Impaired sensitivity to thyroid hormones is associated with different grades of hypertension: A multicenter cross-sectional study.

BACKGROUND AND AIM: Accumulating evidence suggests a potential link between thyroid function with hypertension. However, the research results are limited, and there is no research to explore the relationship between central and peripheral thyroid hormones (THs) sensitivity and different grades of hypertension in patients with coronary heart disease (CHD). This study aims to prove the complex interaction between thyroid system and blood pressure, and provides new ideas for the assessment of hypertension in patients with CHD. METHODS AND RESULTS: Calculate parameters representing central and peripheral sensitivity to THs. Logistic regression analysis was used to analyze the relationship between central and peripheral THs sensitivity of CHD patients and different grades of hypertension, especially in different ages, sexes, blood glucose levels, smoking, and drinking statuses. Among the 34,310 participants, 19,610 (57.16 %) were diagnosed with hypertension. The risk of hypertension and TSHI (OR: 0.88; 95 % CI: 0.87-0.90; P < 0.001), TT4RI (OR: 0.998; 95 % CI: 0.998-0.999; P < 0.001), TFQI (OR: 0.63; 95 % CI: 0.60-0.67; P < 0.001), PTFQI (OR: 0.63; 95 % CI: 0.59-0.67; P < 0.001) was negatively associated. The risk of hypertension was positively associated with FT3/FT4 (OR: 1.20; 95 % CI: 1.17-1.22; P < 0.001). After stratified analysis, these associations remained significant at different ages, sexes, blood glucose levels, grades of hypertension, smoking, and drinking statuses (P < 0.001). CONCLUSIONS: This study shows that the decrease in central THs sensitivity index and the increase in peripheral THs sensitivity index are associated with a higher risk of hypertension in CHD patients.

Relationship between red cell distribution width/albumin ratio and carotid plaque in different glucose metabolic states in patients with coronary heart disease: a RCSCD-TCM study in China.

BACKGROUND: Red cell distribution width/albumin ratio (RAR) is thought to be associated with the prognosis of a variety of diseases, including diabetes and heart failure. To date, no studies have focused on the relationship between RAR and carotid plaque in patients with coronary heart disease (CHD). METHODS: A total of 10,267 patients with CHD were divided according to RAR quartiles (Q1: RAR ≤ 2.960; Q2: 2.960 < RAR ≤ 3.185; Q3: 3.185 < RAR < 3.441; Q4: RAR ≥ 3.441). Logistic regression was used to analyze the relationship between RAR and carotid plaques in CHD patients. The relationship between RAR and carotid plaques in according to sex, age and glucose regulation state groups were also assessed. RESULTS: Among the 10,267 participants, 75.43% had carotid plaques. After adjusting for confounding factors, RAR was found to be associated with carotid plaque formation (OR: 1.23; 95% CI 1.08-1.39). The risk of carotid plaque formation in the Q4 group was 1.24 times higher than that in the Q1 group. After multivariate adjustment, RAR was associated with the risk of carotid plaque in female (OR: 1.29; 95% CI 1.09-1.52). And the relationship between RAR and carotid plaques in patients younger than 60 years old (OR: 1.43; 95% CI 1.16-1.75) was stronger than that in those older than 60 years old (OR: 1.29; 95% CI 1.10-1.51). Under different glucose metabolism states, RAR had the highest correlation with the risk of carotid plaques in diabetes patients (OR: 1.28; 95% CI 1.04-1.58). CONCLUSIONS: RAR was significantly related to carotid plaques in patients with CHD. In addition, the correlation between RAR and the incidence of carotid plaque in patients with CHD was higher in women and middle-aged and elderly patients. In patients with CHD and diabetes, the correlation between RAR and carotid plaque was higher.

The Transformer Bridge Principle Circuit Using RF Admittance Technology.

To investigate the problem of the lag stability of the capacitance value during the level drop of the dirty U-shaped liquid level sensor, the equivalent circuit of the dirty U-shaped liquid level sensor was analyzed, and the transformer bridge's principle circuit that uses RF admittance technology was designed accordingly. Using the method of controlling a single variable, the measurement accuracy of the circuit was simulated when the dividing capacitance and the regulating capacitance had different values. Then, the right parameter values for the dividing capacitance and the regulating capacitance were found. On this basis, the change of the sensor output capacitance and the change of the length of the attached seawater mixture were controlled separately under the condition of removing the seawater mixture. The simulation outcomes showed that the measurement accuracy was excellent under various situations, validating the transformer principle bridge circuit's efficacy in minimizing the influence of the output capacitance value's lag stability.

