Document Detail

The usefulness of ophthalmoscopy in risk evaluation of hypertensive patients.
MedLine Citation:
PMID:  12458648     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The main objective was to assess whether systematic ophthalmoscopy in the baseline evaluation of hypertensive patients results in a change in the therapeutic attitude as a result of the discovery of target organ damage. A secondary objective was to find the relationship between fundus lesions and other target organ manifestations in patients with hypertension. RESULTS: 73.6% of the patients studied had damage to the optic fundus, 35% of the patients had fundus lesions attributable to hypertension, 21% of patients (p < 0.001) (JNC-VI) and 15.8% (p < 0.001) (WHO/ISH) changed group of risk. Patients who were more likely to change group of risk after ophthalmoscopy were those with moderate hypertension (Grade II). Patients with a level of creatinine <85 micromol/l (WHO/ISH and JNC-VI), female and middle-aged patients (WHO/ISH) and patients older than 63 (JNC-VI) were also more likely to change groups. Hypertension grades II/III, creatinine >85 micromol/l and body mass index increase the risk of fundus lesions. Females are less at risk and alcohol intake seems to have a protective effect. CONCLUSION: Ophthalmoscopy in the baseline evaluation of patients with hypertension permits a better stratification of risk.
Gabriel Coll de Tuero; Quintí Foguet Boreu; Susanna Vargas Vila; Marc Saez Zafra; Ma Antonia Barceló Rado
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Blood pressure     Volume:  11     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  2002  
Date Detail:
Created Date:  2002-12-02     Completed Date:  2003-04-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  263-9     Citation Subset:  IM    
Angelès Community Health Centre, Girona, Spain.
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MeSH Terms
Aging / physiology
Creatinine / blood
Fundus Oculi
Hypertension / blood,  pathology*
Middle Aged
Ophthalmoscopy / standards*
Regression Analysis
Risk Assessment
Reg. No./Substance:

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