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| 1 | Effects of exercise training on diastolic and systolic dysfunction in patients with chronic heart failure显示文摘BACKGROUND Chronic heart failure(CHF)is a complex syndrome characterized by a progressive reduction of the left ventricular(LV)contractility,low exercise tolerance,and increased mortality and morbidity.Diastolic dysfunction(DD)of the LV,is a keystone in the pathophysiology of CHF and plays a major role in the progression of most cardiac diseases.Also,it is well estimated that exercise training induces several beneficial effects on patients with CHF.AIM To evaluate the impact of a cardiac rehabilitation program on the DD and LV ejection fraction(EF)in patients with CHF.METHODS Thirty-two stable patients with CHF(age:56±10 years,EF:32%±8%,88%men)participated in an exercise rehabilitation program.They were randomly assigned to aerobic exercise(AER)or combined aerobic and strength training(COM),based on age and peak oxygen uptake,as stratified randomization criteria.Before and after the program,they underwent a symptom-limited maximal cardiopulmonary exercise testing(CPET)and serial echocardiography evaluation to evaluate peak oxygen uptake(VO2peak),peak workload(Wpeak),DD grade,right ventricular systolic pressure(RVSP),and EF.RESULTS The whole cohort improved VO2peak,and Wpeak,as well as DD grade(P<0.05).Overall,9 patients(28.1%)improved DD grade,while 23(71.9%)remained at the same DD grade;this was a significant difference,considering DD grade at baseline(P<0.05).In addition,the whole cohort improved RVSP and EF(P<0.05).Not any between-group differences were observed in the variables assessed(P>0.05).CONCLUSION Exercise rehabilitation improves indices of diastolic and systolic dysfunction.Exercise protocol was not observed to affect outcomes.These results need to be further investigated in larger samples. | Ioannis Chaveles Ourania Papazachou Manal al Shamari Dimitrios Delis Argirios Ntalianis Niki Panagopoulou Serafim Nanas Eleftherios Karatzanos | 2021 | World Journal of Cardiology2021，13，9： | 2 |
| 2 | Transarterial Chemoembolization of Unresectable Hepatocellular Carcinoma with Drug Eluting Beads: Results of an Open-Label Study of 62 Patients显示文摘 | Katerina Malagari Katerina Chatzimichael Efthymia Alexopoulou Alexios Kelekis Brenda Hall Spyridon Dourakis Spyridon Delis Athanasios Gouliamos Dimitrios Kelekis | 2008 | CardioVascular and Interventional Radiology2008，，2： | 1 |
| 3 | Peripheral dose measurement in high-energy photon radiotherapy with the implementation of MOSFET显示文摘AIM:To study the peripheral dose(PD) from highenergy photon beams in radiotherapy using the metal oxide semiconductor field effect transistor(MOSFET) dose verification system.METHODS:The radiation dose absorbed by the MOSFET detector was calculated taking into account the manufacturer's Correction Factor,the Calibration Factor and the threshold voltage shift.PD measurements were carried out for three different field sizes(5 cm×5 cm,10 cm×10 cm and 15 cm×15 cm) and for various depths with the source to surface distance set at 100 cm.Dose measurements were realized on the central axis and then at distances(1 to 18 cm) parallel to the edge of the field,and were expressed as the percentage PD(% PD) with respect to the maximum dose(dmax).The accuracy of the results was evaluated with respect to a calibrated 0.3 cm3 ionization chamber.The reproducibility was expressed in terms of standard deviation(s) and coefficient of variation.RESULTS:% PD is higher near the phantom surface and drops to a minimum at the depth of dmax,and then tends to become constant with depth.Internal scatter radiation is the predominant source of PD and the depth dependence is determined by the attenuation of the primary photons.Closer to the field edge,where internal scatter from the phantom dominates,the % PD increases with depth because the ratio of the scatter to primary increases with depth.A few centimeters away from the field,where collimator scatter and leakage dominate,the % PD decreases with depth,due to attenuation by the water.The % PD decreases almost exponentially with the increase of distance from the field edge.The decrease of the % PD is more than 60% and can reach up to 90% as the measurement point departs from the edge of the field.For a given distance,the % PD is significantly higher for larger field sizes,due to the increase of the scattering volume.Finally,the measured PD obtained with MOSFET is higher than that obtained with an ionization chamber with percentage differences being from 0.6% to 34.0%.However,when normalized to the central dmax this difference is less than 1%.The MOSFET system,in the early stage of its life,has a dose measurement reproducibility of within 1.8%,2.7%,8.9% and 13.6% for 22.8,11.3,3.5 and 1.3 cGy dose assessments,respectively.In the late stage of MOSFET life the corresponding values change to 1.5%,4.8%,11.1% and 29.9% for 21.8,2.9,1.6 and 1.0 cGy,respectively.CONCLUSION: Comparative results acquired with the MOSFET and with an ionization chamber show fair agreement, supporting the suitability of this measurement for clinical in vivo dosimetry. | Vassiliki Vlachopoulou Georgia Malatara Harry Delis Kiki Theodorou Dimitrios Kardamakis George Panayiotakis | 2010 | World Journal of Radiology2010，2，11： | 1 |