The Synergetic Effect of Lithium Bisoxalatodifluorophosphate and Fluoroethylene Carbonate on Dendrite Suppression for Fast Charging Lithium Metal Batteries.

Fluorinated solid-electrolyte interphase (SEI) derived from fluoroethylene carbonate (FEC) is particularly favored for dendrite suppression in lithium metal batteries because of the high Young's modulus (≈64.9 Gpa) and low electronic conductivity (10-31 S cm-1 ) of LiF. However, the transportation ability of Li+ in this fluorinated SEI under high current densities is limited by the low ionic conductivity of LiF (≈10-12 S cm-1 ). Herein, by rational design, 0.1 m lithium bisoxalatodifluorophosphate (LiDFBOP) is adopted to modify fluorinated SEI in FEC based electrolyte for fast charging lithium metal batteries. Benefiting from the synergetic effect of LiDFBOP and FEC, a fluorinated SEI rich in LiF and Lix POy Fz species can be yielded, which can further improve the stability and ionic conductivity of SEI for fast Li+ transportation. Meanwhile, the average coulombic efficiency for Li plating/stripping is improved from 92.0% to 96.7%, thus promoting stable cycling of Li||Li symmetrical batteries with dendrite free morphologies, even at high current densities (3.0 mA cm-2 ) and high plating/stripping capacities (3.0 mAh cm-2 ). More attractively, in practical Li||LiNi0.6 Co0.2 Mn0.2 O2 batteries, the cycling life at 1C and rate capacities at 6C are also significantly improved. Therefore, the synergetic effect of LiDFBOP and FEC provides great potential for achieving advanced lithium metal batteries with fast charging ability.

Prelithiated V2 C MXene: A High-Performance Electrode for Hybrid Magnesium/Lithium-Ion Batteries by Ion Cointercalation.

The pursuit of high reversible capacity and long cycle life for rechargeable batteries has gained extensive attention in recent years, and the development of applicable electrode materials is the key point. Herein, thanks to the preintercalation of lithium ions, a stable and highly conductive nanostructure of V2 C MXene is successfully fabricated via a facile self-discharge mechanism, which provides open spaces for rapid ion diffusion and guarantees fast electron transport. Taking the prelithiated V2 C as electrode, an outstanding initial coulombic efficiency of 80% and an impressive capacity retention of ≈98% after 5000 charge/discharge cycles are achieved for lithium-ion batteries. Especially, it demonstrates a fascinating reversible capacity of up to 230.3 mA h g-1 at 0.02 A g-1 and a long cycling life of 82% capacity retention over 480 cycles in the hybrid magnesium/lithium-ion batteries. In addition, the Mg2+ and Li+ ions cointercalation mechanism of the prelithiated V2 C is elucidated through ex situ X-ray diffraction and X-ray photoelectron spectroscopy characterizations. This work not only offers an effective approach to compensate the large initial lithium loss of high-capacity anode materials but also opens up a new and viable avenue to develop promising hybrid Mg/Li-storage materials with eminent electrochemical performance.

Regulating Lithium Nucleation via CNTs Modifying Carbon Cloth Film for Stable Li Metal Anode.

Li metal is demonstrated as one of the most promising anode materials for high energy density batteries. However, uncontrollable Li dendrite growth and repeated growth of solid electrolyte interface during the charge/discharge process lead to safety issues and capacity decay, preventing its practical application. To address these issues, an effective strategy is to realize uniform Li nucleation. Here, a stable lithium-scaffold composite electrode (CC/CNT@Li) is designed by melting of lithium metal into 3D interconnected lithiophilic carbon nanotube (CNT) on a porous carbon cloth (CC). The 3D interconnected CNTs successfully change the lithiophobic CC into lithiophilic nature, reducing the polarization of the electrode, ensuring homogenous Li nucleation and continuous smooth Li plating. The CNTs on the surface of CC provide adequate Li nucleation sites and reduce the areal current density to avoid Li dendrite growth. The 3D porous structure of CC/CNT offers enough free room for buffering the huge volume change during Li plating/stripping. The CC/CNT@Li composite anode exhibits dendrite-free morphology and superior cycling performances over 500 h with low voltage hysteresis of 18, 23, and 71 mV at the current density of 1, 2, and 5 mA cm-2 , respectively.

RuO2 Particles Anchored on Brush-Like 3D Carbon Cloth Guide Homogenous Li/Na Nucleation Framework for Stable Li/Na Anode.

