NDLI: Association between Retinal Microvascular Changes and Severity of Coronary Heart Disease in Hypertensive Patients

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Association between Retinal Microvascular Changes and Severity of Coronary Heart Disease in Hypertensive Patients

Content Provider	Scilit
Author	Jamil, Abu Baqar Md Iqbal, Khaled Mohammad Hossain, Mohammad Ashraf Rashid, Khandaker Harun Or Hossen, Tufazzal Sarker, Alok Chandra Hossain, Shahadat Das, Mrinal Kanti Ahsan, Syed Ali
Copyright Year	2022
Description	Background : The prevalence of coronary artery disease is increasing day by day. In many cases it is undiagnosed. Hypertension is one of the risk factors of coronary artery disease. Hypertension also causes some changes in retina which is easy to diagnose in clinical practice. So the aim of this study is to predict coronary artery disease by seeing hypertensive retinal changes. Methods: A total of 100 patients with hypertension presenting to the emergency department with ischemic chest pain who underwent coronary angiography were studied. Presence or absence of coronary artery disease was determined. Optic fundi were assessed for hypertensive retinopathy which were photographed. Results: Mean ± SD age of the study population was 56.23±10.76 years. There were 75 men (75%) and 25 women (25%). Prevalence of coronary artery disease and hypertensive retinopathy were 84% and 44% respectively. There was association between coronary artery disease and retinopathy (P< 0.017). Age (P= 0.019), smoking (P=0.011) and dyslipidaemia (0.039) were identified as risk factors for coronary artery disease. Conclusion: Important observations from this study are that hypertensive retinopathy has an association with coronary artery disease. Retinal change can be used in predicting coronary artery disease in patients with hypertension which can be used as screening tool for diagnosing coronary artery disease in resource poor settings. University Heart Journal 2022; 18(2): 93- 97
Ending Page	97
Page Count	5
Starting Page	93
ISSN	19989261
e-ISSN	1998927X
DOI	10.3329/uhj.v18i2.62688
Journal	University Heart Journal
Issue Number	2
Volume Number	18
Language	English
Publisher	Bangladesh Academy of Sciences
Publisher Date	2022-11-08
Access Restriction	Open
Subject Keyword	Peripheral Vascular Disease Coronary Heart Disease Coronary Artery Disease Patients with Hypertension
Content Type	Text
Resource Type	Article

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