Selective his bundle pacing eliminates crochetage sign: A case report.

BACKGROUND: Crochetage sign is a specific electrocardiographic manifestation of ostium secundum atrial septal defects (ASDs), which is associated with the severity of the left-to-right shunt. Herein, we reported a case of selective his bundle pacing (S-HBP) that eliminated crochetage sign in a patient with ostium secundum ASD. CASE SUMMARY: A 77-year-old man was admitted with a 2-year history of chest tightness and shortness of breath. Transthoracic echocardiography revealed an ostium secundum ASD. Twelve-lead electrocardiogram revealed atrial fibrillation with a prolonged relative risk interval, incomplete right bundle branch block, and crochetage sign. The patient was diagnosed with an ostium secundum ASD, atrial fibrillation with a second-degree atrioventricular block, and heart failure. The patient was treated with selective his bundle pacemaker implantation. After the procedure, crochetage sign disappeared during his bundle pacing on the electrocardiogram. CONCLUSION: S-HBP eliminated crochetage sign on electrocardiogram. Crochetage sign may be a manifestation of a conduction system disorder.

Tanshinone IIA: a Chinese herbal ingredient for the treatment of atherosclerosis.

Tanshinone IIA (Tan IIA) is a fat-soluble compound extracted from Salvia miltiorrhiza, which has a protective effect against atherosclerosis (AS). Tan IIA can inhibit oxidative stress and inflammatory damage of vascular endothelial cells (VECs) and improve endothelial cell dysfunction. Tan IIA also has a good protective effect on vascular smooth muscle cells (VSMCs). It can reduce vascular stenosis by inhibiting the proliferation and migration of vascular smooth muscle cells (VSMCs), and improve the stability of the fibrous cap of atherosclerotic plaque by inhibiting apoptosis and inflammation of VSMCs. In addition, Tan IIA inhibits the inflammatory response of macrophages and the formation of foam cells in atherosclerotic plaques. In summary, Tan IIA improves AS through a complex pathway. We propose to further study the specific molecular targets of Tan IIA using systems biology methods, so as to fundamentally elucidate the mechanism of Tan IIA. It is worth mentioning that there is a lack of high-quality evidence-based medical data on Tan IIA treatment of AS. We recommend that a randomized controlled clinical trial be conducted to evaluate the exact efficacy of Tan IIA in improving AS. Finally, sodium tanshinone IIA sulfonate (STS) can cause adverse drug reactions in some patients, which needs our attention.

Efficacy and Safety of Different Dosing Regimens of Colchicine in Patients With Coronary Artery Disease: A Network Meta-analysis of 15 Randomized Controlled Trials.

ABSTRACT: Several meta-analyses have investigated the effects of different doses of colchicine in treating coronary artery disease, but all dosing regimens were never compared in a single study. We aimed to compare the efficacy and safety of 3 dosing regimens of colchicine in patients with coronary artery disease. PubMed, EMBASE, the Cochrane Library, and SCOPUS were searched for randomized controlled trials involving different colchicine doses. Major adverse cardiac events (MACE), all-cause and cardiovascular mortality, recurrent myocardial infarction (MI), stroke, gastrointestinal adverse events (AEs), discontinuation, and hospitalization were evaluated using risk ratio (RR) with 95% confidence interval (CI). A total of 15 randomized controlled trial involving 13,539 patients were included. Pooled results calculated with STATA 14.0 showed that low-dose colchicine significantly reduced MACE (RR, 0.51; 95% CI, 0.32-0.83), recurrent MI (RR, 0.56; 95% CI, 0.35-0.89), stroke (RR, 0.48; 95% CI, 0.23-1.00), and hospitalization (RR, 0.44; 95% CI, 0.22-0.85), whereas high and loading doses significantly increased gastrointestinal AEs (RR, 2.84; 95% CI, 1.26-6.24) and discontinuation (RR, 2.73; 95% CI, 1.07-6.93), respectively. Sensitivity analyses confirmed that 3 dosing regimens did not reduce all-cause and cardiovascular mortality but significantly increased the gastrointestinal AEs, and high dose significantly increased AEs-related discontinuation; loading dose resulted in more discontinuation than low dose. Although differences between 3 dosing regimens of colchicine are not significant, low dose is more effective in reducing MACE, recurrent MI, stroke, and hospitalization than the control, whereas high and loading doses increase gastrointestinal AEs and discontinuation, respectively.

