Publications by authors named "Caihong Chang"

Background: Hypertensive disorders of pregnancy (HDP) are associated with adverse outcomes for both the mother and fetus, including impaired fetal cardiac development and function. Accurate assessment of fetal heart morphology and function is essential for the early detection and management of potential complications. This study investigated the clinical application value of fetal heart quantification (Fetal HQ) technology in evaluating the cardiac morphology and function in fetuses from pregnancies affected by HDP.

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Background: Gestational diabetes mellitus (GDM) can contribute to changes in fetal cardiac structure and function, with potential implications for long-term cardiovascular health. This study focuses on assessing these cardiac adaptations in fetuses from GDM pregnancies by using the innovative Fetal Heart Quantification (Fetal HQ) technology to provide a detailed evaluation of structural and functional parameters.

Methods: A prospective study was conducted from March 2023 to October 2024 at Xiangyang No.

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Article Synopsis
  • Gestational diabetes mellitus (GDM) is linked to cardiovascular issues during pregnancy, prompting a study on left ventricular performance in affected patients using the left ventricular pressure-strain loop (LV-PSL) method.
  • The study compared 112 GDM patients to 84 healthy pregnant women and found that GDM patients had significantly lower heart performance metrics, despite conventional ultrasound results showing no differences.
  • Key metrics such as global work efficiency and global longitudinal strain were strong predictors of heart function changes in GDM patients and correlated with blood sugar levels, indicating their potential importance for monitoring cardiac health in this population.
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  • The study investigates the effectiveness of RF-data-based quantitative analysis (R-QVS) and dynamic vector flow imaging (VFI) in assessing changes in carotid artery structure and function in patients with type 2 diabetes mellitus (T2DM).
  • Researchers analyzed data from 275 participants, comparing carotid artery parameters such as thickness, stiffness, and wall shear stress among different patient groups, showing significant variations in these measures based on diabetes status.
  • The findings indicate that certain ultrasound parameters are valuable in detecting changes in the carotid arteries of T2DM patients, with several factors being significant predictors of carotid intima-media thickness.
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  • A multicenter study investigated how remnant cholesterol (RC) levels affect carotid artery intima thickness (CIT) in 158 patients with type 2 diabetes mellitus (T2DM) from September 2021 to September 2023.
  • The study found no significant differences in demographic or clinical characteristics among T2DM patients divided into high and low RC groups, but both groups had thicker CIT compared to healthy controls.
  • Results revealed that patients with higher RC levels had significantly thicker CIT than those with lower RC levels, suggesting that RC is an important factor influencing CIT in T2DM patients.
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Background: Prenatal diagnosis of Berry syndrome, a rare combination of cardiac anomalies including aortopulmonary window (APW), aortic origin of the right pulmonary artery (RPA), interrupted aortic arch (IAA), hypoplastic aortic arch, or coarctation of the aorta (COA), poses a significant challenge. Due to the rarity of the disease, and the limited case reports available to features the complex malformation of Berry syndrome postpartum, this article introduces an innovative approach to visually showcase this unusual disease. The proposed method provides a comprehensive display of the structural deformities, offering valuable insights for clinical practitioners seeking to comprehend this condition.

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Objective: The bone marrow mesenchymal stem cells (BMSCs) have the capacity to differentiate into insulin-producing cells (IPCs) in vitro. However, low differentiation efficiency and poor maturity are the main obstacles. To investigate the feasibility of BMSCs differentiation into IPCs in diabetic pancreatic microenvironment of pigs.

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Objectives: : This study observed whether mesenchymal stem cells (MSCs) adopt beta-cell fate upon diabetic microenvironment.

Methods: : We transplanted male porcine MSCs to diabetic female pigs by directly injecting into pancreas. Recipients' sera and pancreatic tissue were analyzed to assess the therapeutic effect.

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To analyze the polymorphism of TAP gene and the shared rates of alleles between mothers and their infants in Chinese patients with pre-eclampsia, TAP1 and TAP2 genotyping was performed by the amplification refractory mutation system-polymerase chain reaction (ARMS-PCR) in 42 patients, 106 normal pregnant women, and their neonates. The allelic frequency of TAP and the alleles shared in maternal-fetus were compared and analyzed in the two groups. Our results showed that, with totally eight alleles of TAP1 and TAP2 examined in the samples, no significant difference was found in allelic frequencies between pre-eclampsia group and control group, as well as between mothers and their neonates.

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The activity of the NK cells in patients with preeclampsia was studied to investigate the pathogenesis of preeclampsia. By using MTT and 51Cr releasing technique, the proliferation and killing ability of the NK cells in maternal and umbilical blood from preeclampsia patients (n = 18) and normal third trimester pregnant women (n = 18) were detected. The NK-92 cell line was as the positive control.

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Synopsis of recent research by authors named "Caihong Chang"

  • - Caihong Chang's recent research focuses on the cardiovascular implications of diabetes, primarily gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM), utilizing advanced imaging techniques such as left ventricular pressure-strain loop measurements and vector flow imaging for comprehensive assessments of heart and vascular health.
  • - Findings from these studies indicate significant changes in myocardial performance in patients with GDM, as well as implications of vessel stiffness and remnant cholesterol levels on carotid artery structure and function in T2DM patients, highlighting the critical need for targeted cardiovascular monitoring in these populations.
  • - In addition to cardiovascular studies, Chang has contributed to prenatal diagnoses involving congenital heart defects and complex malformations, indicating an expansive interest in pediatric cardiology and the implications of prenatal ultrasound technologies in early detection of critical conditions.