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Konstantinidis D, Tsioufis C, Dimitriadis K, Kasiakogias A, Galanakos S, Iliakis P, Nikolopoulou L, Liatakis I, Aragiannis D, Kyriazopoulos K, Andrikou E, Koutra E, Tousoulis D. P4479Isolated systolic hypertension and combined systolic-diastolic hypertension for prediction of new-onset diabetes mellitus: Data from a 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kalos T, Tsioufis C, Dimitriadis K, Kasiakogias A, Konstantinidis D, Liatakis I, Katsi V, Tolis P, Andrikou E, Koutra E, Tousoulis D. P669Exaggerated exercise blood pressure response is accompanied by increased sympathetic activity and arterial stiffness in subjects with high normal blood pressure. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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128
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Dimitriadis K, Tsioufis C, Andrikou E, Andrikou I, Fragoulis C, Iliakis P, Kalos T, Kasiakogias A, Konstantinidis D, Koutra E, Leontsinis I, Liatakis I, Petras D, Tousoulis D. P1542Changes in uric acid independently predict coronary artery disease in essential hypertension: Data from a Greek 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Dimitriadis K, Tsioufis C, Kasiakogias A, Konstantinidis D, Michas C, Iliakis P, Fragoulis C, Kouremeti M, Syrmali K, Kintis K, Voutsinas M, Chatzis ST, Kallikazaros I, Tousoulis D. P1278The predictive role of visit-to-visit glomerular filtration rate variability for cardiovascular and renal outcomes in essential hypertension: data from a Greek 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kasiakogias A, Tsioufis C, Dimitriadis K, Konstantinidis D, Iliakis P, Charilas G, Galanakos S, Katsarou R, Kallikazaros I, Tousoulis D. 110Combined patterns of obesity and smoking status for prediction of coronary artery disease: a 4-year follow-up study on treated hypertensive patients. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Dimitriadis K, Tsioufis C, Kasiakogias A, Konstantinidis D, Galanakos S, Iliakis P, Ifantis A, Liatakis I, Andrikou E, Koutra E, Tousoulis D. P6572Isolated systolic hypertension versus combined systolic-diastolic hypertension as predictors of coronary artery disease and stroke: Data from a 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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132
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Dimitriadis K, Tsioufis C, Kasiakogias A, Konstantinidis D, Andrikou I, Iliakis I, Kalos T, Tolis P, Katsarou R, Kallikazaros I, Tousoulis D. P6574Isolated systolic hypertension versus combined systolic-diastolic hypertension as predictors of atrial fibrillation: Data from a 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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133
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Damianaki K, Tsioufis C, Dimitriadis K, Konstantinidis D, Kasiakogias A, Iliakis I, Tambaki M, Syrmali K, Kintis K, Petras D, Tousoulis D. P2852Exercise heart rate during treadmill test is related to renal functional reserve in essential hypertensive patients: A novel link between the heart and the kidneys. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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134
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Dimitriadis K, Tsioufis C, Kasiakogias A, Konstantinidis D, Iliakis P, Michas C, Kyriazopoulos K, Kyriazopoulos I, Liatakis I, Philippou C, Koutra E, Annousis G, Mantzouranis M, Nikolopoulou L, Tousoulis D. P5131Comparison of established risk scores for prediction of coronary artery disease and stroke in essential hypertension: data from a Greek 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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135
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Doumas M, Boutari C, Tsioufis C, Dimitriadis K, Triantafyllou A, Douma S. Clinical Value of Measuring the Renin/Aldosterone Levels: Optimising the Management of Uncontrolled/Resistant Hypertension. Curr Vasc Pharmacol 2018; 16:10-14. [PMID: 28462715 DOI: 10.2174/1570161115666170426145612] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Revised: 01/16/2017] [Accepted: 01/20/2017] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Resistant hypertension (HT) is a common clinical entity with debilitating cardiovascular consequences. The highly heterogeneous nature of resistant HT requires a meticulous workup to exclude 'pseudo-resistance' and secondary forms of arterial HT. Resistant HT has recently gained wide scientific interest due to the introduction of interventional methods (renal sympathetic denervation and carotid baroreceptor stimulation) for blood pressure (BP) reduction in this patient population. Despite however the recent advances in understanding the pathophysiology and the clinical characteristics of the disease, the appropriate management of resistant HT remains elusive. The marked heterogeneity of BP response to interventional therapy underlines the need for careful patient selection and the identification of ideal candidates for interventional therapy. CONCLUSION The renin-angiotensin-aldosterone system seems to play a cardinal role in the pathophysiology of resistant HT and requires appropriate management. Furthermore, primary aldosteronism is considered the most common form of secondary HT, with increased prevalence in patients with resistant HT. This review aims to provide a simplified work-up for patients with resistant HT, summarize the rationale for the determination of renin and aldosterone levels, and critically discuss available evidence on when and how to measure renin/aldosterone in resistant HT.
