2017, Number 1
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Rev Acta Médica 2017; 18 (1)
Retinal vascular changes in patients with essential arterial hypertension
Márquez FM, Arce ÁÁC
Language: Spanish
References: 18
Page:
PDF size: 215.77 Kb.
ABSTRACT
Introduction: Arterial hypertension is one of the health problems in our country ad of
contemporary medicine. It causes myocardial infarctions, strokes and retinal
alterations.
Objective: To describe changes to the retinal vascular system in patients with mild
and moderate essential hypertension through the alterations of the eye fundus,
electrophysiological tests response, and the behavior of circulatory dynamics by
angiography.
Method: A cross-sectional descriptive study of eye vascular manifestations was
performed in 90 patients of both sexes, aged 15-50 years.
Results: 94.4% of the patients presented alterations, according to the studies
performed, the electrophysiological tests being the most affected (76.6%). The most
frequent alteration in the eye fundus was the generalized arteriolar narrowing. The
most frequent alteration in the circulatory dynamics was the decrease in the filling
velocity.
Conclusions: Most of the patients studied had vascular changes to the retina.
Electrophysiological tests proved to be the most sensitive to these changes. Patients
with no ophthalmoscopic changes who presented electrophysiological changes were at
an early stage of the disease.
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