DESPITE LIMITED BENEFIT, FUNDUSCOPIC EXAMINATION SHOULD BE CONTINUED FOR HYPERTENSION
Amaç: Hipertansiyon (HT), ciddi kardiyovasküler olay riskini arttırmaktadır, bu sebeple kan basıncı kontrolükardiyovasküler hastalıkların önlenmesinde ana unsurdur.Metotlar: Çalışma, İç Hastalıkları Polikliniùinde ardı sıra başvuran normal tansiyon (NT) vakası ve HT hastalarındayapıldı.Sonuçlar: Yetmiş dört NT vakası ve 46 HT hastası çalışmaya alındı. Gruplar arasında ortalama yaş, cinsiyet ve sigara,diyabet, hiperbetalipoproteinemi ve dislipidemi prevelansları açısından istatistiksel olarak anlamlı bir farklılık yoktu. Ancakobezite (%27.0’a karşılık %54.3, p<0.001) ve hipertrigliseridemi (%13.5’e karşılık %28.2, p<0.01) prevelansları HTgrubunda anlamlı şekilde yüksekti. Her iki grupta da hiçbir grade III veya IV hipertansif retinopati (HR) vakasınarastlanmadı. Gruplar arasındaki fark grade I HR prevelansı açısından anlamsızdı, ancak grade 0 HR prevelansı HTgrubunda anlamlı şekilde düşük iken (%55.4’e karşılık %32.6, p<0.01), grade II HR prevelansı anlamlı şekilde yüksekti(%4.0’a karşılık %13.0, p<0.01).Özet: Her ne kadar HR, HT’a spesifik bir bulgu deùilse de, HT grubunda tespit edilen grade 0 HR prevelansının anlamlıdüşüklüùü ve grade II HR prevelansının anlamlı yüksekliùi HT’un göz damarlanması üzerine olan etkilerini göstermekteve bu alanda mevcut kullanılabilir takip parametreleri sayısının kısıtlı olması nedeniyle muhtemel faydasına işaretetmektedir. Ek olarak, her ne kadar toplumdaki insidanslarının düşük olması ve ilave ateroskleroz zeminlerine raùmen,grade III ve IV HR’nin HT için, özellikle de hipertansif krizler için spesifisitesi muhtemelen yüksektir. Bu sebeple, her nekadar faydası kısıtlıysa da yeni bazı daha etkili takip kriterlerinin bulunmasına kadar HT hastalarının tanı ve takibindegöz dibi muayenesine devam edilmelidir.
Anahtar Kelimeler:
Hipertansiyon, hipertansif retinopati, göz dibi muayenesi
DESPITE LIMITED BENEFIT, FUNDUSCOPIC EXAMINATION SHOULD BE CONTINUED FOR HYPERTENSION*
funduscopic examination should be continued for HT until demonstration of some more accurate follow up criteria. their specificities for HT are probably higher, particularly for hypertensive crises. Therefore, although limited benefit, Additionally, although the lower incidences and even additional atherosclerotic backgrounds of grade III and IV HRs, benefits of funduscopic examination in management of HT due to limited number of available parameters in this field. higher prevalence of grade II HRs in the HT group indicate the effects of HT on retinal vasculature, and probable Conclusion: Although HR is not a specific sign of HT, the significantly lower prevalence of grade 0 and significantly p<0.01) in the HT group.significantly lower (55.4% versus 32.6%, p<0.01) and grade II HR was significantly higher (4.0% versus 13.0%, detected in any group. Differences were nonsignificant according to prevalence of grade I HR whereas grade 0 HR was 28.2%, p<0.01) were significantly higher in the HT group. No case of grade III or IV hypertensive retinopathy (HR) was the groups, whereas prevalences of obesity (27.0% versus 54.3%, p<0.001) and hypertriglyceridemia (13.5% versus gender distribution, and prevalences of smoking, diabetes mellitus, hyperbetalipoproteinemia, and dyslipidemia between Results: We studied 74 cases with NT and 46 with HT. There were nonsignificant differences according to the mean age, Medicine Polyclinic. Methods: The study was performed on consecutive check up patients with normotension (NT) and HT in Internal mainstay for prevention of cardiovascular diseases. B
Keywords:
Hypertension, hypertensive retinopathy, funduscopic examination,
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- ISSN: 2149-3103
- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2010
- Yayıncı: Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi Dekanlığı