open access

Vol 12, No 1 (2017)
Young Cardiology
Published online: 2017-03-03
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Cardiovascular risk factors in 100 patients with retinal artery occlusion — a single-centre registry

Joanna Roskal-Wałek, Paweł Wałek, Iwona Gorczyca-Michta, Magdalena Kal, Janusz Sielski, Magdalena Gierada, Jerzy Mackiewicz, Beata Wożakowska-Kapłon
DOI: 10.5603/FC.2017.0004
·
Folia Cardiologica 2017;12(1):27-32.

open access

Vol 12, No 1 (2017)
Young Cardiology
Published online: 2017-03-03

Abstract

Introduction. The aim of the study was to evaluate cardiovascular risk factors in patients after retinal artery occlusion (RAO). Additionally, our findings were compared with the results of epidemiological studies on the prevalence of cardiovascular risk factors in the Polish population.

Material and methods. We conducted a retrospective study which involved a group of 100 patients admitted to the ophthalmology service due to RAO in 2004–2014.

Results. In our study group, hypertension was found in 78% of patients, hypercholesterolemia in 67% of patients, ischemic heart disease in 53% of patients, previous myocardial infarction in 20% of patients, heart failure in 17% of patients, diabetes type 2 in 16% of patients, atrial fibrillation in 14% of patients, and kidney dysfunction in 11% of patients. Twelve percent of patients had a history of stroke, and 31% were smokers. Doppler ultrasonography (USG) showed carotid atherosclerotic plaques in 78% of patients and ≥ 70% carotid artery stenosis in 33% of patients. Transthoracic echocardiography revealed aortic valve calcifications in 63% of patients.

Conclusions. Cardiovascular risk factors are present in a large majority of patients with RAO. Compared to the general population, patients with RAO often suffer from hypertension, hypercholesterolemia, type 2 diabetes and renal dysfunction. Due to an association between RAO and cardiovascular risk factors, appropriate diagnostic work-up is of major importance in these patients. Basic investigations in patients after a RAO event should include carotid artery Doppler ultrasound, echocardiography, electrocardiography, blood pressure measurement, and laboratory tests  

Abstract

Introduction. The aim of the study was to evaluate cardiovascular risk factors in patients after retinal artery occlusion (RAO). Additionally, our findings were compared with the results of epidemiological studies on the prevalence of cardiovascular risk factors in the Polish population.

Material and methods. We conducted a retrospective study which involved a group of 100 patients admitted to the ophthalmology service due to RAO in 2004–2014.

Results. In our study group, hypertension was found in 78% of patients, hypercholesterolemia in 67% of patients, ischemic heart disease in 53% of patients, previous myocardial infarction in 20% of patients, heart failure in 17% of patients, diabetes type 2 in 16% of patients, atrial fibrillation in 14% of patients, and kidney dysfunction in 11% of patients. Twelve percent of patients had a history of stroke, and 31% were smokers. Doppler ultrasonography (USG) showed carotid atherosclerotic plaques in 78% of patients and ≥ 70% carotid artery stenosis in 33% of patients. Transthoracic echocardiography revealed aortic valve calcifications in 63% of patients.

Conclusions. Cardiovascular risk factors are present in a large majority of patients with RAO. Compared to the general population, patients with RAO often suffer from hypertension, hypercholesterolemia, type 2 diabetes and renal dysfunction. Due to an association between RAO and cardiovascular risk factors, appropriate diagnostic work-up is of major importance in these patients. Basic investigations in patients after a RAO event should include carotid artery Doppler ultrasound, echocardiography, electrocardiography, blood pressure measurement, and laboratory tests  

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Keywords

cardiovascular risk factors, retinal artery occlusion, hypercholesterolemia, hypertension, stroke

About this article
Title

Cardiovascular risk factors in 100 patients with retinal artery occlusion — a single-centre registry

Journal

Folia Cardiologica

Issue

Vol 12, No 1 (2017)

Pages

27-32

Published online

2017-03-03

DOI

10.5603/FC.2017.0004

Bibliographic record

Folia Cardiologica 2017;12(1):27-32.

