Estudo comparativo entre extensäo da aterosclerose coronária com os fatores de risco e as alteraçöes na artéria da retina / Comparative study of the extension of coronary arteriosclerosis with risk factors and changes in the retinal artery

PURPOSE--To identify a possible relationship of the extent of coronary artery disease, with risk factors for coronary artery disease and the retinal arteriolar changes (evaluated by fundoscopic examination). METHODS--We studied 96 patients (66 males), 36 to 72 years of age. All patients were studied by selective cinecoronaryarteriography, fundoscopic examination, as well as evaluated for the common risk factors, cigarette smoking diabetes, dislipidemia, systemic hypertension, age, alcoholism, male sex, family history and obesity. RESULTS--Male (p < 0.001) and smoking (p < 0.01) were the statistically significant associations with the extent of coronary artery disease. No significant relationship with the extent of coronary artery disease was present for the other risk factor nor for changes in retinal arteriolar branches. CONCLUSION--A relationship between extent of coronary artery disease with male sex and a cigarette smoker is occurred. No relationship with other risk factors, nor with retinal arteriolar changes were present

Estudo comparativo entre extensao aterosclerose coronaria com fatores de risco e alteracoes na arteria central da retina / Comparative study of atherosclerotic involvement of retinian and coronary arteries

jCom o objetivo de estudar a possivel relacao entre extensao da aterosclerose coronaria com os fatores de risco e suas relacoes na arteria central da retina, foram estudados 95 pacientes, 65 masc., 30 fem., com idade entre 36 a 72 anos, por meio da cinecoronariografia seletiva, quantificacao dos fatores de risco( dislipidemia, hipertensao arterial sistemica, sexo, tabagismo, obesidade) e alteracoes no exame de fundo de olho. Os pacientes foram subdivididos em quatro grupos: Grupo 1 (n:42) pacientes sem obstrucao significativa das coronarias; Grupo 2 (N:15) pacientes com obstrucao igual ou superior a 75 por cento e uma coronaria; Grupo 3 (n:27) pacientes com obstrucao em duas coronarias e Grupo 4 (n:12) pacientes com obstrucao em tres coronarias. Constatou-se relacao entre a extensao da aterosclerose coronaria, sexo masculino e tabagismo (p<0,05). Nao se encontrou relacao entre extensao da aterosclerose coronaria com obesidade, hipertensao arterial sistemica, colesterol e triglicerideos, bem com entre as alteracoes do reflexo axial, cruzamento AV, exsudato, hemorragia, macula e relacao AV dos ramos da arteria da retina