1.Research progress on the correlation among fibrinogen ,D‐dimer and cerebral infarction/
Jiaqi LI ; Zhuoya GUAN ; Feng LI
Chinese Journal of cardiovascular Rehabilitation Medicine 2019;28(6):107-110
Cerebral infarction is a frequent type of cerebrovascular disease .It has the characteristics of high morbidi‐ty ,high mortality ,high disability rate and high recurrence rate .Fibrinogen and D‐dimer are closely associated with occurrence ,severity and prognosis of cerebral infarction .The present article summarizes research progress on the correlation among fibrinogen ,D‐dimer and cerebral infarction at home and abroad .
2.Research progress of clinical and imaging study of corpus callosum infarction /
Zhuoya GUAN ; Jiaqi LI ; Wenzhao ZHANG ; Xiaoyue ZHU ; Feng LI
Chinese Journal of cardiovascular Rehabilitation Medicine 2019;28(6):110-113
The corpus callosum is the largest white matter structure in encephalic structure , which mainly provides communication between the hemispheres .Clinical manifestations of its infarction are complex and diverse ,including symptoms such as corpus callosum disconnection syndrome and speech disorders .Due to the lack of exact localization signs ,clinical imaging techniques are often used to improve diagnosis rate .Therefore ,the present article reviews clinical and imaging features of patients with corpus callosum infarction in order to improve the understanding and diagnosis of corpus callosum infarction .
3.Association between serum bisphenol A concentration and incident risk of hypertension
Youbing GUAN ; Zhuoya ZHAO ; Xu CHENG ; Jiazhen ZHANG ; Yuenan LIU ; Mei'an HE
Journal of Environmental and Occupational Medicine 2024;41(6):601-609
Background Previous studies have shown that bisphenol A exposure is associated with the risk of hypertension; however, most of them are cross-sectional and the conclusions are not consistent. Objective To evaluate the association between bisphenol A exposure and the incident risk of hypertension. Methods Based on a nested case-control design involving 1990 subjects derived from the Dongfeng-Tongji cohort, a total of 1080 subjects were included in this study after excluding 887 hypertensive cases at baseline and 23 subjects with missing blood pressure data in follow-up visits. Epidemiological information was collected through questionnaire survey, and serum bisphenol A concentration was detected by high performance liquid chromatography tandem mass spectrometry. Logistic regression model was used to analyze the potential association between serum bisphenol A level and the risk of hypertension incidence, and linear regression model was used to analyze the association between serum bisphenol A level and blood pressure changes between baseline and follow-up. Results The average age of the 1 080 participants was (62.03±7.45) years, of which 41.1% were male. During the follow-up period, a total of 477 (44.2%) developed hypertension. The median serum concentration of bisphenol A in the total population was 3.15 μg·L−1, and the baseline bisphenol A concentration in the new case group (3.24 μg·L−1) was higher than that in the control group (2.98 μg·L−1) (P<0.05). After adjustment for selected covariates, the risk of hypertension increased by 12% (OR=1.12, 95%CI: 1.02, 1.22) for each unit increase in naturally log-transformed bisphenol A; the systolic blood pressure and diastolic blood pressure increased by 1.88 (95%CI: 1.08, 2.69) mmHg and 1.14 (95%CI: 0.68, 1.61) mmHg, respectively. Compared with the low bisphenol A tertile group, the risk of hypertension in the middle tertile and high tertile groups increased by 39% (OR=1.39, 95%CI: 1.01, 1.91) and 40% (OR=1.40, 95%CI: 1.02, 1.93) respectively; the systolic blood pressure increased by 5.91 (95%CI: 3.06, 8.76) mmHg and 5.71 (95%CI: 2.82, 8.59) mmHg, and the diastolic blood pressure increased by 3.09 (95%CI: 3.06, 8.59) mmHg and 2.89 (95%CI: 1.22, 4.57) mmHg, respectively (Ptrend<0.001). A positive association between serum bisphenol A level and hypertension was found among those who were female, never/former smokers, never/former drinkers, without family history of hypertension, with physical exercise, and with prehypertension at baseline (Ptrend<0.05). There was no interaction between selected stratified variables and bisphenol A levels on hypertension (Pinteraction>0.05). Conclusion Bisphenol A exposure is positively associated with the risk of hypertension.