Objective To analyze the trajectory of cardiovascular health score and its influencing factors in patients with CHD after PCI based on LCGM.Methods A total of 186 CHD patients undergoing PCI in our hospital from June 2021 to June 2023 were enrolled,and all of them re-ceived an assessment for cardiovascular health scores.LCGM analysis was performed on the change in their postoperative cardiovascular health scores.Multivariate logistic regression analysis was applied to identify the factors affecting the trajectory of the change in the scores of the patients.Results The cardiovascular health score was 6.34±1.38,6.76±1.44,7.49±1.85,and 8.06±2.07,respectively on the day of,and at 1,6 and 12 months after surgery.There were signifi-cant differences in the score among different time points(F=37.167,P＜0.01).LCGM model constructed by quadratic estimation showed that the trajectory of the cardiovascular health score in CHD patients after PCI could be divided into three types:growth type(98 cases,52.69％),sta-ble type(67 cases,36.02％)and volatile type(21 cases,11.29％).Statistical difference was ob-served in the score among the post-PCI CHD patients with different education level,per capita monthly family income,duration of coronary artery disease,and number of comorbid chronic dis-eases(P＜0.05,P＜0.01).The education level,per capita monthly family income,duration of cor-onary heart disease,and number of comorbid chronic diseases were all influencing factors for the trajectory of cardiovascular health score in the CHD patients after PCI(P＜0.01).Conclusion There are three types of trajectory in cardiovascular health score of CHD patients after PCI.Edu-cation level,family per capita monthly income,duration of coronary heart disease and number of chronic diseases are independent factors affecting the score of the patients.

Craniocervical junction zone malformations often have an insidious onset, a variety of clinical phenotypes, and are often combined with multiple malformations, making their systematic classification and staging more difficult.At present, craniocervical junction area malformations are often classified into congenital and acquired, and can also be classified into skull base malformations, atlantoaxial malformations, and cardinal malformations according to their locations. For patients with obvious occipitocervical or atlantoaxial instability, combined with symptoms of high cervical spinal cord damage, internal fixation and fusion surgery should be performed aggressively to avoid irreversible nerve damage.There is a lack of detailed categorisation and summary of the treatment of diseases associated with craniocervical junction malformations in the literature, and the treatment strategies for some of these malformations are still controversial, with different perceptions and treatment concepts in the national and international literature.

Objective To analyze the trajectory of cardiovascular health score and its influencing factors in patients with CHD after PCI based on LCGM.Methods A total of 186 CHD patients undergoing PCI in our hospital from June 2021 to June 2023 were enrolled,and all of them re-ceived an assessment for cardiovascular health scores.LCGM analysis was performed on the change in their postoperative cardiovascular health scores.Multivariate logistic regression analysis was applied to identify the factors affecting the trajectory of the change in the scores of the patients.Results The cardiovascular health score was 6.34±1.38,6.76±1.44,7.49±1.85,and 8.06±2.07,respectively on the day of,and at 1,6 and 12 months after surgery.There were signifi-cant differences in the score among different time points(F=37.167,P＜0.01).LCGM model constructed by quadratic estimation showed that the trajectory of the cardiovascular health score in CHD patients after PCI could be divided into three types:growth type(98 cases,52.69％),sta-ble type(67 cases,36.02％)and volatile type(21 cases,11.29％).Statistical difference was ob-served in the score among the post-PCI CHD patients with different education level,per capita monthly family income,duration of coronary artery disease,and number of comorbid chronic dis-eases(P＜0.05,P＜0.01).The education level,per capita monthly family income,duration of cor-onary heart disease,and number of comorbid chronic diseases were all influencing factors for the trajectory of cardiovascular health score in the CHD patients after PCI(P＜0.01).Conclusion There are three types of trajectory in cardiovascular health score of CHD patients after PCI.Edu-cation level,family per capita monthly income,duration of coronary heart disease and number of chronic diseases are independent factors affecting the score of the patients.

Craniocervical junction zone malformations often have an insidious onset, a variety of clinical phenotypes, and are often combined with multiple malformations, making their systematic classification and staging more difficult.At present, craniocervical junction area malformations are often classified into congenital and acquired, and can also be classified into skull base malformations, atlantoaxial malformations, and cardinal malformations according to their locations. For patients with obvious occipitocervical or atlantoaxial instability, combined with symptoms of high cervical spinal cord damage, internal fixation and fusion surgery should be performed aggressively to avoid irreversible nerve damage.There is a lack of detailed categorisation and summary of the treatment of diseases associated with craniocervical junction malformations in the literature, and the treatment strategies for some of these malformations are still controversial, with different perceptions and treatment concepts in the national and international literature.