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Dimitriadis K, Tsioufis C, Tousoulis D. Do we need biomarkers for diabetics progressing to heart failure? Hellenic J Cardiol 2018; 59:98-99. [PMID: 29940223 DOI: 10.1016/j.hjc.2018.06.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 06/05/2018] [Accepted: 06/07/2018] [Indexed: 12/22/2022] Open
Abstract
Cardiovascular changes produce unfavorable outcomes including arterial hypertension and diabetes, which are related to the increased risk of heart failure (HF). The latter is highly prevalent in the setting of glucose metabolism dysregulation and high hemodynamic load, and identifying predictors of the incidence of HF with preserved ejection fraction (HFpEF) requires a research and is a clinical need. Toward this end, the variability in glucose regulation represents a novel dynamic way to comprehend and study the impact of glycemia. The results of the published study highlight the independent association of glycated hemoglobin A1c variability with the development of HFpEF in hypertensive diabetic patients. Based on the above, the effect of diverse antidiabetic therapies on glycemic control variability and overall management of these patients to reduce the risk of HFpEF remain essential for the modern cardiologist.
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Tsioufis C, Dimitriadis K, Tsioufis P, Patras R, Papadoliopoulou M, Petropoulou Z, Konstantinidis D, Tousoulis D. ConfidenHT™ System for Diagnostic Mapping of Renal Nerves. Curr Hypertens Rep 2018; 20:49. [DOI: 10.1007/s11906-018-0847-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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138
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Andrikou I, Tsioufis C, Dimitriadis K, Konstantinidis D, Kasiakogias A, Kouremeti M, Andrikou E, Karapati I, Kalos T, Fragoulis C, Liatakis I, Koutra E, Kyriazopoulos K, Thomopoulos C, Tousoulis D. Uric acid as an independent predictor of coronary artery disease in essential hypertension: Data from an 8-year-follow-up study. Clin Exp Pharmacol Physiol 2018; 45:866-869. [DOI: 10.1111/1440-1681.12928] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Revised: 01/30/2018] [Accepted: 02/16/2018] [Indexed: 12/14/2022]
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Tsioufis KP, Dimitriadis K, Damianaki K, Konstantinidis D, Kalos T, Galanakos S, Andrikou E, Katsarou R, Konstantinou K, Petras D, Tousoulis D. EXERCISE HEART RATE DURING TREADMILL TEST IS RELATED TO RENAL FUNCTIONAL RESERVE IN ESSENTIAL HYPERTENSIVE PATIENTS: A NOVEL LINK BETWEEN THE HEART AND THE KIDNEYS. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32349-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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140
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Tsioufis KP, Kalos T, Kasiakogias A, Dimitriadis K, Konstantinidis D, Katsarou R, Kouremeti M, Kyriazopoulos K, Galanakos S, Tousoulis D. EXAGGERATED EXERCISE BLOOD PRESSURE RESPONSE IS ACCOMPANIED BY INCREASED SYMPATHETIC ACTIVITY AND ARTERIAL STIFFNESS IN SUBJECTS WITH HIGH NORMAL BLOOD PRESSURE. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32050-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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141
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Tsioufis KP, Kasiakogias A, Konstantinidis D, Kalos T, Mallios C, Andrikou I, Koutra E, Thomopoulos K, Dimitriadis K, Kallikazaros I, Tousoulis D. COMBINED PATTERNS OF OBESITY AND SMOKING STATUS FOR PREDICTION OF CORONARY ARTERY DISEASE: A FOLLOW-UP STUDY ON TREATED HYPERTENSIVE PATIENTS. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32397-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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142
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Tsioufis KP, Dimitriadis K, Kasiakogias A, Konstantinidis D, Kalos T, Mantzouranis M, Aragiannis D, Annousis G, Fragoulis C, Konstantinou K, Tousoulis D. ACUTE DETRIMENTAL EFFECTS OF E-CIGARETTE AND TOBACCO CIGARETTE SMOKING ON BLOOD PRESSURE AND SYMPATHETIC NERVE ACTIVITY IN HEALTHY SUBJECTS. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32347-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Tsioufis KP, Dimitriadis K, Koutra E, Kalos T, Fragoulis C, Nikolopoulou L, Konstantinidis D, Koumelli A, Konstantinou K, Karapati I, Tousoulis D. EFFECTS OF IVABRADINE ON SYMPATHETIC OVERDRIVE AND ARTERIAL STIFFENING IN HYPERTENSIVE PATIENTS WITH METABOLIC SYNDROME: A 6 MONTH FOLLOW-UP STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32348-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tsioufis KP, Dimitriadis K, Kasiakogias A, Konstantinidis D, Galanakos S, Kalos T, Karapati I, Andrikou E, Mantzouranis M, Fragoulis C, Tousoulis D. URIC ACID PREDICTS CORONARY ARTERY DISEASE BUT NOT STROKE IN ESSENTIAL HYPERTENSION: DATA FROM A GREEK 8-YEAR-FOLLOW-UP STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32346-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Imprialos KP, Stavropoulos K, Stavropoulos N, Patoulias D, Petidis K, Grassos C, Dimitriadis K, Tsioufis C. Sodium-glucose Cotransporter 2 Inhibitors: Impact on Body Weight and Blood Pressure Compared with other Antidiabetic Drugs. Cardiovasc Hematol Disord Drug Targets 2018; 18:104-113. [PMID: 29412121 DOI: 10.2174/1871529x18666180206144342] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 09/09/2017] [Accepted: 11/11/2017] [Indexed: 11/22/2022]