Lithium (sodium)-metal batteries are the most promising batteries for next-generation electrical energy storage due to their high volumetric energy density and gravimetric energy density. However, their applications have been prevented by uncontrollable dendrite growth and large volume expansion during the stripping/plating process. To address this issue, the key strategy is to realize uniform lithium (sodium) deposition during the stripping/plating process. Herein, a thin lithiophilic layer consisting of RuO2 particles anchored on brush-like 3D carbon cloth (RuO2 @CC) is prepared by a simple solution-based method. After infusion of Li, the RuO2 @CC transfers to Li-Ru@CC. Ru nanoparticles not only play a role in leading Li+ (Na+ ) to plate on the 3D carbon framework, but also lower local current density because of the good electrical conductivity. Furthermore, density functional theory calculations demonstrate that Ru metal, the reaction product of alkali metal and Ru, can lead Li+ to plate evenly around carbon fiber owing to the strong binding energy with Li+ . The Li-Ru@CC anode shows ultralong cycle life (1500 h at 5 mA cm-2 ). The full cell of Li-Ru@CC|LiFePO4 exhibits lower polarization (90% capacity retention after 650 cycles). In addition, sodium metal batteries based on Na-Ru@CC anodes can achieve similar improvement.

Phase retrieval based on transport of intensity and digital holography.

We propose a technique in which intensity images are reconstructed from a digital hologram to provide inputs for the transport-of-intensity equation for unwrapped phase recovery. By doing this, we avoid shifting of the sample or the camera in the experiment, a method commonly employed while using the method of transport-of-intensity equation for phase retrieval. Computer simulations as well as experimental results have been demonstrated to verify the effectiveness of the proposed idea. The underlying numerical technique can also be viewed as an alternative to existing phase-unwrapping algorithms.

Synthesis of γ-Lactams by Mild, o-Benzoquinone-Induced Oxidation of Pyrrolidines Containing Oxidation-Sensitive Functional Groups.

The late-stage oxidation of substituted pyrrolidines offers good flexibility for the construction of γ-lactam libraries, and especially in recent years the methods for functionalization of pyrrolidine have been available. We reported a new strategy for oxidation of pyrrolidines to γ-lactams: reaction of pyrrolidine with an o-benzoquinone gives an N,O-acetal by direct oxidation of the α-C-H bond of the pyrrolidine ring, and then the N,O-acetal is further oxidized by the o-benzoquinone to the γ-lactam. Because the first oxidation occurs selectively at the α-C-H of the pyrrolidine ring, oxidation-sensitive functional groups (allyl-, vinyl-, hydroxyl-, and amino groups) on pyrrolidine ring are unaffected. The synthetic utility of this novel method was demonstrated by the facile syntheses of (S)-vigabatrin and two analogues.

Highly efficient and stable Au/CeO2-TiO2 photocatalyst for nitric oxide abatement: potential application in flue gas treatment.

In the present work, highly efficient and stable Au/CeO2-TiO2 photocatalysts were prepared by a microwave-assisted solution approach. The Au/CeO2-TiO2 composites with optimal molar ratio of Au/Ce/Ti of 0.004:0.1:1 delivered a remarkably high and stable NO conversion rate of 85% in a continuous flow reactor system under simulated solar light irradiation, which far exceeded the rate of 48% over pure TiO2. The tiny Au nanocrystals (∼1.1 nm) were well stabilized by CeO2 via strong metal-support bonding even it was subjected to calcinations at 550 °C for 6 h. These Au nanocrystals served as the very active sites for activating the molecule of nitric oxide and reducing the transmission time of the photogenerated electrons to accelerate O2 transforming to reactive oxygen species. Moreover, the Au-Ce(3+) interface formed and served as an anchoring site of O2 molecule. Then more adsorbed oxygen could react with photogenerated electrons on TiO2 surfaces to produce more superoxide radicals for NO oxidation, resulting in the improved efficiency. Meanwhile, O2 was also captured at the Au/TiO2 perimeter site and the NO molecules on TiO2 sites were initially delivered to the active perimeter site via diffusion on the TiO2 surface, where they assisted O-O bond dissociation and reacted with oxygen at these perimeter sites. Therefore, these finite Au nanocrystals can consecutively expose active sites for oxidizing NO. These synergistic effects created an efficient and stable system for breaking down NO pollutants. Furthermore, the excellent antisintering property of the catalyst will allow them for the potential application in photocatalytic treatment of high-temperature flue gas from power plant.

