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1吸烟和高脂血症是冠状动脉痉挛的重要危险因子显示文摘目的 探讨临床上具有心绞痛样胸痛发作但无显著冠状动脉狭窄患者胸痛的病因 ,并甄别与冠状动脉痉挛相关的临床危险因子。方法 对 2 75例临床上具有心绞痛发作但冠状动脉造影无显著冠状动脉狭窄患者进行乙酰胆碱试验 ,以冠状动脉狭窄程度达到 90 %以上伴胸痛发作和 /或心电图缺血性改变为冠状动脉痉挛的诊断标准。Logistic回归强迫引入法分析冠状动脉痉挛与性别、年龄、高血压、糖尿病、吸烟、血脂代谢紊乱和心电图活动平板试验结果的关系 ,并根据乙酰胆碱试验结果分组比较左室射血分数和舒张末期压力。结果 2 71例资料完整的患者中乙酰胆碱试验的阳性率为 38% ,Logistic回归分析表明 ,吸烟和高脂血症分别使冠状动脉痉挛的优势比 (OR)值增加 4 2倍和 2 3倍 ,糖尿病与冠状动脉痉挛呈显著负相关 ,冠状动脉痉挛对左室功能无明显影响。结论 冠状动脉痉挛是冠状动脉造影正常的心绞痛患者的重要病因之一 ,吸烟和高脂血症是冠状动脉痉挛的重要危险因子。向定成 Franz Xaver Kleber 2002中华心血管病杂志2002,30,4:101
2Smoking and hyperlipidemia are important risk factors for coronary artery spasm显示文摘To investigate the role of coronary artery spasm in the etiology of chest pain lacking significant coronary stenosis and to identify the clinical risk factors related to coronary artery spasm Methods Two hundred and seventy five patients with chest pain, but without significant coronary artery stenosis underwent the intracoronary acetylcholine test Coronary artery spasm was diagnosed while coronary artery stenosis increased to 90% and was accompanied by the usual chest pain with or without ischemic changes on electrocardiogram Logistic regression was employed to investigate the relationships between coronary artery spasm and sex, age, hypertension, diabetes mellitus, smoking, hyperlipidemia and results of electrocardiographic treadmill stress te st Left ventricular ejection fraction and end diastolic pressure were compared between spasm group and non-spasm group Results Coronary artery spasm was detected in 103 out of 271 patients, a rate of 38% Logistic regression analysis showed that smoking and hyperlipidemia increased the relative risk of coronary artery spasm 4 2 times and 2 3 times, respectively There was a significantly negative relationship between diabetes mellitus and coronary artery spasm Furthermore, there was no coronary artery spasm detected in left ventricular ejection fraction and end diastolic pressure Conclusions Coronary artery spasm was one of the important etiological factors for patients with chest pain but no coronary artery stenosis Smoking and hyperlipidemia were the main clinical risk factors for coronary artery向定成 Franz Xaver Kleber 2003Chinese Medical Journal2003,,4:12
3病态窦房结综合征患者非典型性胸痛的临床意义显示文摘目的探讨病态窦房结综合征患者非典型性胸痛的病因及临床意义。方法 对34例临床诊断为病态窦房结综合征且需安装心脏永久起搏器、同时伴有非典型性胸痛的患者,在行心脏永久起搏器植入术的同时或术前和术后行冠状动脉造影术,分析冠状动脉病变及左心室功能,其中21例在冠状动脉造影时行乙酰胆碱试验。结果31例患者冠状动脉均正常或狭窄程度<50%,3例患者冠状动脉狡窄程度>75%,但在心动过缓患者可见冠状动脉血流速度明显缓慢。部分患者左心室明显扩大、左心室射血分数足室壁运动降低,9例乙酰胆碱试验阳性。无严重冠状动脉病变者多在起搏器植入术后或合并钙拮抗剂治疗后胸痛消失。结论 病态窦房结综合征患者的非典型性胸痛多数不具有严重冠状动脉病变基础,可能与心动过缓所导致的冠状动脉血流缓慢或冠状动脉痉挛有关,在安装起搏器和服用钙拮抗剂后胸痛多缓解。向定成 Franz Xaver Kleber 马骏 邱建 何建新 龚志华 辛达临 2004中华老年心脑血管病杂志2004,6,4:4
4A conceptual model of organo-mineral interactions in soils: self-assembly of organic molecular fragments into zonal structures on mineral surfaces显示文摘M. Kleber P. Sollins R. Sutton 2007Biogeochemistry2007,,1:2
