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The Rosa davurica Pall (RDP) is a Chinese traditional medicine known for its potential in treating cardiovascular disorders. However, the specific compounds within RDP for its anti-myocardial ischemic activity have not been fully elucidated. The present study was intended to reveal the ameliorate myocardial ischemic component of RDP and to reveal its potential mechanism of action against myocardial ischemia. First, the fingerprints of the six polar components of RDP were established by HPLC, and the ameliorate myocardial ischemic activity of each polar component of RDP was explored using ISO-induced myocardial ischemia mice. Then establish the spectral-effect relationship of RDP using statistical analysis methods to further confirm ameliorate myocardial ischemic activity of RDP. Subsequently, the composition of the optimal polar components was determined using UHPLC-Q-TOF/MS. Then, the mechanism of action of the optimal polar components of RDP against myocardial ischemia was investigated using network pharmacology. After evaluation of the spectral relationship, RDP showed good antioxidant activity as well as ameliorated myocardial ischemic activity. Subsequent studies combined with network pharmacological analysis showed that the 21 compounds in the S4 fraction, exerted their ameliorate myocardial ischemic effects by potentially participating in the IL-17 as well as TNF signaling pathways and by modulating the biosynthesis and degradation of nitrogen oxides. Molecular docking and Molecular dynamic results shown that the optimal monomer, Procyanidin B1, exhibit the best results. This study provides a theoretical basis for the ameliorate myocardial ischemic capacity of RDP and provides a reference for the subsequent study of its pharmacological effects.
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http://dx.doi.org/10.1016/j.fitote.2025.106648 | DOI Listing |
Zhong Nan Da Xue Xue Bao Yi Xue Ban
May 2025
Department of Cardiovascular Medicine, Affiliated Changsha Hospital of Xiangya School of Medicine, Central South University, Changsha 410005.
Objectives: The Charlson comorbidity index reflects overall comorbidity burden and has been applied in cardiovascular medicine. However, its role in predicting in-hospital mortality in patients with acute myocardial infarction (AMI) complicated by ventricular arrhythmias (VA) remains unclear. This study aims to evaluate the predictive value of the Charlson comorbidity index in this setting and to construct a nomogram model for early risk identification and individualized management to improve outcomes.
View Article and Find Full Text PDFCatheter Cardiovasc Interv
September 2025
IRCCS Humanitas Research Hospital, Rozzano-Milan, Italy.
Background: Given the divergence in recommendations regarding the relevance of inducible ischemia regarding the indication to revascularize chronic total occlusions (CTOs) among European and North American guidelines, we aim at investigating the prevalence and the prognostic impact of significant inducible ischemia in an unselected cohort of asymptomatic CTO patients, integrating collateralization status and viability assessment with stress cardiac magnetic resonance (CMR).
Methods: From a cohort of 749 patients referred to our center with a diagnosis of CTO, we retrospectively analyzed 111 asymptomatic individuals who underwent an adenosine stress CMR. The amount of inducible ischemia subtended by the CTO was calculated, as well as the presence of viable myocardium and the collateralization status.
Nan Fang Yi Ke Da Xue Xue Bao
August 2025
School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, China.
Objectives: We propose a myocardial infarction (MI) detection and localization model for improving the diagnostic accuracy for MI to provide assistance to clinical decision-making.
Methods: The proposed model was constructed based on multi-scale field residual blocks fusion modified channel attention (MSF-RB-MCA). The model utilizes lead II electrocardiogram (ECG) signals to detect and localize MI, and extracts different levels of feature information through the multi-scale field residual block.
Nan Fang Yi Ke Da Xue Xue Bao
August 2025
Anhui Provincial Key Laboratory of Meridian Viscera Correlationship, Anhui University of Chinese Medicine, Hefei 230012, China.
Objectives: To clarify the role of hippocampal glutamate system in regulating HPA axis in mediating the effect of electroacupuncture (EA) at the heart meridian for improving myocardial injury in rats with acute myocardial ischemia (AMI).
Methods: Male SD rats were randomized into sham-operated group, AMI group, EA group, and L-glutamic acid+EA group (=9). Rat models of AMI were established by left descending coronary artery ligation, and EA was applied at the "Shenmen-Tongli" segment; the rats in L-glutamic acid+EA group were subjected to microinjection of L-glutamic acid into the bilateral hippocampus prior to AMI modeling and EA treatment.
J Sports Med Phys Fitness
August 2025
Division of University Cardiology and Cardiac Imaging, IRCCS Galeazzi Sant'Ambrogio Hospital, Milan, Italy -
The new section on ischemic heart disease (IHD) among the Italian Sports Cardiology Guidelines (COCIS) provides updated recommendations for the evaluation, management and eligibility of athletes with known or suspected IHD. Emphasizing a risk-stratified approach, the guidelines integrate clinical, functional, and imaging assessments to determine the safety of competitive sports participation. Key updates include considerations for athletes with asymptomatic or subclinical disease.
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