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Atrial fibrillation in retinal vascular occlusion disease and non-arteritic anterior ischemic optic neuropathy.
Callizo, Josep; Feltgen, Nicolas; Ammermann, Antje; Ganser, Janina; Bemme, Sebastian; Bertelmann, Thomas; Pfeiffer, Sebastian; Duvinage, Andre; Gröschel, Klaus; Hoerauf, Hans; Wachter, Rolf.
Afiliação
  • Callizo J; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Feltgen N; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Ammermann A; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Ganser J; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Bemme S; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Bertelmann T; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Pfeiffer S; Institute for Clinical Research GmbH, Georg-August University, Goettingen, Germany.
  • Duvinage A; Clinic for Prevention, Rehabilitation and Sports Medicine, Technical University of Munich, Munich, Germany.
  • Gröschel K; Department of Neurology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.
  • Hoerauf H; Clinic for Ophthalmology, University of Göttingen, Göttingen, Germany.
  • Wachter R; Clinic for Cardiology and Pneumology, University of Göttingen, Göttingen, Germany.
PLoS One ; 12(8): e0181766, 2017.
Article em En | MEDLINE | ID: mdl-28771491
ABSTRACT

BACKGROUND:

Patients with retinal vascular occlusion disease have an increased risk for ischemic stroke and share some risk factors with cerebrovascular disease. The purpose of this study was to analyze the prevalence of atrial fibrillation (AF) in subjects with retinal vascular occlusive disease and anterior ischemic optic neuropathy and to compare these data to an ischemic stroke group.

METHODS:

Prospective, observational single-center trial. Subjects with retinal artery occlusion (RAO), retinal vein occlusion (RVO) and anterior ischemic optic neuropathy (AION) were included. Patients with ischemic stroke (IS) from a previous observational trial were used as control. Investigation included 7-day Holter ECG, echocardiography, duplex ultrasonography of the carotid arteries, and 24-hour blood pressure monitoring. Further vascular risk factors were documented.

RESULTS:

During the 1-year study period, 101 patients were recruited. The control group with ischemic stroke consisted of 272 subjects. At inclusion, the prevalence of AF was 12% (RAO), 10.2% (RVO), 11.1% (NAION) and 15.8% (IS). The final prevalence after Holter ECG rose to 16% (RAO), 18.4% (RVO), 14.8% (NAION) and 26.5% (IS). No significant difference was measured between groups.

CONCLUSIONS:

We detected a similar prevalence of AF in all groups. RVO patients tended to exhibit a higher AF detection rate and lower number needed to screen than RAO and NAION. The detection of AF rose considerably via Holter ECG. As a consequence, we recommend prolonged ECG monitoring in patients with acute ophthalmic vascular diseases.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vasos Retinianos / Fibrilação Atrial / Neuropatia Óptica Isquêmica Tipo de estudo: Etiology_studies / Prevalence_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vasos Retinianos / Fibrilação Atrial / Neuropatia Óptica Isquêmica Tipo de estudo: Etiology_studies / Prevalence_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Alemanha