5Treatment of small coronary arteries with a paclitaxel-coated balloon catheter显示文摘Martin Unverdorben Franz X. Kleber Hubertus Heuer Hans-Reiner Figulla Christian Vallbracht Matthias Leschke Bodo Cremers Stefan Hardt Michael Buerke Hanns Ackermann Michael Boxberger Ralf Degenhardt Bruno Scheller 2010Clinical Research in Cardiology2010,,3:2
6Leptin concentrations are a predictor of overweight reduction in a lifestyle intervention 显示文摘Reinehr T Kleber M de Sousa G 2009Int J Pediatr Obes2009,4,4:1
7Genome-wide asso- ciation study on dimethylarginines reveals novel AGXT2 variants associated with heart rate variability but not with overall mortality 显示文摘Seppala I Kleber M E Lyytikainen L P 2014EurHeart J2014,35,8:1
8A variant in the ABO gene explains the variation in soluble E-selectin levels-results from dense genotyping in two independent populations显示文摘Karakas M Baumert J Kleber ME 2012PLo S One2012,7,51:1
9E - selectin polymorphism and atherosclerosis : an association study显示文摘Wenzel K Felix S Kleber FX 1994Hum Mol Genet1994,3,:1
10Screening for Lactic AcidBacteria with Potential to Reduce Antigenic Response ofβ-Lac-toglobulin in Bovine Skim Milk and Sweet Whey显示文摘KLEBER N WEYRICH U HINRICHS J 2006Innovative FoodScience and Emerging Technologies2006,7,3:1
11Changes in surface reactivity and organic matter composition of clay subfraetions with duration of fertilizer deprivation显示文摘Kleber M Mertz C Zikeli S 2004European Journal of Soil Science2004,55,2:1
12Review: Organic matter removal from soils using hydrogen peroxide, sodium hypochlorite, and disodium peroxodisulfate显示文摘Mikutta R Kleber M Kaiser K 2005Soil Science Society of America2005,69,:1
13Cerebellar effects after consumption of edible morels (Morchella conica,Morchel- la esculenta) 显示文摘Pfab R Haberl B Kleber J 2008Clin Toxicol2008,46,:1
14Current approaches in multiple myeloma and other cancer-related bone diseases 显示文摘M Eugelhardt M Kleber J Udi 2012Deutsche mediziuisehe Woeheuschrift(1946)2012,137,20:1
15Yes and PI3K BindCD95 to Signal Invasion of Glioblastoma 显示文摘Kleber S Sancho-Martinez I Wiestler B 2008Cancer Cell2008,13,13:1
16In-situ AFM Study of the Electrode Position of Copper on Plasma Modified Carbon Fi- ble-Reinforced Polymer Surfaces 显示文摘Lammel P Torun B Kleber C 2013Surface and Coatings Technology2013,221,:1
17On how buy- back and remanufaeturing strategies affect the profitability of spare parts supply chains 显示文摘Rainer Kleber Simone Zanoni Lucio Zavanella 2011International Journal of Pro- duction Economics2011,133,1:1
18Increase in Reported Prevalence of Microcephaly in Infants Born toWomen Living in Areas with Confirmed Zika Virus TransmissionDuring the First Trimester of Pregnancy - Brazil, 2015 显示文摘Kleber de Oliveira W Cortez-Escalante J De Oliveira WT 2016MMWRMorb Mortal Wkly Rep2016,65,9:1
19Clinical use of the respiratory quotient obtained from indirect calorimetry 显示文摘MeClave SA Lowen CC Kleber MJ 2003J Parenter Enter Nutr2003,27,1:1
20Effect oflifestyle intervention on features of polycystic ovarian syndrome,metabolic syndrome,and intima-media thickness in obeseadolescent girls显示文摘Lass A Kleber M Winkel K Wunsch R Reinehr T 2011J Clin Endocrinol MeTab2011,96,11:1
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