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Associations between brachial-ankle pulse wave velocity and hypertensive retinopathy in treated hypertensive adults: Results from the China Stroke Primary Prevention Trial (CSPPT)

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收录情况： ◇ SCIE

作者：
Meng Ying[1,2] * ; Liu Lishun[3] ; Chen Xuling[4] ; Zhao Liang[1] ; She Haicheng[5,6] ; Zhang Wenbo[1] ; Zhang Jing[1] ; Qin Xianhui[7] ; Li Jianping[8] ; Xu Xiping[7] ; Wang Binyan[9] ; Hou Fanfan[7] ; Tang Genfu[9] ; Liao Rongfeng[10] ; Huo Yong[8,*2] ; Li Jun[1,*1] ; Yang Liu[1,*1] ;
机构： [1]Department of Ophthalmology, Peking University First Hospital, Beijing, China. [2]Department of Ophthalmology, Peking University International Hospital, Beijing, China. [3]Graduate School at Shenzhen, Tsinghua University, Beijing, China. [4]Department of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China. [5]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [6]Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China. [7]National Clinical Research Center for Kidney Disease, State Key Laboratory for Organ Failure Research, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. [8]Department of Cardiology, Peking University First Hospital, Beijing, China. [9]School of Health Administration, Anhui University, Hefei, China. [10]Department of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.
出处：
DOI： 10.1111/jch.14820
ISSN：

关键词： fundus photograph hypertension hypertensive retinopathy Keith-Wagener-Barker classification pulse wave velocity

摘要：
Although the association between persistent hypertension and the compromise of both micro- and macro-circulatory functions is well recognized, a significant gap in quantitative investigations exploring the interplay between microvascular and macrovascular injuries still exists. In this study, the authors looked into the relationship between brachial-ankle pulse wave velocity (baPWV) and hypertensive retinopathy in treated hypertensive adults. The authors conducted a cross-sectional study of treated hypertensive patients with the last follow-up data from the China Stoke Primary Prevention Trial (CSPPT) in 2013. With the use of PWV/ABI instruments, baPWV was automatically measured. The Keith-Wagener-Barker classification was used to determine the diagnosis of hypertensive retinopathy. The odds ratio (OR) and 95% confidence interval (CI) for the connection between baPWV and hypertensive retinopathy were determined using multivariable logistic regression models. The OR curves were created using a multivariable-adjusted restricted cubic spline model to investigate any potential non-linear dose-response relationships between baPWV and hypertensive retinopathy. A total of 8514 (75.5%) of 11,279 participants were diagnosed with hypertensive retinopathy. The prevalence of hypertensive retinopathy increased from the bottom quartile of baPWV to the top quartile: quartile 1: 70.7%, quartile 2: 76.1%, quartile 3: 76.7%, quartile 4: 78.4%. After adjusting for potential confounders, baPWV was positively associated with hypertensive retinopathy (OR = 1.05, 95% CI, 1.03-1.07, p < .001). Compared to those in the lowest baPWV quartile, those in the highest baPWV quartile had an odds ratio for hypertensive retinopathy of 1.61 (OR = 1.61, 95% CI: 1.37-1.89, p < .001). Two-piece-wise logistic regression model demonstrated a nonlinear relationship between baPWV and hypertensive retinopathy with an inflection point of 17.1 m/s above which the effect was saturated .© 2024 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.

基金：
National Key Research and Development Program, Grant/Award Numbers: 2016YFE0205400, 2018ZX09739010, 2018ZX09301034003; Science and Technology Planning Project of Guangzhou, China, Grant/Award Number: 201707020010; Science, Technology and Innovation Committee of Shenzhen, Grant/Award Numbers: GJHS20170314114526143, JSGG20180703155802047; Economic, Trade and Information Commission of Shenzhen Municipality, Grant/Award Numbers: 20170505161556110, 20170505160926390, 201705051617070; National Natural Science Foundation of China, Grant/Award Numbers: 81730019, 81973133, 81960074, 81500233; Outstanding Youths Development Scheme of Nanfang Hospital, Southern Medical University, Grant/Award Number: 2017J009; Jiangxi Outstanding Person Foundation, Grant/Award Number: 20192BCBL23024; Major Projects of the Science and Technology Department, Jiangxi, Grant/Award Number: 20171BAB205008
语种：
外文
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中科院(CAS)分区：
出版当年[2023]版：
大类 | 3 区 医学
小类 | 3 区 外周血管病
最新[2023]版：
大类 | 3 区 医学
小类 | 3 区 外周血管病
JCR分区：
出版当年[2022]版：
Q3 PERIPHERAL VASCULAR DISEASE
最新[2023]版：
Q2 PERIPHERAL VASCULAR DISEASE

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Ophthalmology, Peking University First Hospital, Beijing, China. [2]Department of Ophthalmology, Peking University International Hospital, Beijing, China.
通讯作者：
通讯机构： [1]Department of Ophthalmology, Peking University First Hospital, Beijing, China. [8]Department of Cardiology, Peking University First Hospital, Beijing, China. [*1]Department of Ophthalmology, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing 10034, China. [*2]Department of Cardiology, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing 10034, China.
推荐引用方式(GB/T 7714)：
Meng Ying,Liu Lishun,Chen Xuling,et al.Associations between brachial-ankle pulse wave velocity and hypertensive retinopathy in treated hypertensive adults: Results from the China Stroke Primary Prevention Trial (CSPPT)[J].JOURNAL OF CLINICAL HYPERTENSION.2024,26(6):724-734.doi:10.1111/jch.14820.
APA：
Meng Ying,Liu Lishun,Chen Xuling,Zhao Liang,She Haicheng...&Yang Liu.(2024).Associations between brachial-ankle pulse wave velocity and hypertensive retinopathy in treated hypertensive adults: Results from the China Stroke Primary Prevention Trial (CSPPT).JOURNAL OF CLINICAL HYPERTENSION,26,(6)
MLA：
Meng Ying,et al."Associations between brachial-ankle pulse wave velocity and hypertensive retinopathy in treated hypertensive adults: Results from the China Stroke Primary Prevention Trial (CSPPT)".JOURNAL OF CLINICAL HYPERTENSION 26..6(2024):724-734

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