We obtain the exact values of the systoles of these hyperbolic surfaces of genus g with cyclic symmetry of the maximum order and the next maximum order.Precisely,for the genus g hyperbolic surface with order 4 g+2 cyc...We obtain the exact values of the systoles of these hyperbolic surfaces of genus g with cyclic symmetry of the maximum order and the next maximum order.Precisely,for the genus g hyperbolic surface with order 4 g+2 cyclic symmetry,the systole is 2 arccosh(1+cosπ/(2 g+1)+cos 2π/(2 g+1))when g≥7,and for the genus g hyperbolic surface with order 4 g cyclic symmetry,the systole is 2 arccosh(1+2 cos 2π/2 g)when g≥4.展开更多
Background:An arterial stiffness is an indicator of many cardiovascular diseases.The temporal position of systolic blood pressure(BP)on aorta pulse waveform is assumed to gradually shift on the waveform in response to...Background:An arterial stiffness is an indicator of many cardiovascular diseases.The temporal position of systolic blood pressure(BP)on aorta pulse waveform is assumed to gradually shift on the waveform in response to increasing/decreasing vascular stiffness.The animal model of rats and invasive methods that cannot be used in humans was applied to test the assumption on arterial pulse waveform(APW)of anesthetized rat.The aim of this study was to characterize the temporal movement of diastolic and systolic pressures on the APW of anesthetized rats during increasing/decreasing vascular stiffness.Methods:The right jugular vein of anesthetized normotensive and spontaneously hypertensive rats was cannulated for intravascular administration of vascularly active compounds to alter systolic pressure and vascular stiffness.The left carotid artery was cannulated to detect APW,from which numerous APW parameters were evaluated.Results:During increases/decreases in systolic BP or stiffness,the temporal position of diastolic BP of individual heartbeats di-gitally shifted on the APW between two temporal positions~8–12 ms apart,and the temporal position of systolic BP on the APW did not gradually shift during increases/decreases in vascular stiffness,as expected,but oscillated between constant di-gital,tri-gital,or tetra-gital temporal positions.Conclusions:Introducing new APW parameters,n-gital systolic BP fluctuations on rat APW were found.Fluctuations in n-gital were approximately constant during large changes in systolic pressure despite significant changes in augmentation index and cardiovascular stiffness,which may challenge the assumption of a gradual temporal location of systolic pressure on rat APW under these conditions.展开更多
BACKGROUND Global longitudinal strain(GLS)of the left ventricular is a highly sensitive and reliable marker of systolic function and GLS outperforms ejection fraction(EF)in detecting preclinical left ventricular systo...BACKGROUND Global longitudinal strain(GLS)of the left ventricular is a highly sensitive and reliable marker of systolic function and GLS outperforms ejection fraction(EF)in detecting preclinical left ventricular systolic dysfunction(LVSD).In patients with type 2 diabetes(DM2)albuminuria is a predictor of symptomatic heart failure,but data on the relationship between GLS and albuminuria are conflicting.AIM To explore the relationship between GLS and albuminuria in a contemporary cohort of DM2 patients.METHODS The study was performed on DM2 patients consecutively enrolled in the TESEO study.Patients with symptoms/signs of heart failure,EF<50%,coronary artery,other cardiac diseases,or non-adequate acoustic window for GLS assessment were excluded.We collected clinical data,screened for complications,and measured GLS by speckle-tracking echocardiography.Univariate and multiple linear regression analyses were performed to identify independent explanatory variables associated with GLS.Logistic regression analysis was used to assess whether albuminuria was independently associated with GLS-diagnosed(GLS>-18%)LVSD.RESULTS Patients(n=193,age:60.6±8.1,male:57%)had a short DM2 duration(3.8±4.9 years)and good metabolic control(glycated haemoglobin A1c:6.5%±1.0).Preclinical GLS-LVSD was present in 21.8%of the patients.GLS values were significantly higher in patients with albuminuria(-19.88±2.16 vs-18.29±2.99,P<0.001)and in multivariate analysis natural logarithm of albumin-creatinine ratio and uric acid were independent predictors of GLS.In logistic regression analysis,albuminuria was associated with a 6.01(95%confidence interval:1.874-19.286)increased odds ratio of GLS-LVSD,independent of age,sex,diastolic blood pressure,chronic kidney disease,EF,mitral annulus velocity lateral,uric acid,and treatments.CONCLUSION Albuminuria was independently associated with subclinical LVSD in our contemporary cohort of DM2 patients.展开更多
Hypertension, often called the “silent killer”, is a major risk factor for heart attacks and strokes in the elderly. Its effective management is crucial to prevent damage to the heart, brain, and kidneys. Isolated s...Hypertension, often called the “silent killer”, is a major risk factor for heart attacks and strokes in the elderly. Its effective management is crucial to prevent damage to the heart, brain, and kidneys. Isolated systolic hypertension (ISH) is particularly critical in the elderly population. Cardiovascular risk factors, including pulse pressure and wave velocity, are closely associated with systolic blood pressure and influenced by arterial stiffness and wave reflections. Managing ISH is complex due to the potential negative effects of certain medications and individual variability in treatment response. This paper will address these issues, evaluating antihypertensive drugs, combination therapy, personalized treatment plans, and updated guidelines for managing ISH.展开更多
A 64-year-old woman who presented with progressive exertional dyspnea(NYHA class IIb)over the previous month,unresponsive to adjustments in diuretic therapy.She denied chest pain or palpitations.On physical examinatio...A 64-year-old woman who presented with progressive exertional dyspnea(NYHA class IIb)over the previous month,unresponsive to adjustments in diuretic therapy.She denied chest pain or palpitations.On physical examination,bilateral lower extremity edema and a right parasternal systolic murmur were noted.Electrocardiography showed sinus rhythm with first-degree atrioventricular block and complete right bundle branch block.展开更多
基金supported by National Natural Science Foundation of China(Grant No.11771021)。
文摘We obtain the exact values of the systoles of these hyperbolic surfaces of genus g with cyclic symmetry of the maximum order and the next maximum order.Precisely,for the genus g hyperbolic surface with order 4 g+2 cyclic symmetry,the systole is 2 arccosh(1+cosπ/(2 g+1)+cos 2π/(2 g+1))when g≥7,and for the genus g hyperbolic surface with order 4 g cyclic symmetry,the systole is 2 arccosh(1+2 cos 2π/2 g)when g≥4.
基金supported by funding from ERA4Health:InterHeart 2025 to L.Tomasova and the VEGA Grant Agency of the Slovak Republic(grant number 2/0138/25 to A.Misak and 2/0066/23 to L.Tomasova).
文摘Background:An arterial stiffness is an indicator of many cardiovascular diseases.The temporal position of systolic blood pressure(BP)on aorta pulse waveform is assumed to gradually shift on the waveform in response to increasing/decreasing vascular stiffness.The animal model of rats and invasive methods that cannot be used in humans was applied to test the assumption on arterial pulse waveform(APW)of anesthetized rat.The aim of this study was to characterize the temporal movement of diastolic and systolic pressures on the APW of anesthetized rats during increasing/decreasing vascular stiffness.Methods:The right jugular vein of anesthetized normotensive and spontaneously hypertensive rats was cannulated for intravascular administration of vascularly active compounds to alter systolic pressure and vascular stiffness.The left carotid artery was cannulated to detect APW,from which numerous APW parameters were evaluated.Results:During increases/decreases in systolic BP or stiffness,the temporal position of diastolic BP of individual heartbeats di-gitally shifted on the APW between two temporal positions~8–12 ms apart,and the temporal position of systolic BP on the APW did not gradually shift during increases/decreases in vascular stiffness,as expected,but oscillated between constant di-gital,tri-gital,or tetra-gital temporal positions.Conclusions:Introducing new APW parameters,n-gital systolic BP fluctuations on rat APW were found.Fluctuations in n-gital were approximately constant during large changes in systolic pressure despite significant changes in augmentation index and cardiovascular stiffness,which may challenge the assumption of a gradual temporal location of systolic pressure on rat APW under these conditions.
基金Supported by the Italian Ministry for Education,University and Research under the Programme“Dipartimenti di Eccellenza 2018-2022”Project,No.D15D18000410001Novo Nordisk“Gestione delle complicanze croniche del diabete:From bedside to bench?”,No.n1/2021.
文摘BACKGROUND Global longitudinal strain(GLS)of the left ventricular is a highly sensitive and reliable marker of systolic function and GLS outperforms ejection fraction(EF)in detecting preclinical left ventricular systolic dysfunction(LVSD).In patients with type 2 diabetes(DM2)albuminuria is a predictor of symptomatic heart failure,but data on the relationship between GLS and albuminuria are conflicting.AIM To explore the relationship between GLS and albuminuria in a contemporary cohort of DM2 patients.METHODS The study was performed on DM2 patients consecutively enrolled in the TESEO study.Patients with symptoms/signs of heart failure,EF<50%,coronary artery,other cardiac diseases,or non-adequate acoustic window for GLS assessment were excluded.We collected clinical data,screened for complications,and measured GLS by speckle-tracking echocardiography.Univariate and multiple linear regression analyses were performed to identify independent explanatory variables associated with GLS.Logistic regression analysis was used to assess whether albuminuria was independently associated with GLS-diagnosed(GLS>-18%)LVSD.RESULTS Patients(n=193,age:60.6±8.1,male:57%)had a short DM2 duration(3.8±4.9 years)and good metabolic control(glycated haemoglobin A1c:6.5%±1.0).Preclinical GLS-LVSD was present in 21.8%of the patients.GLS values were significantly higher in patients with albuminuria(-19.88±2.16 vs-18.29±2.99,P<0.001)and in multivariate analysis natural logarithm of albumin-creatinine ratio and uric acid were independent predictors of GLS.In logistic regression analysis,albuminuria was associated with a 6.01(95%confidence interval:1.874-19.286)increased odds ratio of GLS-LVSD,independent of age,sex,diastolic blood pressure,chronic kidney disease,EF,mitral annulus velocity lateral,uric acid,and treatments.CONCLUSION Albuminuria was independently associated with subclinical LVSD in our contemporary cohort of DM2 patients.
文摘Hypertension, often called the “silent killer”, is a major risk factor for heart attacks and strokes in the elderly. Its effective management is crucial to prevent damage to the heart, brain, and kidneys. Isolated systolic hypertension (ISH) is particularly critical in the elderly population. Cardiovascular risk factors, including pulse pressure and wave velocity, are closely associated with systolic blood pressure and influenced by arterial stiffness and wave reflections. Managing ISH is complex due to the potential negative effects of certain medications and individual variability in treatment response. This paper will address these issues, evaluating antihypertensive drugs, combination therapy, personalized treatment plans, and updated guidelines for managing ISH.
文摘A 64-year-old woman who presented with progressive exertional dyspnea(NYHA class IIb)over the previous month,unresponsive to adjustments in diuretic therapy.She denied chest pain or palpitations.On physical examination,bilateral lower extremity edema and a right parasternal systolic murmur were noted.Electrocardiography showed sinus rhythm with first-degree atrioventricular block and complete right bundle branch block.