How Thick Aqueous Alkali Should be Better for Aluminum-Air Batteries at Sub-Zero Temperatures: A Critical Anti-Freezing Concentration.

The application of portable aluminum-air batteries (AABs) in extreme environments is an inevitable demand for future development. Aqueous electrolyte freezing is a major challenge for low-temperature operations. Conventionally, enlightened by the organic system in metal ion batteries, blindly increasing the concentration is regarded as an efficient technique to reduce the freezing point (FP). However, the underlying contradiction between the adjusting mechanism of the FP and OH- transportation is ignored. Herein, the aqueous alkali solution of CsOH is researched as a prototype to disclose the intrinsic conductive behavior and related solvent structure evolution. Different from these inorganic electrolyte systems, the concept of a critical anti-freezing concentration (CFC) is proposed based on a specific temperature. The relationship between hydrogen bond reconstruction and de-solvation behavior is analyzed. A high conductivity is obtained at -30 °C, which is also a recorded value in an intrinsic aqueous AAB. The homogenous dissolution of the Al anode is also observed. As a general rule, the CFC concept is also applied in both the KOH and NaOH systems.

Red phosphorus encapsulated in 3D N-doped porous carbon nanofibers: an enhanced sodium-ion battery anode material.

We report a sodium-ion battery anode design using red phosphorus encapsulated in nitrogen-doped porous carbon nanofibers that mitigates volume expansion and poor conductivity issues, enhancing battery performance. Density functional theory calculations suggest nitrogen doping promotes robust phosphorus interactions, and finite element analysis indicates the design controls volume expansion.

Simultaneous Catalytic Acceleration of White Phosphorus Polymerization and Red Phosphorus Potassiation for High-Performance Potassium-Ion Batteries.

Red phosphorus (P) as an anode material of potassium-ion batteries possesses ultra-high theoretical specific capacity (1154 mAh g-1 ). However, owing to residual white P during the preparation and sluggish kinetics of K-P alloying limit its practical application. Seeking an efficient catalyst to address the above problems is crucial for the secure preparation of red P anode with high performance. Herein, through the analysis of the activation energies in white P polymerization, it is revealed that the highest occupied molecular orbital energy of I2 (-7.40 eV) is in proximity to P4 (-7.25 eV), and the lowest unoccupied molecular orbital energy of I2 molecule (-4.20 eV) is lower than that of other common non-metallic molecules (N2 , S8 , Se8 , F2 , Cl2 , Br2 ). The introduction of I2 can thus promote the breaking of the P─P bond and accelerate the polymerization of white P molecules. Besides, the ab initio molecular dynamics simulations show that I2 can enhance the kinetics of P-K alloying. The as-obtained red P/C composites with I2 deliver excellent cycling stability (358 mAh g-1 after 1200 cycles at 1 A g-1 ). This study establishes catalysis as a promising pathway to tackle the challenges of P anode for alkali metal ion batteries.

Redox-neutral α-functionalization of pyrrolidines: facile access to α-aryl-substituted pyrrolidines.

α-Aryl-substituted pyrrolidine moiety is found in many natural alkaloids. Starting from pyrrolidine, we were able to synthesize α-aryl-substituted pyrrolidines in one step using quinone monoacetal as the oxidizing agent and DABCO as the base. We also discovered the reaction condition needed to efficiently remove the N-aryl moiety from the α-arylated product. When the above reaction was carried out without the addition of an aryl nucleophile, the reaction of pyrrolidine and quinone monoacetal in 2,2,2-trifluoroethanol afforded octahydro-dipyrroloquinoline in high yield, which has the same skeleton as that of natural product incargranine B.

Association between sensitivity to thyroid hormones and dyslipidemia in patients with coronary heart disease.

