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 | ||||
| Article 9, Volume 2, Issue 1, January 2020, Page 204-210 PDF (530.6 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2019.63391 | ||||
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| Authors | ||||
Mohamed Adel Attia1; Moahmed Ibrahim Elraghy  2; Akram Fekry Elgazar3; Sherif Ragab Nayel2
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| 1Department of Cardiology; Damietta Faculty of Medicine, Al-Azhar University | ||||
| 2Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt | ||||
| 3Department of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Egypt | ||||
| Abstract | ||||
| 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. | ||||
| Keywords | ||||
| Coronary Artery Disease; Diabetes mellitus; diabetic retinopathy; Coronary angiography; prediction | ||||
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