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Cardiovascular risk factors in patients with combined central retinal vein occlusion and cilioretinal artery occlusion: Case report.

Abstract To analyze cardiovascular risk factors and comorbidity of acute unilateral visual loss due to combined central retinal vein occlusion (CRVO) and cilioretinal artery occlusion (CLRAO).
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29505511
OWN - NLM
STAT- MEDLINE
DCOM- 20180309
LR  - 20180309
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 1
DP  - 2018 Jan
TI  - Cardiovascular risk factors in patients with combined central retinal vein
      occlusion and cilioretinal artery occlusion: Case report.
PG  - e9255
LID - 10.1097/MD.0000000000009255 [doi]
AB  - RATIONALE: To analyze cardiovascular risk factors and comorbidity of acute
      unilateral visual loss due to combined central retinal vein occlusion (CRVO) and 
      cilioretinal artery occlusion (CLRAO). PATIENT CONCERNS: Among patients with
      retinal vein or artery occlusion hospitalized at the Department of Ophthalmology 
      between January 2011 and August 2017, subjects with combined CRVO/CLRAO were
      selected. All of them underwent ophthalmologic and cardiologic examination,
      including fluorescein angiography, optical coherence tomography, 12-lead
      electrocardiogram, transthoracic and transesophageal echocardiography, carotid
      Doppler sonography, cerebral magnetic resonance imaging, and a panel of
      laboratory tests. DIAGNOSES: Four subjects with coexisting CRVO and CLRAO were
      found among 146 patients with retinal vein or artery occlusion. There were no
      other types of concomitance of CRVO and retinal artery occlusion. INTERVENTIONS: 
      All patients were treated with low molecular heparin in a full dose for 2 weeks, 
      then with 1 mg/kg once daily for the next 2 weeks, followed by acetylsalicylic
      acid 75 mg/kg/d. Other medication included long-term statins,
      angiotensin-converting-enzyme inhibitor in 3 patients and beta-blocker in one
      patient. OUTCOMES: All patients with CRVO/CLRAO presented multiple cardiovascular
      risk factors, including hypertension, obesity, hyperlipidemia, chronic nicotine
      addiction, and a positive family history of coronary artery disease or stroke. In
      all of them, echocardiography revealed left ventricular hypertrophy and
      atherosclerotic lesions in the descending aorta; in addition, 3 patients had
      insignificant atherosclerotic plaques in the carotid artery. Also, in 3 subjects,
      focal ischemic cerebral changes were diagnosed. LESSONS: Patients with combined
      CRVO and CLRAO present numerous cardiovascular risk factors and abnormalities on 
      imaging examinations, which should be routinely evaluated and treated.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Grzybowski, Andrzej
AU  - Grzybowski A
AD  - Department of Ophthalmology, Poznan City Hospital, Poznan.
AD  - University of Warmia and Mazury, Olsztyn.
FAU - Elikowski, Waldemar
AU  - Elikowski W
AD  - Department of Internal Diseases, Poznan City Hospital, Poznan, Poland.
FAU - Gaca-Wysocka, Magdalena
AU  - Gaca-Wysocka M
AD  - Department of Ophthalmology, Poznan City Hospital, Poznan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged, 80 and over
MH  - Carotid Arteries/diagnostic imaging
MH  - Child, Preschool
MH  - Echocardiography, Transesophageal
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Neuroimaging
MH  - Retinal Artery Occlusion/*complications/diagnostic imaging
MH  - Retinal Vein Occlusion/*complications/diagnostic imaging
MH  - Risk Factors
MH  - Vision Disorders/diagnostic imaging/*etiology
EDAT- 2018/03/06 06:00
MHDA- 2018/03/10 06:00
CRDT- 2018/03/06 06:00
PHST- 2018/03/06 06:00 [entrez]
PHST- 2018/03/06 06:00 [pubmed]
PHST- 2018/03/10 06:00 [medline]
AID - 10.1097/MD.0000000000009255 [doi]
AID - 00005792-201801050-00008 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jan;97(1):e9255. doi: 10.1097/MD.0000000000009255.