The association between retinal vessel abnormalities and H-type hypertension

Abstract

Background: This study aimed to investigate the relationship between H-type hypertension and retinal vessel abnormalities.Methods: Hypertensive patients were retrospectively enrolled in this study. According to plasma homocysteine (HCY), patients were divided into isolated hypertension and H-type hypertension groups. The diameter of retinal vessels and retinopathy were evaluated by retinal fundus photography. The differences of retinal vessel abnormalities between H-type hypertension and isolated hypertension were investigated by univariate and multivariate regression.Results: A total of 191 hypertensive patients were included, of which 86 were with isolated hypertension and 105 with H-type hypertension. The H-type hypertension group had a higher ratio of retinopathy(P=0.004) and higher degree of retinal arteriosclerosis (P=0.005) than the isolated hypertension group. CRAE (107.47±13.99mm vs. 113.49±11.72mm, P=0.002) and AVR (0.55±0.06 vs. 0.58±0.06, P=0.001) were smaller in H-type hypertension group than those in isolated hypertension group. Multivariate analysis showed that after adjusting for age, sex, course of hypertension and diabetes, H-type hypertension was an independent risk factor of retinopathy (OR, 2.259; 95%CI, 1.165—4.378; P=0.016), CRAE (β=-5.669; 95%CI, -9.452—-1.886; P=0.004), and AVR (β=-0.023; 95%CI, -0.039—-0.007; P=0.005).Conclusion: H-type hypertension is closely related to more retinal vessel abnormalities than isolated hypertension. Controlling H-type hypertension may reduce the risk of small vascular damage.

Recent Developments of Nanocellulose and Its Applications in Polymeric Composites

“…The dispersion state of nanoparticles in the melt can also be improved by flow-field induced dispersing and surface modification. [57][58][59] However, the strong shearing effect of the processing may reduce the nanocellulose retention length, which is not conducive to the construction of the payload transport network.…”