OBJECTIVE To determine the role of ascending aorta dilatation in the relationship between pulse pressure(PP)and left ventricular(LV)hypertrophy.METHODS A total of 1556 Chinese elderly hypertensive patients were retros...OBJECTIVE To determine the role of ascending aorta dilatation in the relationship between pulse pressure(PP)and left ventricular(LV)hypertrophy.METHODS A total of 1556 Chinese elderly hypertensive patients were retrospectively studied.Transthoracic echocardiography was used to obtain the aortic and cardiac structure measurements.In addition,brachial blood pressure was measured,and total arterial compliance,systemic vascular resistance,arterial elastance,and end-systolic LV elastance were calculated.The participants were divided into four groups according to the status of ascending aortic diameter and PP.RESULTS LV mass index increased in succession in the four groups,i.e.,the group with the normal aorta and lower PP,with the normal aorta and higher PP,with aortic dilatation and lower PP,and with aortic dilatation and higher PP(Ptrend<0.001).Total arterial compliance−1,arterial elastance,and end-systolic LV elastance were slightly higher in the individuals with normal aorta compared to those with aortic dilatation,regardless of PP being lower or higher(P<0.01).Compared to the group with the normal aorta and lower PP,individuals with aortic dilatation had a significantly increased multivariable adjusted risk of LV hypertrophy,and higher PP further exacerbated this risk[aortic dilatation with lower PP(OR=1.75,95%CI:1.01–3.04)and aortic dilatation with higher PP(OR=3.42,95%CI:2.03–5.77)].In the relation between PP and LV mass index(β=0.095,P<0.001),-41.3%of the total effect was attributable to mediation by ascending aortic diameter(P<0.0001).CONCLUSIONS In Chinese elderly patients with hypertension,ascending aorta dilatation could reduce the influence of elevated PP on LV hypertrophy.展开更多
A series of copolymers of thiazoloisoindigo (Tzll) with different chalcogenophene trimers were synthesized to systematicllyinvestigate the chalcogen effect on their charge transport propertes.When only the middlethiop...A series of copolymers of thiazoloisoindigo (Tzll) with different chalcogenophene trimers were synthesized to systematicllyinvestigate the chalcogen effect on their charge transport propertes.When only the middlethiophene ring of terthiphene(T-T-T)is replaced byheavier chalcogenophenes,a preference(expressed by the ratio of μe/μh)towards electron transport was observed descending from T-T-Tto T-Se-Tthen to T-Te-T(Se and Te stand for selenophene and tellurophene,respectively).On the other hand,with the increased number of heavierchalcogenophenes,a preference toward hole transport was observed descending from Se-T-Se to Se-Se-se then to Se-Te-Se.This phenomenon iswellexplained by the balance between the aromatic resonance energy of the chalcogenophenes and the electronegativity of the chalcogens.Specifically,P(TZll-T-Se-T)displayed relatively balanced ambipolar property(μh^(max)andμe^(max) of 3.77 and 1.59 cm^(2)·v^(-1)·s^(-1)with aμe/μh of 0.42).while P(Tll-Se-Te-Se)exhibited the best preference to hole transfer with a u.u,of 0.09.P(Tzll-T-Te-T)exhibited the best preference to electrontransfer with aμe/μl,of 16 and theμe^(max)of 0.64 cm^(2)·v^(-).s^(-1)which is the highest electron mobility among the known conjugated polymerscontaining tellurophenes.展开更多
基金the National Key Research and Development Program of China(No.2018 YFC2000301)。
文摘OBJECTIVE To determine the role of ascending aorta dilatation in the relationship between pulse pressure(PP)and left ventricular(LV)hypertrophy.METHODS A total of 1556 Chinese elderly hypertensive patients were retrospectively studied.Transthoracic echocardiography was used to obtain the aortic and cardiac structure measurements.In addition,brachial blood pressure was measured,and total arterial compliance,systemic vascular resistance,arterial elastance,and end-systolic LV elastance were calculated.The participants were divided into four groups according to the status of ascending aortic diameter and PP.RESULTS LV mass index increased in succession in the four groups,i.e.,the group with the normal aorta and lower PP,with the normal aorta and higher PP,with aortic dilatation and lower PP,and with aortic dilatation and higher PP(Ptrend<0.001).Total arterial compliance−1,arterial elastance,and end-systolic LV elastance were slightly higher in the individuals with normal aorta compared to those with aortic dilatation,regardless of PP being lower or higher(P<0.01).Compared to the group with the normal aorta and lower PP,individuals with aortic dilatation had a significantly increased multivariable adjusted risk of LV hypertrophy,and higher PP further exacerbated this risk[aortic dilatation with lower PP(OR=1.75,95%CI:1.01–3.04)and aortic dilatation with higher PP(OR=3.42,95%CI:2.03–5.77)].In the relation between PP and LV mass index(β=0.095,P<0.001),-41.3%of the total effect was attributable to mediation by ascending aortic diameter(P<0.0001).CONCLUSIONS In Chinese elderly patients with hypertension,ascending aorta dilatation could reduce the influence of elevated PP on LV hypertrophy.
基金the National Natural Science Foundation of China(Nos.22075105 and 51573204)National Science Foundation of Shandong Province(No.ZR2018ZB0315)+1 种基金H.Zhang thanks the financial support from the National Natural Science Foundation of China(No.51803230)Prof.J.Wang thanks the financial support from the Opening Project of Key Laboratory of Optoelectronic Chemical Materials and Devices of Ministry of Education,Jianghan University.The authors thank Dr.Chunming Yang for GIWAXS tests and beamline BL16B1(Shanghai Synchrotron Radiation Facility)for providing beam time.
文摘A series of copolymers of thiazoloisoindigo (Tzll) with different chalcogenophene trimers were synthesized to systematicllyinvestigate the chalcogen effect on their charge transport propertes.When only the middlethiophene ring of terthiphene(T-T-T)is replaced byheavier chalcogenophenes,a preference(expressed by the ratio of μe/μh)towards electron transport was observed descending from T-T-Tto T-Se-Tthen to T-Te-T(Se and Te stand for selenophene and tellurophene,respectively).On the other hand,with the increased number of heavierchalcogenophenes,a preference toward hole transport was observed descending from Se-T-Se to Se-Se-se then to Se-Te-Se.This phenomenon iswellexplained by the balance between the aromatic resonance energy of the chalcogenophenes and the electronegativity of the chalcogens.Specifically,P(TZll-T-Se-T)displayed relatively balanced ambipolar property(μh^(max)andμe^(max) of 3.77 and 1.59 cm^(2)·v^(-1)·s^(-1)with aμe/μh of 0.42).while P(Tll-Se-Te-Se)exhibited the best preference to hole transfer with a u.u,of 0.09.P(Tzll-T-Te-T)exhibited the best preference to electrontransfer with aμe/μl,of 16 and theμe^(max)of 0.64 cm^(2)·v^(-).s^(-1)which is the highest electron mobility among the known conjugated polymerscontaining tellurophenes.