Is diabetic retinopathy an independent risk factor for ischemic stroke?

Abstract:

BACKGROUND AND PURPOSE:The relationship between diabetic retinopathy and ischemic stroke is uncertain and examined in this study. METHODS:A population-based, prospective cohort study of 1617 middle-aged persons with diabetes. Diabetic retinopathy signs were ascertained from retinal photographs, and incident ischemic stroke events were prospectively identified and validated. RESULTS:Over an average follow-up of 7.8 years, there were 75 ischemic stroke events. After adjustment for age, gender, race, center, 6-year mean arterial blood pressure, anti-hypertensive treatment use, fasting glucose, insulin treatment, duration of diabetes, high-density lipoprotein and low-density lipoprotein cholesterol levels and cigarette smoking status, diabetic retinopathy was associated with an increased risk of ischemic stroke (hazard rate ratio, 2.34; 95% CI, 1.13 to 4.86). CONCLUSIONS:Diabetic retinopathy predicts incident ischemic stroke in people with diabetes, independent of other risk factors.

journal_name

Stroke

journal_title

Stroke

authors

Cheung N,Rogers S,Couper DJ,Klein R,Sharrett AR,Wong TY

doi

10.1161/01.STR.0000254547.91276.50

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

398-401

issue

2

eissn

0039-2499

issn

1524-4628

pii

01.STR.0000254547.91276.50

journal_volume

38

pub_type

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