The Usefulness of Ophthalmoscopy in Risk Evaluation of Hypertensive Patients
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 le...
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| Veröffentlicht in: | Blood pressure 2002, Vol.11 (5), p.263-269 |
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| creator | Tuero, Gabriel Coll De Boreu, Quinti Foguet Vila, Susanna Vargas Zafra, Marc Seaz Rado, Ma Antonia Barcelo |
| description | 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 µmol/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. |
| doi_str_mv | 10.1080/080370502320779467 |
| format | Article |
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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 µmol/l (WHO/ISH and JNCVI), 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 µmol/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.</description><identifier>ISSN: 0803-7051</identifier><identifier>EISSN: 1651-1999</identifier><identifier>DOI: 10.1080/080370502320779467</identifier><identifier>PMID: 12458648</identifier><language>eng</language><publisher>Stockholm: Informa UK Ltd</publisher><subject>Aged ; Aging - physiology ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Creatinine - blood ; Damage ; Female ; Fundus Oculi ; Humans ; Hypertension ; Hypertension - blood ; Hypertension - pathology ; Male ; Medical sciences ; Middle Aged ; Ophthalmoscopy ; Ophthalmoscopy - standards ; Optic Fundus ; Organ ; Regression Analysis ; Retinopathy ; Risk Assessment ; Risk Stratification ; Target</subject><ispartof>Blood pressure, 2002, Vol.11 (5), p.263-269</ispartof><rights>2002 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2002</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-1e48af6e3e05629a1a0872af01359e6a8e3639f69f146b1d13af6d2093f462443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/080370502320779467$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/080370502320779467$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,4010,27900,27901,27902,59620,60409,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13997039$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12458648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tuero, Gabriel Coll De</creatorcontrib><creatorcontrib>Boreu, Quinti Foguet</creatorcontrib><creatorcontrib>Vila, Susanna Vargas</creatorcontrib><creatorcontrib>Zafra, Marc Seaz</creatorcontrib><creatorcontrib>Rado, Ma Antonia Barcelo</creatorcontrib><title>The Usefulness of Ophthalmoscopy in Risk Evaluation of Hypertensive Patients</title><title>Blood pressure</title><addtitle>Blood Press</addtitle><description>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 µmol/l (WHO/ISH and JNCVI), 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 µmol/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.</description><subject>Aged</subject><subject>Aging - physiology</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Creatinine - blood</subject><subject>Damage</subject><subject>Female</subject><subject>Fundus Oculi</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - blood</subject><subject>Hypertension - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmoscopy</subject><subject>Ophthalmoscopy - standards</subject><subject>Optic Fundus</subject><subject>Organ</subject><subject>Regression Analysis</subject><subject>Retinopathy</subject><subject>Risk Assessment</subject><subject>Risk Stratification</subject><subject>Target</subject><issn>0803-7051</issn><issn>1651-1999</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90M1q3DAUBWBRWppp0hfoonjT7Nzqz7IF7aKENCkMpIRkbW48V9ipLLm6dsq8fTTMhFAKQQiB-I64Oox9EPyz4A3_kreqecWlkryurTb1K7YSphKlsNa-ZqsdKLMQR-wd0T3nQinO37IjIXXVGN2s2Pqmx-KW0C0-IFERXXE19XMPfozUxWlbDKG4Huh3cf4AfoF5iGGHLrcTphkDDQ9Y_MrXGGY6YW8ceML3h_OY3f44vzm7LNdXFz_Pvq_LTjd8LgXqBpxBhbwy0oIA3tQSXB6vsmigQWWUdcY6oc2d2AiV9UZyq5w2Umt1zE73704p_lmQ5nYcqEPvIWBcqK3lblUmQ7mHXYpECV07pWGEtG0Fb3cdtv93mEMfD68vdyNuniOH0jL4dABAHXiXIHQDPTtlbc2Vze7b3g3BxTTC35j8pp1h62N6CqkXB_n6T75H8HPfQcL2Pi4p5Ipf-scj2xmeEQ</recordid><startdate>2002</startdate><enddate>2002</enddate><creator>Tuero, Gabriel Coll De</creator><creator>Boreu, Quinti Foguet</creator><creator>Vila, Susanna Vargas</creator><creator>Zafra, Marc Seaz</creator><creator>Rado, Ma Antonia Barcelo</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2002</creationdate><title>The Usefulness of Ophthalmoscopy in Risk Evaluation of Hypertensive Patients</title><author>Tuero, Gabriel Coll De ; Boreu, Quinti Foguet ; Vila, Susanna Vargas ; Zafra, Marc Seaz ; Rado, Ma Antonia Barcelo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-1e48af6e3e05629a1a0872af01359e6a8e3639f69f146b1d13af6d2093f462443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Aging - physiology</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Creatinine - blood</topic><topic>Damage</topic><topic>Female</topic><topic>Fundus Oculi</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - blood</topic><topic>Hypertension - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ophthalmoscopy</topic><topic>Ophthalmoscopy - standards</topic><topic>Optic Fundus</topic><topic>Organ</topic><topic>Regression Analysis</topic><topic>Retinopathy</topic><topic>Risk Assessment</topic><topic>Risk Stratification</topic><topic>Target</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tuero, Gabriel Coll De</creatorcontrib><creatorcontrib>Boreu, Quinti Foguet</creatorcontrib><creatorcontrib>Vila, Susanna Vargas</creatorcontrib><creatorcontrib>Zafra, Marc Seaz</creatorcontrib><creatorcontrib>Rado, Ma Antonia Barcelo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Blood pressure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tuero, Gabriel Coll De</au><au>Boreu, Quinti Foguet</au><au>Vila, Susanna Vargas</au><au>Zafra, Marc Seaz</au><au>Rado, Ma Antonia Barcelo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Usefulness of Ophthalmoscopy in Risk Evaluation of Hypertensive Patients</atitle><jtitle>Blood pressure</jtitle><addtitle>Blood Press</addtitle><date>2002</date><risdate>2002</risdate><volume>11</volume><issue>5</issue><spage>263</spage><epage>269</epage><pages>263-269</pages><issn>0803-7051</issn><eissn>1651-1999</eissn><abstract>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 µmol/l (WHO/ISH and JNCVI), 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 µmol/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. 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| subjects | Aged Aging - physiology Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Creatinine - blood Damage Female Fundus Oculi Humans Hypertension Hypertension - blood Hypertension - pathology Male Medical sciences Middle Aged Ophthalmoscopy Ophthalmoscopy - standards Optic Fundus Organ Regression Analysis Retinopathy Risk Assessment Risk Stratification Target |
| title | The Usefulness of Ophthalmoscopy in Risk Evaluation of Hypertensive Patients |
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