Scientific correspondence
Is the pulse rate useful in assessing risk of diabetic
retinopathy and macular oedema? The Wisconsin Epidemiological Study of
Diabetic Retinopathy
Tien Yin Wonga b c, Scot E Mossa, Ronald Kleina, Barbara E K Kleina
a Department
of Ophthalmology, University of Wisconsin Medical School, Madison,
Wisconsin, USA, b Department of Ophthalmology,
National University of Singapore, Singapore, c Singapore National Eye Center and Singapore Eye
Research Institute, Singapore
Correspondence to: Tien Yin Wong, MD, MPH, Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, 610 North Walnut Street, 460 WARF, Madison, WI 53705-2397, USA tienyinwong{at}yahoo.com
Accepted for publication 22 January 2001
AIM
To describe the
relation between pulse rate and incident diabetic retinopathy.
METHODS
Population
based cohort study of people with diabetes. Resting pulse rate was
measured in 30 second intervals. Diabetic retinopathy was evaluated
from masked gradings of fundus photographs.
RESULTS
People with
higher pulse rates were more likely to have 4 year progression of
retinopathy, progression to proliferative retinopathy, and incident
macular oedema than those with lower pulse rates. However, these
associations were attenuated after controlling for blood pressure,
glycosylated haemoglobin, and other risk factors.
CONCLUSION
Pulse rate
may be a clinical indicator of overall risk of diabetic retinopathy,
but is not independently associated with the condition.
© 2001 by British Journal of Ophthalmology
This article has been cited by other articles:
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Guan, K., Hudson, C., Wong, T., Kisilevsky, M., Nrusimhadevara, R. K., Lam, W. C., Mandelcorn, M., Devenyi, R. G., Flanagan, J. G.
(2006). Retinal Hemodynamics in Early Diabetic Macular Edema. Diabetes
55: 813-818
[Abstract] [Full Text]
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