Abstract
BACKGROUND Sodium-glucose co-transporters 2 inhibitors have emerged as a novel antidiabetic class of drugs offering significant ameliorating effects on a variety of cardiovascular risk factors, secondary to their mechanism of action, including blood pressure and body weight. OBJECTIVE The purpose of this article is to discuss available data on the impact of SGLT-2 inhibitors on blood pressure and body weight compared with other available anti-diabetic drugs and to present potential mechanisms mediating these effects. METHODS A comprehensive review of the literature was performed to identify studies examining the effects of SGLT-2 inhibitors on blood pressure and body weight. RESULTS SGLT-2 inhibition has been related with a mild decrease in blood pressure of approximately 3-5mmHg in systolic and 1-2mmHg in diastolic blood pressure. These data have been confirmed with 24h ambulatory measurements, as well. Furthermore, given the loss of calories in the urine, a mild decrease in body weight is anticipated, as well. Studies with this class of drugs noted a reduction in body weight of 2 to 3 kg, similar to the loss noted with the use of glucagon-like peptide 1 analogues, the only class of drugs that has offered significant reductions in body weight so far. Consclusion: The beneficial effects of the SGLT-2 inhibition on an abundance of cardiovascular risk factors, including blood pressure and body weight, have created great expectations for potential benefits from the cardiovascular events standpoint, a theory that was confirmed in the two available cardiovascular studies of this promising class of drugs.
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Tsioufis C, Dimitriadis K, Thomopoulos C, Tousoulis D. The new guidelines for hypertension: Navigating between Scylla and Charybdis of clinical practice. Hellenic J Cardiol 2018; 61:127-128. [PMID: 29366773 DOI: 10.1016/j.hjc.2018.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Accepted: 01/12/2018] [Indexed: 10/18/2022] Open
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147
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Tsioufis C, Dimitriadis K, Kordalis A, Doumas M, Konstantinidis D, Kalos T, Mahfoud F, Papademetriou V, Tousoulis D. Renal Denervation Therapy: Can it Contribute to Better Blood Pressure Control in Hypertension? Curr Vasc Pharmacol 2017; 16:66-69. [DOI: 10.2174/1570161115666170426151649] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Revised: 01/17/2017] [Accepted: 01/20/2017] [Indexed: 11/22/2022]
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Kouvas N, Tsioufis C, Vogiatzakis N, Sanidas E, Konstantinidis D, Kintis K, Dimitriadis K, Kakosaiou Z, Tsioufis P, Kouremeti M, Katsiki N, Tousoulis D. Heart Rate and Blood Pressure: "Connecting the Dots" in Epidemiology and Pathophysiology. Angiology 2017; 69:660-665. [PMID: 29232971 DOI: 10.1177/0003319717746524] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
There is robust evidence from epidemiological and clinical studies showing that elevated heart rate (HR) constitutes a powerful predictor of morbidity and mortality in patients with hypertension, underlining the significance of HR measurement in them. Autonomous nervous system dysfunction and atherosclerosis are important features in the pathogenesis of the untoward events. However, the relationship between HR and blood pressure (BP) is complex and differs depending on the type of BP measurement which is considered. This differentiation implicates complex physiological mechanisms and is of clinical importance regarding the divergent effect of the different types of antihypertensive agents on these parameters. The aim of this review is to summarize the current evidence on the relationship between HR and BP based on epidemiological, clinical, and experimental studies.
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Tsioufis C, Dimitriadis K, Papademetriou V, Tousoulis D. SPYRAL HTN-OFF MED study: Renal denervation in the spiral orbits of current results and future studies. Hellenic J Cardiol 2017; 58:320-321. [PMID: 29056558 DOI: 10.1016/j.hjc.2017.09.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Accepted: 09/26/2017] [Indexed: 01/24/2023] Open
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150
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Tsioufis C, Ziakas A, Dimitriadis K, Davlouros P, Marketou M, Kasiakogias A, Petroglou D, Kallikazaros I, Stefanadis C, Karvounis C, Alexopoulos D, Vardas P, Papademetriou V, Tousoulis D. [BP.10.06] BLOOD PRESSURE RESPONSE TO CATHETER-BASED RENAL SYMPATHETIC DENERVATION IN PATIENTS WITH RESISTANT HYPERTENSION. J Hypertens 2017. [DOI: 10.1097/01.hjh.0000524025.10510.2c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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