Synthesis and application of Bi2WO6 for the photocatalytic degradation of two typical fluoroquinolones under visible light irradiation.

Bismuth tungstate (Bi2WO6) was successfully synthesized by a method combining ultrasonic solvothermal treatment and high-temperature calcination. The products were affirmed by X-ray diffraction, scanning electron microscopy, UV-vis diffuse reflection spectroscopy, X-ray photoelectron spectroscopy, and Fourier transform infrared spectroscopy. The characterization results indicated that calcination could improve the crystallinity and visible light utilization capacity of Bi2WO6. The photodegradation experiments showed that Bi2WO6 calcined at 450 °C for 3 h exhibited better photocatalytic activity for the degradation of norfloxacin and enrofloxacin under visible light irradiation than the catalyst prepared without calcination or calcined at other temperatures. Meanwhile, the effects of the amount of 450-Bi2WO6, the initial concentration of targets, and the pH of the solutions on the degradation were studied. Under the optimal conditions, the removal ratios reached to 92.95% (for norfloxacin) and 94.58% (for enrofloxacin) within 75 min. Furthermore, h+ and ·O2 - were identified to affect the photodegradation process significantly, and the possible photocatalytic mechanism was proposed. The as-prepared sample was verified to possess good stability and reusability, suggesting its potential application prospect in the treatment of fluoroquinolone antibiotics.

Electrochemical degradation of ciprofloxacin with a Sb-doped SnO2 electrode: performance, influencing factors and degradation pathways.

Sb-doped SnO2 electrodes were prepared with the practical sol-gel method and were used for the electrocatalytic degradation of ciprofloxacin (CIP) in aqueous solution. Results from the electrochemical characterization (including cyclic voltammetry, linear sweep voltammetry, and electrochemical impedance spectroscopy) showed that the electrode with 16 coating times (SSO-16) had the highest oxygen evolution potential of 2.2 V (vs. SCE) and the highest electrochemically active area of 3.74 cm2. The results of scanning electron microscopy and X-ray diffraction showed that the coating times could affect the surface morphology and crystal structure of the electrodes, and the SSO-16 electrode had a denser surface, higher crystallinity, and smaller grain size (28.6 nm). Moreover, the experimental parameters for CIP degradation with SSO-16 were optimized, and the removal ratio of CIP reached to almost 100% within 60 min. In addition, the possible degradation pathways of CIP were proposed. And the stability and reusability of the SSO-16 electrode were also studied. These results are valuable for the preparation of high electrocatalytic performance electrodes by a sol-gel coating method for electrochemical degradation of antibiotics.

A new method for electrodeposition of Al coatings from ionic liquids on AZ91D Mg alloy in air.

Electrodeposition of Al on Mg alloys from ionic liquids has been achieved scientifically. However, it is difficult to realize industrialized production since the preparation of electroplating bath and electrodeposition process must be carried out under inert atmosphere. A simple and practical method was then proposed to guarantee such manipulations in air by introducing a solid water-adsorbent material as well as a liquid protective film in electroplating bath. In the experimental scale, functional Al layers were successfully electrodeposited on AZ91D Mg alloys from a first-generation ionic liquid AlCl3/1-butyl-3-methylimidazolium chloride (2 : 1 mol%). The electroplating process was further investigated at constant current and constant potential. A phase of Al of the formed coatings was determined using X-ray diffraction. It was found that a continuous and compact Al film can be obtained on the Mg alloy surface at a constant current along with effective protection, as characterized by scanning electron microscopy, energy disperse spectrometry, potentiodynamic polarization curve and Nyquist plot.