The relationship between aortic stiffness and changes in retinal microvessels among Asian ischemic stroke patients.

Abstract:

:Large-artery stiffness is a risk factor for stroke, including cerebral small-vessel disease. Retinal microvascular changes are thought to mirror those in cerebral microvessels. We investigated the relationship between aortic stiffness and retinal microvascular changes in Asian ischemic stroke patients. We studied 145 acute ischemic stroke patients in Singapore who had aortic stiffness measurements using carotid-femoral pulse wave velocity (cPWV). Retinal photographs were assessed for retinal microvessel caliber and qualitative signs of focal arteriolar narrowing, arteriovenous nicking and enhanced arteriolar light reflex. Aortic stiffening was associated with retinal arteriolar changes. Retinal arteriolar caliber decreased with increasing cPWV (r=-0.207, P=0.014). After adjusting for age, gender, hypertension, diabetes, mean arterial pressure and small-vessel stroke subtype, patients within the highest cPWV quartile were more likely to have generalized retinal arteriolar narrowing defined as lowest caliber tertile (odds ratio (OR) 6.84, 95% confidence interval (CI) 1.45-32.30), focal arteriolar narrowing (OR 13.85, CI 1.82-105.67), arteriovenous nicking (OR 5.08, CI 1.12-23.00) and enhanced arteriolar light reflex (OR 3.83, CI 0.89-16.48), compared with those within the lowest quartile. In ischemic stroke patients, aortic stiffening is associated with retinal arteriolar luminal narrowing as well as features of retinal arteriolosclerosis.

journal_name

J Hum Hypertens

authors

De Silva DA,Woon FP,Manzano JJ,Liu EY,Chang HM,Chen C,Wang JJ,Mitchell P,Kingwell BA,Cameron JD,Lindley RI,Wong TY,Wong MC,behalf of the Multi-Centre Retinal Stroke Study Collaborative Group.

doi

10.1038/jhh.2011.88

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

716-22

issue

12

eissn

0950-9240

issn

1476-5527

pii

jhh201188

journal_volume

26

pub_type

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