37 KB95 KB34 KB200220262003Petek Šter, MarijaŠvab, IgorŽemva, Alešštevilka:3letnik:42str. 102-109ISSN:0351-0026COBISSID:996581URN:URN:NBN:SI:doc-IJIGFAZQslInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvoarterial hypertensionarterijska hipertenzijacardiovascular riskdiagnostic programmesdiagnostični programieye funduskardiovaskularno tveganjeočesno ozadjePregled očesnega ozadja bolnikov z arterijsko hipertenzijo v okviru minimalnega diagnostičnega programa| Examination of the eye fundus as part of the minimal diagnostic programme in patients with arterial hypertension|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 the 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 so-called "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 programmewas 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 takes into consideration the target organ damage was significantly increased (p<0.00001, c2). 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 patientsOčesno 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 sladkorne 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 metodidirektne oftalmoskopije, in ocenili kardiovaskularno tveganje. V zadnjemletu 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 kardiovaskularnegatveganja po metodi, pri kateri je bila upoštevana tudi prizadetost tarčnih organov, je bila višja (p<0.00001, test c2). Pregled očesnega ozadja po metodi direktne oftalmoskopije je v ambulanti splošne medicine izvedljiv. Pri oceni kardiovaskularne ogroženosti hipertonikov je potrebno upoštevati tudi stanje tarčnih organovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS