搜索到5338篇“ CALCIFICATION“的相关文章
血清脂联素和网膜素-1与冠心病患者发生冠状动脉钙化及其严重程度的关系
2025年
目的探讨血清脂联素和网膜素-1与冠心病患者发生冠状动脉钙化(CAC)及其严重程度的关系。方法选取2022年6月—2023年6月因胸痛或者胸闷就诊于陕西省人民医院心血管内科并经冠状动脉造影(CAG)、冠状动脉血管内超声(IVUS)检查确诊的冠心病患者192例。收集患者的基线资料(包括年龄、性别、BMI、吸烟史、高血压史、高脂血症史、糖尿病史)、实验室检查指标{包括TC、TG、LDL-C、脂蛋白a[Lp(a)]、血尿酸(SUA)、碱性磷酸酶(ALP)、γ-谷氨酰基转移酶(GGT)、血磷、血钙及血清脂联素、网膜素-1}及IVUS检查结果(包括CAC发生情况和冠心病合并CAC患者钙化指数)。根据CAC发生情况,将患者分为钙化组(发生CAC,n=121)和非钙化组(未发生CAC,n=71)。采用多因素Logistic回归分析探讨冠心病患者发生CAC的影响因素。采用Spearman秩相关分析探讨血清脂联素、网膜素-1与冠心病合并CAC患者钙化指数的相关性。结果钙化组年龄大于非钙化组,有高血压史者占比、有糖尿病史者占比高于非钙化组(P<0.05)。钙化组TG、SUA、ALP、血磷高于非钙化组,血清脂联素、网膜素-1低于非钙化组(P<0.05)。多因素Logistic回归分析结果显示,血清脂联素是冠心病患者发生CAC的影响因素(P<0.05),血清网膜素-1不是冠心病患者发生CAC的影响因素(P>0.05)。Spearman秩相关分析结果显示,血清脂联素与冠心病合并CAC患者钙化指数呈负相关(r_(s)=-0.563,P=0.001),血清网膜素-1与冠心病合并CAC患者钙化指数无直线相关关系(r_(s)=-0.030,P=0.743)。结论血清脂联素是冠心病患者发生CAC的影响因素,且其与患者CAC严重程度呈负相关;血清网膜素-1不是冠心病患者发生CAC的影响因素,且其与患者CAC严重程度无直线相关关系。
任园园程功赵沱
关键词:冠心病冠状动脉钙化脂联素网膜素-1
急性心肌梗死患者心脏瓣膜钙化的相关因素分析
2024年
目的:探讨急性心肌梗死(AMI)患者主动脉瓣钙化(AVC)、二尖瓣环钙化(MAC)、心脏瓣膜钙化(CVC)的相关因素。方法:连续入选2010年1月—2018年12月于北京大学第一医院心内科住院并留取生物样本的AMI患者911例,所有研究对象均完成超声心动图钙化评价。按主动脉瓣和二尖瓣环是否钙化对患者进行分组,分别分析AVC和MAC的影响因素。同时将患者分为无瓣膜钙化组、单瓣膜钙化组和双瓣膜钙化组,分析CVC的影响因素。结果:多因素回归分析表明,年龄≥65岁(OR=3.21,95%CI:2.39~4.32,P<0.001)、糖尿病(OR=1.35,95%CI:1.00~1.81,P=0.047)、高血压(OR=1.38,95%CI:1.01~1.89,P=0.046)、肾功能不全(OR=1.74,95%CI:1.08~2.81,P=0.024)与AVC相关;年龄≥65岁(OR=5.37,95%CI:2.91~9.93,P<0.001)、糖尿病(OR=1.83,95%CI:1.10~3.04,P=0.020)、肾功能不全(OR=2.55,95%CI:1.35~4.82,P=0.004)与MAC相关;年龄≥65岁(OR=3.68,95%CI:2.75~4.93,P<0.001)、糖尿病(OR=1.57,95%CI:1.18~2.09,P=0.002)、肾功能不全(OR=2.14,95%CI:1.34~3.41,P=0.001)与CVC相关。结论:年龄、糖尿病及肾功能不全与AMI患者CVC相关,不同瓣膜钙化的相关因素并不完全相同。
陈楚云王娜于扬范芳芳杨颖张岩
关键词:心脏瓣膜钙化主动脉瓣钙化超声心动图急性心肌梗死
Animal Model of Aortic Valve Calcification: Their Methodology Helps Us Understand Aortic Valve Calcification
2024年
Aortic valve calcification disease (CAVD) is the most prevalent degenerative valve disease in humans, leading to significant morbidity and mortality. Despite its common occurrence, our understanding of the underlying mechanisms remains incomplete, and available treatment options are limited and risky. A more comprehensive understanding of the biology of CAVD is essential to identify new therapeutic strategies. Animal models have played a crucial role in advancing our knowledge of CAVD and exploring potential treatments. However, these models have inherent limitations as they cannot fully replicate the complex physiological mechanisms of human CAVD. In this review, we examine various CAVD models ranging from pigs to mice, highlighting the unique characteristics of each model to enhance our understanding of CAVD. While these models offer valuable insights, they also have limitations and shortcomings. We propose that the guide wire model shows promise for future CAVD research, and streamlining the methodology could enhance our understanding and expand the research scope in this field.
Yinze WeiZhen WangMiao ChenLiang Ma
关键词:CALCIFICATIONCARDIOVASCULAR
Animal models of tendon calcification:Past,present,and future
2024年
Tendon calcification is a common clinical condition that frequently occurs as a complication after tendon injury and surgery,or as an expression of fibrodysplasia ossificans progressiva.This condition can be referred to by various names in clinical practice and literature,including tendon ossification,tendon mineralization,heterotopic ossification,and calcific tendonitis.The exact pathogenesis of tendon calcification remains uncertain,but current mainstream research suggests that calcification is mostly cell mediated.To further elucidate the pathogenesis of tendon calcification and to better simulate the overall process,selecting appropriate experimental animal models is important.Numerous animal models have been utilized in various clinical studies,each with its own set of advantages and limitations.In this review,we have discussed the advancements made in research on animal models of tendon calcification,with a focus on the selection of experimental animals,the sites of injury in these models,and the methods employed for modeling.
Ruichen LiCanhao LaiHong LuoYujian LanXinfang DuanDingsu BaoZhipeng HouHuan LiuShijie Fu
Lysosomal destabilization:A missing link between pathological calcification and osteoarthritis被引量:1
2024年
Calcification of cartilage by hydroxyapatite is a hallmark of osteoarthritis and its deposition strongly correlates with the severity of osteoarthritis.However,no effective strategies are available to date on the prevention of hydroxyapatite deposition within the osteoarthritic cartilage and its role in the pathogenesis of this degenerative condition is still controversial.Therefore,the present work aims at uncovering the pathogenic mechanism of intra-cartilaginous hydroxyapatite in osteoarthritis and developing feasible strategies to counter its detrimental effects.With the use of in vitro and in vivo models of osteoarthritis,hydroxyapatite crystallites deposited in the cartilage are found to be phagocytized by resident chondrocytes and processed by the lysosomes of those cells.This results in lysosomal membrane permeabilization(LMP)and release of cathepsin B(CTSB)into the cytosol.The cytosolic CTSB,in turn,activates NOD-like receptor protein-3(NLRP3)inflammasomes and subsequently instigates chondrocyte pyroptosis.Inhibition of LMP and CTSB in vivo are effective in managing the progression of osteoarthritis.The present work provides a conceptual therapeutic solution for the prevention of osteoarthritis via alleviation of lysosomal destabilization.
Tao YeChenyu WangJianfei YanZixuan QinWenpin QinYuxuan MaQianqian WanWeicheng LuMian ZhangFranklin R.TayKai JiaoLina Niu
关键词:OSTEOARTHRITIS
Unveiling the secrets of diatom-mediated calcification:Implications for the biological pump
2024年
Siliceous diatoms are one of the most prominent actors in the oceans,and they account for approximately 40%of the primary production and particulate organic carbon export flux.It is believed that changes in carbon flux caused by variations in diatom distribution can lead to significant climate shifts.Although the fundamental pathways of diatom-driven carbon sequestration have long been established,there are no reports of CaCO_(3) precipitation induced by marine diatom species.This manuscript introduces novel details regarding the enhancement of aragonite precipitation during photosynthesis in Skeletonema costatum in both artificial and natural seawater.Through direct measurements of cell surfaces via a pH microelectrode and zeta potential analyzer,it was determined that the diatom-mediated promotion of CaCO_(3) precipitation is achieved through the creation of specific microenvironments with concentrated[CO_(3)^(2-)]and[Ca^(2+)]and/or the dehydrating effect of adsorbed Ca^(2+).Based on this mechanism,it is highly plausible that diatom-mediated calcification could occur in the oceans,an assertion that was supported by the significant deviation of total alkalinity(TA)from the conservative TA-salinity mixing line during a Skeletonema costatum bloom in the East China Sea and other similar occurrences.The newly discovered calcification pathway establishes a link between particulate inorganic and organic carbon flux and thus helps in the reassessment of marine carbon export fluxes and CO_(2) sequestration efficiency.This discovery may have important ramifications for assessing marine carbon cycling and predicting the potential effects of future ocean acidification.
Yiwen PANYifan LIChen-Tung Arthur CHENZong-Pei JIANGWei-Jun CAIYunwen SHENZesheng DINGQixian CHENYanan DIWei FANChenba ZHUYing CHEN
关键词:CALCIFICATION
血清三酰甘油葡萄糖乘积指数与冠状动脉钙化的相关性研究
2024年
目的分析血清三酰甘油葡萄糖乘积指数(TyG指数)与冠状动脉钙化(coronary artery calcification,CAC)的关系,探讨CAC的危险因素。方法回顾性分析2022年1月至2024年1月在宝鸡市中心医院心内科以胸闷或胸痛为主诉接受心脏冠状动脉CT检查的399例受试者,其中男192例,女207例,年龄(66.35±11.48)岁。根据有无CAC分为CAC组(245例)与非CAC组(154例),比较两组临床指标的差异,用二元logistic回归分析评估CAC的影响因素,用受试者操作特征曲线(ROC)评估TyG指数等对CAC的诊断价值。采用独立样本t检验、秩和检验、χ^(2)检验、Spearman相关性分析进行统计学分析。结果CAC组年龄、三酰甘油(TG)、空腹血糖(FBG)、血肌酐、尿酸、N末端脑钠肽前体(NT-proBNP)、D-二聚体、TyG指数、男性及吸烟比例均高于非CAC组,CAC组高密度脂蛋白胆固醇(HDL-C)、舒张压均低于非CAC组,差异均有统计学意义(均P<0.05)。Spearman相关性分析显示,CAC与年龄、TyG指数、尿酸呈正相关,与HDL-C呈负相关(r=0.424、0.151、0.196、-0.152,均P<0.05)。二元logistic回归分析显示,年龄(OR=1.087,95%CI 1.064~1.111,P<0.001)、男性(OR=1.830,95%CI 1.215~2.757,P=0.004)、TG(OR=1.364,95%CI 1.071~1.739,P=0.012)、FBG(OR=1.191,95%CI 1.079~1.314,P=0.001)、TyG指数(OR=1.589,95%CI 1.177~2.145,P=0.002)、血肌酐(OR=1.018,95%CI 1.009~1.028,P<0.001)、尿酸(OR=1.003,95%CI 1.001~1.005,P=0.001)是发生CAC的独立危险因素,HDL-C(OR=0.546,95%CI 0.399~0.880,P=0.013)是保护因素。ROC分析显示,TyG指数联合年龄的曲线下面积最大,为0.753(95%CI 0.704~0.802,P<0.001)。结论年龄、男性、TG、FBG、TyG指数、血肌酐、尿酸是发生CAC的独立危险因素,且TyG指数联合年龄对CAC有良好的诊断价值。
崔浩然冯夏龙任明岗赵思嘉
关键词:冠状动脉钙化冠状动脉钙化积分三酰甘油
累积空腹血糖水平与冠状动脉钙化的关联
2024年
目的:探讨累积空腹血糖水平与冠状动脉钙化(CAC)的关联。方法:选取来自北京社区动脉粥样硬化队列的1 113例研究对象,所有研究对象分别于1998年、2008~2009年、2013~2014年进行人体测量和血糖等生化指标检测,并于2013~2014年进行冠状动脉CT检查。根据累积空腹血糖水平(至少两次空腹血糖的10年加权累积水平)将研究对象分为四组:<50.0 mmol/L组(n=495)、50.0~55.9 mmol/L组(n=345)、56.0~69.9 mmol/L组(n=176)及≥70.0 mmol/L组(n=97)。CAC评分>0分定义为存在CAC。应用Logistic回归模型分析累积空腹血糖水平对CAC的影响,并根据性别、年龄等进行亚组分析。结果:1 113例研究对象的平均年龄为(59.7±6.4)岁,其中男性523例(47.0%),478例(42.9%)存在CAC。随着累积空腹血糖水平升高,CAC比例逐渐增加。多因素Logistic回归分析显示,与累积空腹血糖水平<50.0 mmol/L组相比,50.0~55.9 mmol/L组、56.0~69.9 mmol/L组及≥70.0 mmol/L组研究对象存在CAC的OR (95%CI)分别为1.43 (1.04~1.98)、1.92(1.24~2.99)和2.79(1.35~5.77)(Ptrend<0.05)。累积空腹血糖水平每升高10 mmol/L,CAC风险增加34%(OR=1.34,95%CI:1.12~1.59,P<0.05)。在各亚组中,累积空腹血糖水平每升高10 mmol/L的CAC风险差异无统计学意义(P均≥0.05)。结论:累积空腹血糖水平升高是CAC的危险因素,提示长期维持健康血糖水平的重要性。
李晨阳刘芳超陈恕凤李建新曹杰黄克勇赵连成李莹黄建凤吕滨鲁向锋顾东风
关键词:冠状动脉钙化
乳腺钙化诊断良恶性疾病的临床钼靶X线分析——附380例报告
2024年
目的 分析乳腺疾病患者的乳腺钙化性质及钼靶X线影像表现,为临床提供最佳治疗方案具有重要意义。方法 回顾型分析经穿刺、麦默通、手术临床病理证实且资料完整的380例乳腺疾病患者的临床资料,所有病例均行钼靶X线检查,对其钙化形状、边缘、大小、密度、数目、分布及周围临近组织影像改变进行回顾性综合分析。结果 380例患者中良性钙化296例,占78%,其中纤维囊性变41例、乳导管钙化69例、血管钙化17例、皮脂腺钙化3例、脂肪瘤3例、手术缝合线钙化4例、外伤瘢痕钙化3例,出血机化2例,结节钙化68例,退行性变14例,纤维腺瘤72例;恶性钙化84例,占22%,其中浸润导管癌56例、髓样癌18例、浸润小叶癌6例、囊腺癌4例。乳腺钙化分腺体组织内钙化和腺体组织外钙化,腺体组织内(导管内或小叶腺泡内)345例、腺体组织外35例,其中血管钙化17例、外伤瘢痕钙化3例、手术缝合线钙化4例、积乳囊肿7例、皮脂腺钙化3例、脂肪瘤3例。斑片状、点状钙化密度较高、边缘清晰,泥沙样、针尖样蠕虫样钙化,密度较低、边缘欠清晰;圆环形、双轨样钙化形状固定。结论 分析乳腺良恶性钙化征,对乳腺良恶性病变诊断鉴别诊断,特别是微小乳腺癌、导管浸润癌的早期诊断早治疗具有重要临床意义。
郜玉书严芳朱建波
关键词:簇状钙化
血管内碎石术处理冠状动脉慢性完全闭塞伴长钙化病变1例
2024年
1例回旋支慢性完全闭塞病例,通过冠状动脉造影及血管内超声证实伴有长钙化及深层钙化。导丝通过闭塞段后,棘突球囊不能充分扩张。通过Pull-Back冲击波球囊多次串联定位分段处理病变,有效优化了长钙化伴深层钙化病变的预处理,使手术顺利完成,且无并发症发生。
李昕昱吕赫仁增多吉覃智禄付强
关键词:慢性完全闭塞

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