Keywords

cardiovascular risk factors
retinal artery occlusion
hypercholesterolemia
hypertension
stroke

Authors

Joanna Roskal-Wałek
Paweł Wałek
Iwona Gorczyca-Michta
Magdalena Kal
Janusz Sielski
Magdalena Gierada
Jerzy Mackiewicz
Beata Wożakowska-Kapłon

References (20)
  1. Chang YS, Chu CC, Weng SF, et al. The risk of acute coronary syndrome after retinal artery occlusion: a population-based cohort study. Br J Ophthalmol. 2015; 99(2): 227–231.
  2. Chang YS, Jan RL, Weng SF, et al. Retinal artery occlusion and the 3-year risk of stroke in Taiwan: a nationwide population-based study. Am. J. Ophthalmol. 2012; 154(4): 645–652.e1.
  3. Christiansen CB, Lip GYH, Lamberts M, et al. Retinal vein and artery occlusions: a risk factor for stroke in atrial fibrillation. J. Thromb. Haemost. 2013; 11(8): 1485–1492.
  4. Perk J, De Backer G, Gohlke H, et al. European Association for Cardiovascular Prevention & Rehabilitation (EACPR), ESC Committee for Practice Guidelines (CPG). European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur. Heart J. 2012; 33(13): 1635–1701.
  5. Jakubowski W (ed.): Standardy badań ultrasonograficznych Polskiego Towarzystwa Ultrasonograficznego. Roztoczańska Szkoła Ultrasonografii. Warszawa–Zamość 2008.
  6. Klein R, Klein BEK, Moss SE, et al. Retinal emboli and cardiovascular disease: the Beaver Dam Eye Study. Arch. Ophthalmol. 2003; 121(10): 1446–1451.
  7. Wang JJ, Cugati S, Knudtson MD, et al. Retinal arteriolar emboli and long-term mortality: pooled data analysis from two older populations. Stroke. 2006; 37(7): 1833–1836.
  8. Hayreh SS, Podhajsky PA, Zimmerman MB. Retinal artery occlusion: associated systemic and ophthalmic abnormalities. Ophthalmology. 2009; 116(10): 1928–1936.
  9. Matysik A, Gerkowicz M, Lewandowska-Furmanik M. [Systemic diseases in patients with central retinal artery occlusion or its branches in the material of Department of Ophthalmology of Medical University of Lublin]. Klin Oczna. 2006; 108(7-9): 323–326.
  10. Chang YS, Weng SF, Chang C, et al. Risk of Retinal Artery Occlusion in Patients With End-Stage Renal Disease: A Retrospective Large-Scale Cohort Study. Medicine (Baltimore). 2016; 95(14): e3281.
  11. Tendera M, Aboyans V, Bartelink ML, et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries * The Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). European Heart Journal. 2011; 32(22): 2851–2906.
  12. Zdrojewski T, Rutkowski M, Bandosz P, et al. Prevalence and control of cardiovascular risk factors in Poland. Assumptions and objectives of the NATPOL 2011 Survey. Kardiol Pol. 2013; 71(4): 381–392.
  13. Zdrojewski Ł, Zdrojewski T, Rutkowski M, et al. Prevalence of chronic kidney disease in a representative sample of the Polish population: results of the NATPOL 2011 survey. Nephrol. Dial. Transplant. 2016; 31(3): 433–439.
  14. Zdrojewski T, Solnica B, Cybulska B, et al. Prevalence of lipid abnormalities in Poland. The NATPOL 2011 survey. Kardiol Pol. 2016; 74(3): 213–223.
  15. Pająk A, Szafraniec K, Polak M, et al. Changes in the prevalence, treatment, and control of hypercholesterolemia and other dyslipidemias over 10 years in Poland: the WOBASZ study. Pol. Arch. Med. Wewn. 2016; 126(9): 642–652.
  16. Rutkowski M, Bandosz P, Czupryniak L, et al. Prevalence of diabetes and impaired fasting glucose in Poland--the NATPOL 2011 Study. Diabet. Med. 2014; 31(12): 1568–1571.
  17. Hankey GJ, Slattery JM, Warlow CP. Prognosis and prognostic factors of retinal infarction: a prospective cohort study. BMJ. 1991; 302(6775): 499–504.
  18. Schmidt D, Hetzel A, Geibel-Zehender A, et al. Systemic diseases in non-inflammatory branch and central retinal artery occlusion--an overview of 416 patients. Eur. J. Med. Res. 2007; 12(12): 595–603.
  19. Rudkin AK, Lee AW, Chen CS. Vascular risk factors for central retinal artery occlusion. Eye (Lond). 2010; 24(4): 678–681.
  20. Callizo J, Feltgen N, Pantenburg S, et al. European Assessment Group for Lysis in the Eye. Cardiovascular Risk Factors in Central Retinal Artery Occlusion: Results of a Prospective and Standardized Medical Examination. Ophthalmology. 2015; 122(9): 1881–1888.

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