Publications by authors named "Zhengang Zhao"

Objectives: Nutritional status, as one of the core characteristics of frailty, the impact of its changes on clinical outcomes in older patients following transcatheter aortic valve replacement (TAVR) remains unclear.

Design: A retrospective cohort study.

Setting: This study included a total of 781 patients who underwent TAVR at West China Hospital between 2012 and 2022.

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  • * A study analyzed the outcomes of 103 patients (aged 21 days to 63 years) who underwent transcatheter intervention for CoA over a 12-year span, focusing on clinical and echocardiographic data.
  • * Results showed significant improvements, including lower systolic blood pressure and reduced left ventricular mass, with a high survival rate of 98.1% and minimal need for reintervention, supporting the efficacy of the treatment and innovative techniques used.
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  • This study investigates the long-term durability of bioprosthetic valves in patients with bicuspid aortic valve (BAV) after undergoing transcatheter aortic valve replacement (TAVR), compared to patients with tricuspid aortic valve (TAV).
  • A total of 170 BAV and 145 TAV patients were followed for an average of over 5 years, showing no significant differences in rates of structural valve deterioration or bioprosthetic valve failure between the two groups.
  • The findings suggest that TAVR provides satisfactory long-term valve performance for patients with BAV, comparable to those with TAV, indicating good outcomes for both groups.
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  • New-onset permanent pacemaker implantation (PPMI) after transcatheter aortic valve implantation (TAVI) is a common issue that can lead to negative health effects.
  • This study compared the long-term outcomes of left bundle branch area pacing (LBBAP) versus traditional right ventricular pacing (RVP) in patients needing PPMI post-TAVI, involving 237 patients.
  • Results showed that LBBAP led to significantly lower rates of heart failure rehospitalization and better improvements in heart function (LVEF) compared to RVP, although overall mortality rates were similar between the two groups.
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  • The study investigates the relationship between the triglyceride glucose (TyG) index, a marker of insulin resistance, and clinical outcomes in patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR).
  • A total of 1569 patients were followed for an average of 1.09 years, during which time significant correlations were found between higher TyG index levels and increased risks of all-cause mortality, cardiovascular mortality, and major adverse cardiovascular events (MACE).
  • The researchers concluded that the TyG index serves as a valuable prognostic tool, as it enhances predictive accuracy for poor outcomes when added to existing risk models.
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Aims: Permanent pacemaker implantation and left bundle branch block are common complications after transcatheter aortic valve replacement (TAVR) and are associated with impaired prognosis. This study aimed to develop an artificial intelligence (AI) model for predicting conduction disturbances after TAVR using pre-procedural 12-lead electrocardiogram (ECG) images.

Methods And Results: We collected pre-procedural 12-lead ECGs of patients who underwent TAVR at West China Hospital between March 2016 and March 2022.

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Tricuspid regurgitation is a common valve disease with high incidence and poor prognosis. For elderly patients and those with a history of open heart surgery, second thoracotomy and valve replacement carry a high risk. Transcatheter tricuspid valve replacement (TTVR) has become an alternative treatment for patients with high surgical risk.

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The era of Industry 4.0 is gradually transforming our society into a data-driven one, which can help us uncover valuable information from accumulated data, thereby improving the level of social governance. The detection of anomalies, is crucial for maintaining societal trust and fairness, yet it poses significant challenges due to the ubiquity of anomalies and the difficulty in identifying them accurately.

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A diet containing natural active compounds that can inhibit the hydrolytic activity of α-glucosidase on carbohydrates and intestinal glucose absorption is an effective means of controlling postprandial hyperglycemia. Phlorizin and polydatin as phenolic glycosides have a high affinity for the catalytic site of α-glucosidase, but exhibited unsatisfactory competitive inhibitory capacity, with an IC of 0.97 and >2 mM, respectively.

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Surgery after neoadjuvant chemoradiotherapy remains the gold standard for the treatment of resectable esophageal cancer (EC); however, chemoradiotherapy without surgery has been recommended in specific cases. The aim of this meta-analysis is to analyse the survival between surgeries after neoadjuvant chemoradiotherapy compared with definitive chemoradiotherapy in order to provide a theoretical basis for clinically individualised differential treatment. We conducted an initial search of MEDLINE (PubMed), the Cochrane Library, and Embase for English-only articles that compared treatment regimens and provided survival data.

