Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus
Background: Diabetes mellitus [DM] is one of the most widespread chronic diseases. It is commonly known by its serious vascular complications including micro-vascular [as retinopathy] and macro-vascular [as ischemic heart diseases] complications. So, a correlation between those complications may be...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2020-01-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_63391_42b27993c1a46f365f49a1706cc16e24.pdf |
| _version_ | 1819202721184481280 |
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| author | Mohamed Attia Moahmed Elraghy Akram Elgazar Sherif Nayel |
| author_facet | Mohamed Attia Moahmed Elraghy Akram Elgazar Sherif Nayel |
| author_sort | Mohamed Attia |
| collection | DOAJ |
| description | Background: Diabetes mellitus [DM] is one of the most widespread chronic diseases. It is commonly known by its serious vascular complications including micro-vascular [as retinopathy] and macro-vascular [as ischemic heart diseases] complications. So, a correlation between those complications may be found. Aim of the work: To investigate the correlation between diabetic retinopathy and increased risk of coronary artery diseases. Patients and methods: This study enrolled fifty patients with type 2 diabetes mellitus [DM] who were referred for coronary angiography. Full History, clinical examination, biochemical tests, electrocardiography [ECG], Echocardiography, coronary angiography and fundus examination were carried out. Diabetic retinopathy was detected and classified; patients were classified into two groups: a group [A] with diabetic retinopathy [DR] and a group [B] without diabetic retinopathy. Coronary diseases were assisted by coronary angiography using two different scores. Results: Population characters, including age, risk factors, duration of DM, lipid profile, angiography scores, were comparable between the two study groups. Patients in group [A] had significantly higher number of diseased vessels and higher Gensini score than those of Group [B]. The correlation was significant between the presence of the DR and both the number of diseased vessels [r = 0.532 P < 0.001] and Gensini score [r = 0.881, P < 0.001]. Conclusion: The diabetic retinopathy is a serious risk factor for increasing the severity of coronary artery diseases and can consider as a predictor of CHD in patients with DR. |
| first_indexed | 2024-12-23T04:08:31Z |
| format | Article |
| id | doaj.art-c5895a1c95fb46dabbc7debb76511835 |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-12-23T04:08:31Z |
| publishDate | 2020-01-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-c5895a1c95fb46dabbc7debb765118352022-12-21T18:00:34ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802020-01-012120421010.21608/ijma.2019.6339163391Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes MellitusMohamed Attia0Moahmed Elraghy1Akram Elgazar2Sherif Nayel3Department of Cardiology; Damietta Faculty of Medicine, Al-Azhar UniversityDepartment of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, EgyptBackground: Diabetes mellitus [DM] is one of the most widespread chronic diseases. It is commonly known by its serious vascular complications including micro-vascular [as retinopathy] and macro-vascular [as ischemic heart diseases] complications. So, a correlation between those complications may be found. Aim of the work: To investigate the correlation between diabetic retinopathy and increased risk of coronary artery diseases. Patients and methods: This study enrolled fifty patients with type 2 diabetes mellitus [DM] who were referred for coronary angiography. Full History, clinical examination, biochemical tests, electrocardiography [ECG], Echocardiography, coronary angiography and fundus examination were carried out. Diabetic retinopathy was detected and classified; patients were classified into two groups: a group [A] with diabetic retinopathy [DR] and a group [B] without diabetic retinopathy. Coronary diseases were assisted by coronary angiography using two different scores. Results: Population characters, including age, risk factors, duration of DM, lipid profile, angiography scores, were comparable between the two study groups. Patients in group [A] had significantly higher number of diseased vessels and higher Gensini score than those of Group [B]. The correlation was significant between the presence of the DR and both the number of diseased vessels [r = 0.532 P < 0.001] and Gensini score [r = 0.881, P < 0.001]. Conclusion: The diabetic retinopathy is a serious risk factor for increasing the severity of coronary artery diseases and can consider as a predictor of CHD in patients with DR.https://ijma.journals.ekb.eg/article_63391_42b27993c1a46f365f49a1706cc16e24.pdfcoronary artery diseasediabetes mellitusdiabetic retinopathycoronary angiographyprediction |
| spellingShingle | Mohamed Attia Moahmed Elraghy Akram Elgazar Sherif Nayel Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus International Journal of Medical Arts coronary artery disease diabetes mellitus diabetic retinopathy coronary angiography prediction |
| title | Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus |
| title_full | Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus |
| title_fullStr | Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus |
| title_full_unstemmed | Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus |
| title_short | Correlation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus |
| title_sort | correlation between diabetic retinopathy and the severity of coronary artery disease determined by coronary angiography in patients with type ii diabetes mellitus |
| topic | coronary artery disease diabetes mellitus diabetic retinopathy coronary angiography prediction |
| url | https://ijma.journals.ekb.eg/article_63391_42b27993c1a46f365f49a1706cc16e24.pdf |
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