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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Autores principales: Mohamed Attia, Moahmed Elraghy, Akram Elgazar, Sherif Nayel
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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spelling oai:doaj.org-article:c5895a1c95fb46dabbc7debb765118352021-12-02T15:22:19ZCorrelation between Diabetic Retinopathy and The Severity of Coronary Artery Disease Determined by Coronary Angiography in Patients with Type II Diabetes Mellitus2636-41742682-378010.21608/ijma.2019.63391https://doaj.org/article/c5895a1c95fb46dabbc7debb765118352020-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_63391_42b27993c1a46f365f49a1706cc16e24.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mohamed AttiaMoahmed ElraghyAkram ElgazarSherif NayelAl-Azhar University, Faculty of Medicine (Damietta)articlecoronary artery diseasediabetes mellitusdiabetic retinopathycoronary angiographypredictionMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 1, Pp 204-210 (2020)
institution DOAJ
collection DOAJ
language EN
topic coronary artery disease
diabetes mellitus
diabetic retinopathy
coronary angiography
prediction
Medicine (General)
R5-920
spellingShingle coronary artery disease
diabetes mellitus
diabetic retinopathy
coronary angiography
prediction
Medicine (General)
R5-920
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
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.
format article
author Mohamed Attia
Moahmed Elraghy
Akram Elgazar
Sherif Nayel
author_facet Mohamed Attia
Moahmed Elraghy
Akram Elgazar
Sherif Nayel
author_sort Mohamed Attia
title 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_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_sort correlation between diabetic retinopathy and the severity of coronary artery disease determined by coronary angiography in patients with type ii diabetes mellitus
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/c5895a1c95fb46dabbc7debb76511835
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AT akramelgazar correlationbetweendiabeticretinopathyandtheseverityofcoronaryarterydiseasedeterminedbycoronaryangiographyinpatientswithtypeiidiabetesmellitus
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