Photographing the retina may help detect which high blood pressure patients are more likely to have a stroke.
In a study reported in the American Heart Association journalĀ Hypertension, researchers said retinal imaging may someday help assess if youāre more likely to develop a stroke ā the nationās No. 4 killer and a leading cause of disability.
āThe retina provides information on the status of blood vessels in the brain,ā said Mohammad Kamran Ikram, M.D., Ph.D., lead author of the study and assistant professor in the Singapore Eye Research Institute, the Department of Ophthalmology and Memory Aging & Cognition Centre, at the National University of Singapore. āRetinal imaging is a non-invasive and cheap way of examining the blood vessels of the retina.ā
Worldwide,Ā high blood pressureĀ is the single most important risk factor for stroke. However, itās still not possible to predict which high blood pressure patients are most likely to develop a stroke.
Researchers tracked stroke occurrence for an average 13 years in 2,907 patients with high blood pressure who had not previously experienced a stroke. At baseline, each had photographs taken of the retina, the light-sensitive layer of cells at the back of the eyeball. Damage to the retinal blood vessels attributed to hypertension ā calledĀ hypertensive retinopathyĀ ā evident on the photographs was scored as none, mild or moderate/severe.
During the follow-up, 146 participants experienced a stroke caused by aĀ blood clotĀ and 15 byĀ bleedingĀ in the brain.
Researchers adjusted for several stroke risk factors such as age, sex, race, cholesterol levels, blood sugar, body mass index, smoking and blood pressure readings. They found the risk of stroke was 35 percent higher in those with mild hypertensive retinopathy and 137 percent higher in those with moderate or severe hypertensive retinopathy.
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