| 4 | Benefits and limitations of enteral nutrition in the early postoperative period显示文摘 | Christos Dervenis Costas Avgerinos Dimitrios Lytras Spiros Delis | 2003 | Langenbeck’s Archives of Surgery (-)2003，，11： | 1 |
| 5 | Endothelial progenitor cells mobilization after maximal exercise according to heart failure severity显示文摘BACKGROUND Vascular endothelial dysfunction is an underlying pathophysiological feature of chronic heart failure(CHF).Patients with CHF are characterized by impaired vasodilation and inflammation of the vascular endothelium.They also have low levels of endothelial progenitor cells(EPCs).EPCs are bone marrow derived cells involved in endothelium regeneration,homeostasis,and neovascularization.Exercise has been shown to improve vasodilation and stimulate the mobilization of EPCs in healthy people and patients with cardiovascular comorbidities.However,the effects of exercise on EPCs in different stages of CHF remain under investigation.AIM To evaluate the effect of a symptom-limited maximal cardiopulmonary exercise testing(CPET)on EPCs in CHF patients of different severity.METHODS Forty-nine consecutive patients(41 males)with stable CHF[mean age(years):56±10,ejection fraction(EF,%):32±8,peak oxygen uptake(VO2,mL/kg/min):18.1±4.4]underwent a CPET on a cycle ergometer.Venous blood was sampled before and after CPET.Five circulating endothelial populations were quantified by flow cytometry:Three subgroups of EPCs[CD34+/CD45-/CD133+,CD34+/CD45-/CD133+/VEGFR2 and CD34+/CD133+/vascular endothelial growth factor receptor 2(VEGFR2)]and two subgroups of circulating endothelial cells(CD34+/CD45-/CD133-and CD34+/CD45-/CD133-/VEGFR2).Patients were divided in two groups of severity according to the median value of peak VO2(18.0 mL/kg/min),predicted peak VO2(65.5%),ventilation/carbon dioxide output slope(32.5)and EF(reduced and mid-ranged EF).EPCs values are expressed as median(25th-75th percentiles)in cells/106 enucleated cells.RESULTS Patients with lower peak VO2 increased the mobilization of CD34+/CD45-/CD133+[pre CPET:60(25-76)vs post CPET:90(70-103)cells/106 enucleated cells,P<0.001],CD34+/CD45-/CD133+/VEGFR2[pre CPET:1(1-4)vs post CPET:5(3-8)cells/106 enucleated cells,P<0.001],CD34+/CD45-/CD133-[pre CPET:186(141-361)vs post CPET:488(247-658)cells/106 enucleated cells,P<0.001]and CD34+/CD45-/CD133-/VEGFR2[pre CPET:2(1-2)vs post CPET:3(2-5)cells/106 enucleated cells,P<0.001],while patients with higher VO2 increased the mobilization of CD34+/CD45-/CD133+[pre CPET:42(19-73)vs post CPET:90(39-118)cells/106 enucleated cells,P<0.001],CD34+/CD45-/CD133+/VEGFR2[pre CPET:2(1-3)vs post CPET:6(3-9)cells/106 enucleated cells,P<0.001],CD34+/CD133+/VEGFR2[pre CPET:10(7-18)vs post CPET:14(10-19)cells/106 enucleated cells,P<0.01],CD34+/CD45-/CD133-[pre CPET:218(158-247)vs post CPET:311(254-569)cells/106 enucleated cells,P<0.001]and CD34+/CD45-/CD133-/VEGFR2[pre CPET:1(1-2)vs post CPET:4(2-6)cells/106 enucleated cells,P<0.001].A similar increase in the mobilization of at least four out of five cellular populations was observed after maximal exercise within each severity group regarding predicted peak,ventilation/carbon dioxide output slope and EF as well(P<0.05).However,there were no statistically significant differences in the mobilization of endothelial cellular populations between severity groups in each comparison(P>0.05).CONCLUSION Our study has shown an increased EPCs and circulating endothelial cells mobilization after maximal exercise in CHF patients,but this increase was not associated with syndrome severity.Further investigation,however,is needed. | Christos Kourek Eleftherios Karatzanos Katherina Psarra Georgios Georgiopoulos Dimitrios Delis Vasiliki Linardatou Gerasimos Gavrielatos Costas Papadopoulos Serafim Nanas Stavros Dimopoulos | 2020 | World Journal of Cardiology2020，12，11： | 1 |
| 6 | Transarterial Chemoembolization of Unresectable Hepatocellular Carcinoma with Drug Eluting Beads: Results of an Open-Label Study of 62 Patients显示文摘 | Katerina Malagari Katerina Chatzimichael Efthymia Alexopoulou Alexios Kelekis Brenda Hall Spyridon Dourakis Spyridon Delis Athanasios Gouliamos Dimitrios Kelekis | 2008 | CardioVascular and Interventional Radiology2008，，2： | 1 |
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