Video2_Successful rescue of fulminant myocarditis with mechanical circulatory support and immunosuppression therapy: A case report.avi

Myocarditis is challenging to diagnose because of its various clinical manifestations. Fulminant myocarditis (FM) is a severe type of myocarditis characterized by heart failure, malignant arrhythmia, cardiogenic shock, and cardiac arrest. Its early diagnosis and timely treatment are crucial for a positive long-term prognosis. Here we report a case of 42-year-old woman who presented with fever, chest pain, and cardiogenic shock. An initial examination showed increased myocardial enzyme levels and diffuse ST-segment elevation. Urgent coronary angiography excluded coronary artery stenosis. Echocardiography revealed decreased left ventricular systolic function. Cardiac magnetic resonance imaging revealed cardiomyocyte necrosis and interstitial inflammatory edema. The patient was diagnosed with FM and administered antiviral and anti-infective agents, glucocorticoid, immunoglobulin, and supported with temporary cardiac pacemaker and positive airway therapy, and treated with continuous renal replacement therapy. As her clinical condition deteriorated rapidly, we immediately started an intra-aortic balloon pump and veno-arterial extracorporeal membrane oxygenation. She was discharged on day 15 and recovered normally during follow-up. The early initiation of mechanical circulatory support and immunosuppression are life-saving tools for the treatment of FM.</p

Video1_Successful rescue of fulminant myocarditis with mechanical circulatory support and immunosuppression therapy: A case report.avi

Myocarditis is challenging to diagnose because of its various clinical manifestations. Fulminant myocarditis (FM) is a severe type of myocarditis characterized by heart failure, malignant arrhythmia, cardiogenic shock, and cardiac arrest. Its early diagnosis and timely treatment are crucial for a positive long-term prognosis. Here we report a case of 42-year-old woman who presented with fever, chest pain, and cardiogenic shock. An initial examination showed increased myocardial enzyme levels and diffuse ST-segment elevation. Urgent coronary angiography excluded coronary artery stenosis. Echocardiography revealed decreased left ventricular systolic function. Cardiac magnetic resonance imaging revealed cardiomyocyte necrosis and interstitial inflammatory edema. The patient was diagnosed with FM and administered antiviral and anti-infective agents, glucocorticoid, immunoglobulin, and supported with temporary cardiac pacemaker and positive airway therapy, and treated with continuous renal replacement therapy. As her clinical condition deteriorated rapidly, we immediately started an intra-aortic balloon pump and veno-arterial extracorporeal membrane oxygenation. She was discharged on day 15 and recovered normally during follow-up. The early initiation of mechanical circulatory support and immunosuppression are life-saving tools for the treatment of FM.</p

Video1_Case report: Unruptured sinus of Valsalva aneurysms causing postural angina pectoris and false “pulmonary hypertension”.mp4

A 37-year-old woman presented with worsening intermittent chest pain and dyspnea in the previous year. Although the dyspnea was exertion-dependent, her chest pain was heavily dependent on her postural position, worsening in the supine position but alleviated by lying prone or by sitting up and leaning forward. She was cyanotic, and a diastolic murmur in the left third intercostal space was auscultated. An electrocardiogram recorded when she laid flat and had angina pectoris attacks showed ST-segment elevation in the aVR and depression in the II, III, aVF, and V3–V6 leads. However, when she sat up for a few minutes, her symptoms and ST-segment abnormalities disappeared. Echocardiography and cardiac computed tomography angiography revealed large unruptured aneurysms of the left and non-coronary sinuses, along with a dilated aortic root, severe aortic regurgitation, and right ventricular high pressure. Coronary angiography showed ∼90% pulsating stenosis of the left main coronary artery and ∼80% pulsating stenosis of the proximal left circumflex artery, presumably caused by pulsation of the dilated sinus of Valsalva aneurysm under blood pressure. Genetic testing revealed c.1781 C > G nonsense mutations in the FLNA gene. The patient underwent surgery, which confirmed dual unruptured left/non-coronary sinus of Valsalva aneurysms. Our case illustrates an unusual postural form of angina pectoris and false “pulmonary hypertension” caused by large dual unruptured left/non-coronary sinus of Valsalva aneurysms.</p

