Using computerized analysis of hemodynamics in conscious unrestrained rats, we tested the effects of intracerebroventricular administration of ketanserin (50 ?g), a special 5-HT2 antagonist, on blood pressure (BP), blood pressure variability (BPV), baroreflex-blood pressure control (ABR-BP), and baroreflex-heart period control (ABR-HP). The result are as follows: (1) There was no significant depression of blood pressure after intracerebroventricular administration of ketanserin; (2) Ketanserin could significantly decreased BPV, and enhanced ABR-BP and ABR-HP; (3) The decreasing of BPV was associated with enhancement of ABR-BP, but these changes were no related to the level of BP, indicating that the hypotension induced by ketanserin was not related to the enhancement of ABR-BP; (4) There was no significant negative relationship between ABR-BP and BPV after intracerebroventricular administration of ketanserin.

A new method to measure arterial baroreflex-blood pressure control (ABR-BP) in conscious rats was established in our laboratory. ABR-BP was quantitatively determined by comparing the pressor responses to All before and after the blockade of the efferent pathway of baroreflex. It was found that there was a close relationship between Hood pressure variability and ABR-BP rather than arterial baroreflex-heart period control. ABR-BP was significantly lower in SHR and RVHR than in WKY rats. The lower ABR-BP in SHR was due mainly to the impairment of parasympathetic component

Objective:To explore the correlation between blood homocysteine(Hcy) level and cognitive function in elderly patients with frailty syndrome.Methods:Sixty elderly patients with frail syndrome who were hospitalized in Ningbo Mental Hospital from September 2022 to June 2023 were selected retrospectively, they were divided into the cognitive normal group (24 cases) and the cognitive impairment group (36 cases) based on the presence of cognitive impairment. The Matrics Consensus Cognitive Battery (MCCB) score and serum Hcy levels of the two groups were compared, and the correlation between Hcy level and cognitive function were analyzed by Pearson test.Results:The MCCB scores in the cognitive impairment group were lower than those in the cognitive normal group, there were statistical differences ( P<0.05). The levels of serum Hcy, tumor necrosis factor-α (TNF-α) and interleukin (IL)-6 in the cognitive impairment group were higher than those in the cognitive normal group: (17.89 ± 0.90) μmol/L vs. (16.99 ± 0.75) μmol/L, (33.39 ± 4.01) ng/L vs. (27.19 ± 4.81) ng/L, (23.67 ± 4.36) ng/L vs. (20.27 ± 4.23) ng/L, there were statistical differences ( P<0.05). Pearson test results showed that serum Hcy level were negatively correlated with alignment, symbol coding, word memory and learning, working memory/spatial span, reasoning and problem solving, visual memory and learning, social cognition and attention/alertness scores of MCCB ( r = - 0.292, - 0.443, - 0.475, - 0.418, - 0.370, - 0.391, - 0.324, - 0.367, P<0.05). Serum Hcy level was positively correlated with TNF-α and IL-6 levels ( r = 0.336, 0.326, P<0.05). Conclusions:There is a certain correlation between serum Hcy level and cognitive impairment in elderly patients with frail syndrome. When blood Hcy level increase, the symptoms of cognitive impairment in patients become more severe.

Objective To establish a prediction model for geriatric frailty syndrome(GFS)in elder-ly patients with acute ischemic stroke(AIS)after treatment.Methods Clinical data of 156 elderly AIS patients admitted to our hospital from January 2020 to December 2022 were collected and ret-rospectively analyzed.According to occurrence of GFS or not,they were divided into GFS group(n=57)and control group(n=99).The differences of clinical features were recorded and com-pared between the two groups of elderly AIS patients.Multivariate logistic regression model was used to analyze the risk factors for GFS in the elderly AIS patients.And a prediction model for GFS was constructed.Results Larger proportions of aged ≥80 years,diabetes,massive cerebral infarction and dysphagia were observed in the GFS group than the control group(P＜0.05,P＜0.01).Multivariate logistic regression analysis showed that aged ≥80 years(OR=2.890,95％CI:1.306-6.395,P=0.009),diabetes(OR=4.892,95％CI:2.172-11.018,P=0.000),massive cere-bral infarction(OR=3.363,95％CI:1.418-7.977,P=0.006)and dysphagia(OR=2.772,95％CI:1.123-6.844,P=0.027)were independent risk factors for GFS in the elderly AIS patients after treatment.A nomogram prediction model was constructed.Then the dataset was randomly divided into a training set and a validation set in a ratio of 7∶3.The AUC value was 0.840(95％CI:0.754-0.927)in the training set,and 0.676(95％CI:0.518-0.833)in the validation set.Hos-mer-Lemeshow Goodness-of-Fit test indicated that when the model was subjected to the valida-tion set,a Chi-square value of 14.394 and a P value of 0.072 were obtained.Conclusion Our no-mogram prediction model has good value in predicting the occurrence of GFS in elderly AIS pa-tients after treatment.