BACKGROUND: Thyroid hormones affect lipid metabolism via central and peripheral regulation. However, there have been few studies on the association between thyroid hormone sensitivity and dyslipidemia. We aimed to investigate the association between thyroid hormone sensitivity and dyslipidemia in patients with coronary heart disease (CHD). METHODS: A total of 31,678 patients with CHD were included in this large multicenter retrospective study. Central thyroid hormone sensitivity was evaluated using the thyroid feedback quantile-based index (TFQI), parametric thyroid feedback quantile-based index (PTFQI), thyroid-stimulating hormone index (TSHI), and thyrotropin thyroxine resistance index (TT4RI); peripheral thyroid hormone sensitivity was assessed by the ratio of free triiodothyronine (FT3)/free thyroxine (FT4). Logistic regression analysis was used to analyze the association between thyroid hormone sensitivity and dyslipidemia. RESULTS: Among 31,678 participants, 21,648 (68.34%) had dyslipidemia. In the multi-adjusted models, the risk of dyslipidemia was positively correlated with TFQI (odds ratio [OR]: 1.04; 95% confidence interval [CI]: 1.03-1.05), PTFQI (OR: 1.09; 95% CI: 1.06-1.12), TSHI (OR: 1.08; 95% CI: 1.06-1.11), and TT4RI (OR: 1.08; 95% CI: 1.05-1.11). Conversely, the risk of dyslipidemia was negatively correlated with FT3/FT4 (OR: 0.94; 95% CI: 0.92-0.97). In stratified analyses, the association between thyroid hormone sensitivity and dyslipidemia was statistically significant for different sexes, glucose levels, and blood pressure states. CONCLUSION: There is a significant association between sensitivity to thyroid hormones and dyslipidemia, regardless of sex, glucose level, or blood pressure. Graphical abstract.

Association between sensitivity to thyroid hormones and risk of arrhythmia in patients with coronary heart disease: a RCSCD-TCM study in China.

BACKGROUND: Thyroid dysfunction is closely related to arrhythmia. However, the relationship between sensitivity to thyroid hormone and risk of arrhythmia remains unknown. This study aimed to investigate the association between the thyroid system complex index and risk of arrhythmia in patients with coronary heart disease (CHD). METHODS: This large, multicenter study included 28,413 patients with CHD. Central sensitivity to thyroid hormone was assessed by calculating the thyroid feedback quantile-based index (TFQI). Logistic regression was used to analyze the relationship between sensitivity to thyroid hormone and risk of arrhythmia. This study also assessed the relationship between sensitivity to thyroid hormone and risk of arrhythmia in different sexes, ages, and glucose regulation and blood lipid states. RESULTS: Of the 28,413 participants, 8935 (31.4%) patients with CHD had arrhythmia. There was a remarkable association between TFQI and risk of arrhythmia (odds ratio [OR]: 0.783; 95% confidence interval [CI], 0.735-0.836). Furthermore, the association between the TFQI and risk of arrhythmia in women (OR: 0.731; 95% CI: 0.667-0.802) was stronger than that in men (OR: 0.894; 95% CI: 0.816-0.910), as well as higher in elder (OR: 0.779; 95% CI: 0.721-0.843) than middle-aged (OR: 0.789; 95% CI: 0.703-0.886) patients. Furthermore, the association was strong in the state of diabetes (OR: 0.635; 95% 0.569-0.709) and dyslipidemia (OR: 0.706; 95% CI: 0.644-0.774). CONCLUSION: There is a remarkable association between sensitivity to thyroid hormone and risk of arrhythmia in patients with CHD, which is more pronounced among women and the elderly. The association is also stronger in CHD patients with dyslipidemia or diabetes.

Associations Between GGT/ALT Ratio and Carotid Plaque in Inpatients With Coronary Artery Disease: A RCSCD-TCM Study.

This study investigated the relationship between gamma-glutamyltransferase/alanine aminotransferase (GGT/ALT) ratio and carotid plaques in patients with coronary artery disease (CAD). This multicenter retrospective study included 8,255 patients with CAD who were divided according to GGT/ALT quartiles: Q1 (GGT/ALT ≤ 1.00), Q2 (1.00 < GGT/ALT ≤ 1.41), Q3 (1.41 < GGT/ALT ≤ 2.05), and Q4 (GGT/ALT > 2.05). Logistic regression was used to analyze the relationship between GGT/ALT, carotid plaques, and carotid plaque echogenicity. GGT/ALT ratio (odds ratio [OR]: 1.16; 95% confidence interval [CI]: 1.11-1.21; P < .001) was significantly associated with carotid plaque risk. The degree of relevance was higher in men (OR: 1.71; 95% CI: 1.35-2.15; P < .001) than in women (OR: 1.56; 95% CI: 1.28-1.91; P < .001). The ORs value of carotid plaque risk was higher in middle-aged patients (OR: 2.23; 95% CI: 1.78-2.80; P < .001) than in older patients (OR: 1.77; 95% CI: 1.44-2.18; P < .001). The GGT/ALT ratio was significantly associated with different carotid plaque echogenicity, and the highest OR values were for isoechoic plaques (OR: 1.18; 95% CI: 1.12-1.24; P < .001). These findings suggest that the GGT/ALT ratio might be associated with a high risk of developing carotid plaques and different types of plaque echoes and was more significantly associated with isoechoic plaques.