Direct Visualization of Dynamic Mobility of Li₂O₂ in Li–O₂ Batteries: A Differential Interference Microscopy Study

The reversibility and the discharge/charge performance in nonaqueous lithium–oxygen (Li–O2) batteries are critically dependent on the kinetics of interfacial reactions. However, the interfacial reaction dynamic behaviors, especially the quantitative analysis, are still far from deep understanding. Using the method of laser confocal microscopy combined with differential interference contrast microscopy (LCM-DIM), we monitored the Li–O2 interfacial reaction and in situ traced the Li2O2 migration processes promoted by the solution catalyst. Different dynamic behaviors exist when regulating the concentration of the redox mediator. Quantitative analysis of the discharged Li2O2 particles shows high mobility at the early discharge stage and decayed motion in the subsequent process, indicating the solution-mediated pathway participating Li2O2 formation in the low-concentration redox mediator addition, while particles/aggregates confined into the amorphous film demonstrate simultaneous solution and surface route-mediated pathway participation in the high-concentration case. These distinctive observations of Li2O2 formation and decomposition processes present the advantage of LCM-DIM to fundamentally understand the dynamic evolution in Li–O2 batteries

Direct Visualization of Dynamic Mobility of Li₂O₂ in Li–O₂ Batteries: A Differential Interference Microscopy Study

The reversibility and the discharge/charge performance in nonaqueous lithium–oxygen (Li–O2) batteries are critically dependent on the kinetics of interfacial reactions. However, the interfacial reaction dynamic behaviors, especially the quantitative analysis, are still far from deep understanding. Using the method of laser confocal microscopy combined with differential interference contrast microscopy (LCM-DIM), we monitored the Li–O2 interfacial reaction and in situ traced the Li2O2 migration processes promoted by the solution catalyst. Different dynamic behaviors exist when regulating the concentration of the redox mediator. Quantitative analysis of the discharged Li2O2 particles shows high mobility at the early discharge stage and decayed motion in the subsequent process, indicating the solution-mediated pathway participating Li2O2 formation in the low-concentration redox mediator addition, while particles/aggregates confined into the amorphous film demonstrate simultaneous solution and surface route-mediated pathway participation in the high-concentration case. These distinctive observations of Li2O2 formation and decomposition processes present the advantage of LCM-DIM to fundamentally understand the dynamic evolution in Li–O2 batteries

Participating hospitals/institutions as the investigation sites.

(DOCX)</p

HPLP-II domain and total scores.

HPLP-II domain and total scores.</p

Self-developed question on health management intentions and behaviors.

(DOCX)</p

Direct Visualization of Dynamic Mobility of Li₂O₂ in Li–O₂ Batteries: A Differential Interference Microscopy Study

The reversibility and the discharge/charge performance in nonaqueous lithium–oxygen (Li–O2) batteries are critically dependent on the kinetics of interfacial reactions. However, the interfacial reaction dynamic behaviors, especially the quantitative analysis, are still far from deep understanding. Using the method of laser confocal microscopy combined with differential interference contrast microscopy (LCM-DIM), we monitored the Li–O2 interfacial reaction and in situ traced the Li2O2 migration processes promoted by the solution catalyst. Different dynamic behaviors exist when regulating the concentration of the redox mediator. Quantitative analysis of the discharged Li2O2 particles shows high mobility at the early discharge stage and decayed motion in the subsequent process, indicating the solution-mediated pathway participating Li2O2 formation in the low-concentration redox mediator addition, while particles/aggregates confined into the amorphous film demonstrate simultaneous solution and surface route-mediated pathway participation in the high-concentration case. These distinctive observations of Li2O2 formation and decomposition processes present the advantage of LCM-DIM to fundamentally understand the dynamic evolution in Li–O2 batteries

S1 Data -

(SAV)</p