Avtor/Urednik		Petek-Šter, Marija; Švab, Igor; Žemva, Aleš
Naslov		Pregled očesnega ozadja bolnikov z arterijsko hipertenzijo v okviru minimalnega diagnostičnega programa
Prevedeni naslov		Examination of the eye fundus as part of the minimal diagnostic programme in patients with arterial hypertension
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 42, št. 3
Leto izdaje		2003
Obseg		str. 102-9
Jezik		slo
Abstrakt		The eye fundus is a target organ of arterial hypertension, besides the heart, the kidneys and the vessels. Our aim was to check the feasibility of fhe eye fundus examination in a general practitioner's surgery. This cross-sectional study involved 50 non-diabetic patients with essential arterial hypertension, aged 40 to 69 years, who had no opacities of optic media and did not use eye-drops to lower high intraocular pressure. All subjects underwent the socalled »minimal« diagnostic programme including examination of the eye fundus with the direct ophthalmoscope, and were assessed for cardiovascular risk. In the year preceding the study, a complete minimal diagnostic programme was carried out in only 11 (22%) hypertensive patients; the bottleneck was the eye fundus examination, perfomed by an ophtalmologist The cardiovascular risk assessed by a method which fakes into consideration the target organ damage was significantly increased (p<0.00001, test x2). Examination of the eye fundus with the direct ophtalmoscope is feasible in a general practitioner's office. Damage to the target organ must be taken into consideration when assessing the cardiovascular risk in hypertensive patients.
Izvleček		Očesno ozadje je poleg srca, ledvic in velikih žil tarčni organ pri arterijski hipertenziji. Želeli smo preveriti, ali je pregled očesnega ozadja pri hipertonikih izvedljiv v ambulanti splošne medicine. V presečni raziskavi smo zajeli 50 hipertonikov z esencialno arterijsko hipertenzijo, starih od 40 do 69 let, brez sladkome bolezni, motenj v optičnih medijih ali uporabe kapljic za zniževanje visokega očesnega tlaka. Vsem preiskovancem smo izvedli minimalni diagnostični program, vključno s pregledom očesnega ozadja po metodi direktne oftalmoskopije, in ocenili karriiovaskulamo tveganje. V zadnjem letu pred raziskavo je imelo minimalni diagnostični program v celoti opravljeno le 11 (22%) hipertonikov, ozko grlo je bil pregled očesnega ozadja, ki so ga hipertoniki opravili pri oftalmologu. Ocena kartdiovaskulamega tveganja po metodi, pri kateri je bila upoštevana tudi prizadetost tarčnih organov, je bila višja (p<0.00001, test x2). Pregled očesnega ozadja po metodi dfrektne oftalmoskopije je v ambulanti splošne medicine izvedljiv. Pri oceni kardiovaskulame ogroženosti hiperfonikov je potrebno upoštevati tudi stanje tarčnih organov.
Deskriptorji		HYPERTENSION FUNDUS OCULI OPHTHALMOSCOPY FAMILY PRACTICE MIDDLE AGE CARDIOVASCULAR DISEASES RISK ASSESSMENT BODY MASS INDEX BLOOD PRESSURE CREATININE CHOLESTEROL SMOKING ELECTROCARDIOGRAPHY