasis, a chronic inflammatory skin disorder, is associated with comorbidities such as acute myocardial infarction (AMI). However, the molecular mechanisms connecting these conditions are unclear. In this study, we conducted bioinformatics analyses using gene expression datasets to identify differentially expressed genes and hub genes associated with both psoriasis and AMI.

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Synopsis of recent research by authors named "YaLing Han"

  • - Yaling Han's recent research focuses on understanding the molecular mechanisms and treatment strategies for cardiovascular diseases, specifically emphasizing myocardial infarction and heart failure interventions as well as anticoagulation therapies.
  • - The studies explore the role of specific proteins like TRIM55 in heart cell apoptosis, investigate the pharmacological effects of traditional Chinese medicine such as Guanxin Shutong capsules, and analyze anticoagulation options like bivalirudin versus heparin in ST-segment elevation myocardial infarction (STEMI) cases.
  • - Additionally, Han's research assesses patient outcomes concerning acute coronary syndrome, particularly the implications of comorbid conditions, and introduces novel methodologies such as network pharmacology to evaluate therapeutic targets and efficacy in cardiovascular treatments.