Single-Atom Vanadium Catalyst Boosting Reaction Kinetics of Polysulfides in Na-S Batteries.

The practical application of the room-temperature sodium-sulfur (RT Na-S) batteries is hindered by the insulated sulfur, the severe shuttle effect of sodium polysulfides, and insufficient polysulfide conversion. Herein, on the basis of first principles calculations, single-atom vanadium anchored on a 3D nitrogen-doped hierarchical porous carbon matrix (denoted as 3D-PNCV) is designed and fabricated to enhance sulfur reactivity, and adsorption and catalytic conversion performance of sodium polysulfide. The 3D-PNCV host with abundant and active V sites, hierarchical porous structure, high electrical conductivity, and strong chemical adsorption/conversion ability of V-N bonding can immobilize the polysulfides and promote reversibly catalytic conversion of polysulfides toward Na2 S. Therefore, as-fabricated RT Na-S batteries can achieve a high reversible capacity (445 mAh g-1 over 800 cycles at 5 A g-1 ) and excellent rate capability (224 mAh g-1 at 10 A g-1 ). The electrocatalysis mechanism of sodium polysulfides is further experimentally and theoretically revealed, which provides a new strategy to develop the highly stable RT Na-S batteries.

Multi-Scale Structure Engineering of ZnSnO3 for Ultra-Long-Life Aqueous Zinc-Metal Batteries.

Suppressing the severe water-induced side reactions and uncontrolled dendrite growth of zinc (Zn) metal anodes is crucial for aqueous Zn-metal batteries to achieve ultra-long cyclic lifespans and promote their practical applications. Herein, a concept of multi-scale (electronic-crystal-geometric) structure design is proposed to precisely construct the hollow amorphous ZnSnO3 cubes (HZTO) for optimizing Zn metal anodes. In situ gas chromatography demonstrates that Zn anodes modified by HZTO (HZTO@Zn) can effectively inhibit the undesired hydrogen evolution. The pH stabilization and corrosion suppression mechanisms are revealed via operando pH detection and in situ Raman analysis. Moreover, comprehensive experimental and theoretical results prove that the amorphous structure and hollow architecture endow the protective HZTO layer with strong Zn affinity and rapid Zn2+ diffusion, which are beneficial for achieving the ideal dendrite-free Zn anode. Accordingly, excellent electrochemical performances for the HZTO@Zn symmetric battery (6900 h at 2 mA cm-2 , 100 times longer than that of bare Zn), HZTO@Zn||V2 O5 full battery (99.3% capacity retention after 1100 cycles), and HZTO@Zn||V2 O5 pouch cell (120.6 Wh kg-1 at 1 A g-1 ) are achieved. This work with multi-scale structure design provides significant guidance to rationally develop advanced protective layers for other ultra-long-life metal batteries.

Relationship Between Prognostic Nutrition Index and New York Heart Association Classification in Patients with Coronary Heart Disease: A RCSCD-TCM Study.

Aim: This study aimed to elucidate the relationship between the prognostic nutrition index (PNI) of patients with coronary heart disease (CHD) and the New York Heart Association (NYHA) classification and the complex relationship between PNI combined body mass index (BMI) and NYHA classification. Methods: The PNI was applied to 17,413 consecutive patients with CHD. Patients were divided into three groups according to PNI: normal nutrition (PNI ≥ 38), moderate malnutrition (35 < PNI < 38), and severe malnutrition (PNI ≤ 35). A total of 2,052 CHD patients with BMI were selected and stratified by combined subgroups of nutritional status and BMI. Logistic regression analysis was used to evaluate the relationship between the PNI and NYHA classification and to adjust for confounding factors. Results: The prevalence of malnutrition among the 17,413participants with CHD was 4.2%. Moderate and severe malnutrition were significantly related to NYHA class III and V, and the strongest relationship was observed in NYHA class V (odd ratio [OR]: 6.564; 95% confidence interval [CI]: 4.043-10.658). Malnourished-underweight patients and malnourished-overweight patients were significantly associated with higher NYHA classification, and malnourished-underweight patients (OR: 8.038; 95% CI: 2.091-30.892) were significantly more than malnourished-overweight patients (OR: 3.580; 95% CI: 1.286-9.966). Conclusion: There were differences in the NYHA classification of CHD patients with different nutritional statuses. The lower the PNI, the worse the NYHA classification of CHD patients. Malnourished-underweight patients had a worse NYHA classification than malnourished-overweight patients.