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Background: Hepatocellular carcinoma (HCC) is an aggressive subtype of liver cancer and is one of the most common cancers with high mortality worldwide. Reprogrammed lipid metabolism plays crucial roles in HCC cancer cell survival, growth, and evolution. Emerging evidence suggests the importance of fatty acid binding proteins (FABPs) in contribution to cancer progression and metastasis; however, how these FABPs are dysregulated in cancer cells, especially in HCC, and the roles of FABPs in cancer progression have not been well defined.

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Background: Lymph node metastasis is the main type of metastasis in esophageal squamous cell carcinoma (ESCC), especially when the primary tumor invasion depth reaches above the adventitia layer (T3 stage), the incidence of lymph node metastasis increases sharply. Abnormal expression of long non-coding RNAs (lncRNAs) has been confirmed in ESCC, but there are still many unknown connections between lncRNAs and lymph node metastasis.

Methods: We used transcriptome sequencing (RNA-seq) to analyze 10 pairs of ESCC tissues with primary tumor stage T3 and their paired normal epithelium.

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  • The study investigates the best timing for intervention in asymptomatic severe aortic stenosis (AS) patients by identifying risk factors linked to worse outcomes and assessing the benefits of early treatment.!
  • It is a non-interventional, multicenter registry study in China involving 1,000 participants, focusing on the occurrence of serious health events like mortality and hospitalizations over one year.!
  • The findings aim to assist clinicians in deciding when to refer asymptomatic AS patients with additional risk factors for early intervention using transcatheter aortic valve replacement (TAVR), with the study approved by local ethics committees and intended for publication in academic platforms.!
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Betanin, a water-soluble pigment known for its high bioactivity, is hindered by pH and temperature sensitivity, weak ionic strength, and low bioavailability. In this study, nanoliposome (NPS), chitosan-coated NPS (CNPS), and chondroitin sulfate-chitosan bilayer-modified nanoliposomes (SCNPS) were prepared based on a layer-by-layer electrostatic interaction method for betanin encapsulation. The increase of polymer layers from NPS to SCNPS led to a monotonic increment from 223.

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Background: Data concerning the outcomes of transcatheter aortic valve replacement in type 0 bicuspid aortic stenosis (AS) are scarce. The study aims to compare the outcomes of transcatheter aortic valve replacement for AS in patients with type 0 bicuspid, type 1 bicuspid, and tricuspid aortic valve anatomy.

Methods: We enrolled consecutive patients undergoing transcatheter aortic valve replacement for severe AS between 2012 and 2022 in this single-center retrospective cohort study.

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Background: The correlation between stable geomagnetic fields and unstable geomagnetic activities with mortality, incidence, and prevalence of cardiovascular diseases (CVDs) remains ambiguous.

Method: To investigate the correlations between geomagnetic field (GMF) intensity and geomagnetic disturbance (GMD) and CVDs events in global, long-period scale, global and 204 countries and territories were included on the base of 2019 Global Burden of Disease study (GBD 2019). Data of GMF intensity, GMD frequency, CVDs events, weather and health economic indicators from 1996 to 2019 of included locations were collected.

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Despite encouraging advances in early diagnosis and treatment, cardiovascular diseases (CVDs) remained a leading cause of morbidity and mortality worldwide. Increasing evidence has shown that the electromagnetic field (EMF) influences many biological processes, which has attracted much attention for its potential therapeutic and diagnostic modalities in multiple diseases, such as musculoskeletal disorders and neurodegenerative diseases. Nonionizing EMF has been studied as a therapeutic or diagnostic tool in CVDs.

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The snare-assisted technique has been described to facilitate transcatheter aortic valve replacement (TAVR) delivery system advancement in complex aortic anatomies. However, the evidence is limited to case reports. To evaluate the safety profile of the snare-facilitated approach and its impact on self-expanding (SE) TAVR outcomes, we collected consecutive patients who underwent transfemoral SE-TAVR for aortic stenosis, using propensity score matching (PSM) separately in tricuspid and type-0 and type-1 bicuspid aortic valve morphology between the snare and non-snare groups.

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Arbutin, salidroside, polydatin, and phlorizin are typically natural bioactive phenolic glycosides. To improve the liposolubility and bioavailability, highly liposoluble derivatives including 6'--lauryl arbutin, 6'--lauryl salidroside, 6″--lauryl polydatin, and 6″--lauryl phlorizin were efficiently synthesized by enzymatic acylation in a green solvent 2-MeTHF. Their reaction conversions reached 84.

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