Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion?
<i>Introduction</i>. Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) allowed visualization of retina and choroid to nearly the capillary level; however, the relationship between systemic macrovascular status and retinal microvascular changes is not...
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MDPI AG
2022-08-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/8/2016 |
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| author | Indrė Matulevičiūtė Agnė Sidaraitė Vacis Tatarūnas Audronė Veikutienė Olivija Dobilienė Dalia Žaliūnienė |
| author_facet | Indrė Matulevičiūtė Agnė Sidaraitė Vacis Tatarūnas Audronė Veikutienė Olivija Dobilienė Dalia Žaliūnienė |
| author_sort | Indrė Matulevičiūtė |
| collection | DOAJ |
| description | <i>Introduction</i>. Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) allowed visualization of retina and choroid to nearly the capillary level; however, the relationship between systemic macrovascular status and retinal microvascular changes is not yet known well. <i>Aim</i>. Our purpose was to assess the impact of retinal optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) parameters on prediction of coronary heart disease (CHD) in acute myocardial infarction (MI) and chronic three vessel disease (3VD) groups. <i>Methods</i>. This observational study included 184 patients—26 in 3VD, 76 in MI and 82 in healthy participants groups. Radial scans of the macula and OCTA scans of the central macula (superficial (SCP) and deep (DCP) capillary plexuses) were performed on all participants. All participants underwent coronary angiography. <i>Results</i>. Patients in MI groups showed decreased parafoveal total retinal thickness as well as GCL+ retinal thickness. Outer circle total retinal thickness and GCL+ retinal thickness were lowest in the 3VD group. The MI group had thinner, while 3VD the thinnest, choroid. A decrease in choroidal thickness and vascular density could predict 3VD. <i>Conclusions</i>. A decrease in retinal and choroidal thickness as well as decreased vascular density in the central retinal region may predict coronary artery disease. OCT and OCTA could be a significant, safe, and noninvasive tool for the prediction of coronary artery disease. |
| first_indexed | 2024-03-09T09:58:40Z |
| format | Article |
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| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T09:58:40Z |
| publishDate | 2022-08-01 |
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| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-be70a20f13e3416eb2825ed6df5f22192023-12-01T23:37:01ZengMDPI AGDiagnostics2075-44182022-08-01128201610.3390/diagnostics12082016Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion?Indrė Matulevičiūtė0Agnė Sidaraitė1Vacis Tatarūnas2Audronė Veikutienė3Olivija Dobilienė4Dalia Žaliūnienė5Department of Ophthalmology, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Ophthalmology, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaInstitute of Cardiology, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaInstitute of Cardiology, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Cardiology, Lithuanian University of Health Sciences, 44307 Kaunas, LithuaniaDepartment of Ophthalmology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania<i>Introduction</i>. Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) allowed visualization of retina and choroid to nearly the capillary level; however, the relationship between systemic macrovascular status and retinal microvascular changes is not yet known well. <i>Aim</i>. Our purpose was to assess the impact of retinal optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) parameters on prediction of coronary heart disease (CHD) in acute myocardial infarction (MI) and chronic three vessel disease (3VD) groups. <i>Methods</i>. This observational study included 184 patients—26 in 3VD, 76 in MI and 82 in healthy participants groups. Radial scans of the macula and OCTA scans of the central macula (superficial (SCP) and deep (DCP) capillary plexuses) were performed on all participants. All participants underwent coronary angiography. <i>Results</i>. Patients in MI groups showed decreased parafoveal total retinal thickness as well as GCL+ retinal thickness. Outer circle total retinal thickness and GCL+ retinal thickness were lowest in the 3VD group. The MI group had thinner, while 3VD the thinnest, choroid. A decrease in choroidal thickness and vascular density could predict 3VD. <i>Conclusions</i>. A decrease in retinal and choroidal thickness as well as decreased vascular density in the central retinal region may predict coronary artery disease. OCT and OCTA could be a significant, safe, and noninvasive tool for the prediction of coronary artery disease.https://www.mdpi.com/2075-4418/12/8/2016optical coherence tomography angiographyoptical coherence tomographyfoveal avascular zonevascular densitycoronary heart disease |
| spellingShingle | Indrė Matulevičiūtė Agnė Sidaraitė Vacis Tatarūnas Audronė Veikutienė Olivija Dobilienė Dalia Žaliūnienė Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion? Diagnostics optical coherence tomography angiography optical coherence tomography foveal avascular zone vascular density coronary heart disease |
| title | Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion? |
| title_full | Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion? |
| title_fullStr | Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion? |
| title_full_unstemmed | Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion? |
| title_short | Retinal and Choroidal Thinning—A Predictor of Coronary Artery Occlusion? |
| title_sort | retinal and choroidal thinning a predictor of coronary artery occlusion |
| topic | optical coherence tomography angiography optical coherence tomography foveal avascular zone vascular density coronary heart disease |
| url | https://www.mdpi.com/2075-4418/12/8/2016 |
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