Funduscopic examination has limited benefit for management of hypertension

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dc.contributor.authorHelvaci, Mehmet Rami
dc.contributor.authorOzcura, Fatib
dc.contributor.authorKaya, Hasan
dc.contributor.authorYalcin, Atilla
dc.date.accessioned2024-09-18T20:27:55Z
dc.date.available2024-09-18T20:27:55Z
dc.date.issued2007
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractHypertension (HT) increases the risks of major cardiovascular events and affects a majority of elderly populations. Thus, blood pressure control is the mainstay for prevention of cardiovascular diseases. However, there is only a limited number of parameters for management of HT. This study was performed on consecutive patients between the ages of 35 and 70 years with normotension (NT) and HT in order to determine the possible consequences of HT on retinal vasculature and to avoid debility-induced weight loss. We studied 120 patients (64 females, 54 +/- 9.3 years) with NT and 147 (81 females, 57.3 +/- 11.0 years) with HT. No case of grade III or IV hypertensive retinopathy (HR) was detected in the groups. Although the prevalences of grades I and 11 HR were higher and grade 0 HR was lower in the hypertensive group, respectively (P < 0.001 for all), differences according to obesity, diabetes mellitus, hypertriglyceridemia (P < 0.001 for all), and dyslipidemia (P < 0.01) were also significant between the 2 groups. Therefore, only 18.3% (27 cases) of the hypertensives, even in whom the effect of aging could not be excluded, had HT only in the absence of any other risk factor of atherosclerosis. Despite the relatively higher specificities of grades III and IV HR for HT, particularly for hypertensive crisis, funduscopic examination has limited benefit in the management of HT due to the very low prevalences of grades III and IV HR, the multifactorial backgrounds of grades I and 11 HR, and the association of the multiple risk factors of atherosclerosis in a majority of the hypertensive cases.en_US
dc.identifier.doi10.1536/ihj.48.187
dc.identifier.endpage194en_US
dc.identifier.issn1349-2365
dc.identifier.issn1349-3299
dc.identifier.issue2en_US
dc.identifier.pmid17409584en_US
dc.identifier.scopus2-s2.0-34247116831en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage187en_US
dc.identifier.urihttps://doi.org/10.1536/ihj.48.187
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10610
dc.identifier.volume48en_US
dc.identifier.wosWOS:000245877500007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInt Heart Journal Assocen_US
dc.relation.ispartofInternational Heart Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjecthypertensionen_US
dc.subjecthypertensive retinopathyen_US
dc.subjectatherosclerosisen_US
dc.titleFunduscopic examination has limited benefit for management of hypertensionen_US
dc.typeArticleen_US

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