valuation of hypertensive retinopathy in patients admitted to internal medicine and cardiology wards of Khatam-al-anbia and Imam hosein hospital of Shahroud - 2014

Mirostovar, Mahtab and Khademi, Mohamad Reza and Farsi, Morteza and Abdolahi, Hadi (2017) valuation of hypertensive retinopathy in patients admitted to internal medicine and cardiology wards of Khatam-al-anbia and Imam hosein hospital of Shahroud - 2014. medical journal of mashhad university of medical sciences, 60 (2). pp. 477-484.

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Official URL: http://mjms.mums.ac.ir/article_10100.html

Abstract

Introduction: In Hypertension, the complications of target organs, including eye is move important. The hypertensive vasculopathy can be directly identified on the retinal vessels by ophthalmoscopy. This study was done to determine the prevalence of hypertensive retinopathy in high blood pressure patients. Materials & Methods: A total of 135 patients with hypertension that admitted in Khatam – al – anbia and Imam Hossein hospitals of Shahroud in 2014 were examined to determine the ophthalmologic stages of their retinopathy. Results: In this study 135 hypertensive patients (62 males and 73 females) in age range of 36-75 years old (mean age: 64.5±10.3 years), mean duration of diagnosed hypertension 6.7± 5.5 years and mean duration of medical treatment 7.1±4.7 years were evaluated. Overall 57.5 of patients had hypertensive retinopathy which was less common in women (57.5) than in men (58.1). Also, the highest percentage of hypertension retinopathy was grade I, 61.3 of patients with positive family history, 5.9 of patients had mild hypertension (HTN), 39.3 had moderate HTN and 54.8 had severe HTN. The most common ophthalmoscopic findings in hypertensive retinopathy were: arteriole narrowing (35.1), artrial irregularity (17.1) and cotton wool patch and hemorrhagy (9.3). Conclusion: Early diagnosis and control of high blood pressure prevents ocular and other target organ hypertension complications. Positive family history of hypertension and also hypertensive complications of target organs especially cerebrovascular are risk factors for hypertensive retinopathy.

Item Type: Article
Subjects: WA Public Health
Divisions: Journals > Medical J Mashhad University of Medical Sciences
Depositing User: mjmums mjmums
Date Deposited: 25 Jan 2018 14:26
Last Modified: 25 Jan 2018 14:26
URI: http://eprints.mums.ac.ir/id/eprint/9039

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