Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study
Type 2 diabetes; Diabetic retinopathy; Subclinical cardiovascular disease
| Autores: | , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:11351/4583 |
| Acceso en línea: | https://hdl.handle.net/11351/4583 |
| Access Level: | acceso abierto |
| Palabra clave: | Sistema cardiovascular - Malalties Retinopatia diabètica Diabetis no-insulinodependent DISEASES::Cardiovascular Diseases DISEASES::Cardiovascular Diseases::Vascular Diseases::Diabetic Angiopathies::Diabetic Retinopathy DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus, Type 2 ENFERMEDADES::enfermedades cardiovasculares ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::angiopatías diabéticas::retinopatía diabética ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus::diabetes mellitus tipo II |
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Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| title |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| spellingShingle |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study Bañeras Rius, Jordi Sistema cardiovascular - Malalties Retinopatia diabètica Diabetis no-insulinodependent DISEASES::Cardiovascular Diseases DISEASES::Cardiovascular Diseases::Vascular Diseases::Diabetic Angiopathies::Diabetic Retinopathy DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus, Type 2 ENFERMEDADES::enfermedades cardiovasculares ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::angiopatías diabéticas::retinopatía diabética ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus::diabetes mellitus tipo II |
| title_short |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| title_full |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| title_fullStr |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| title_full_unstemmed |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| title_sort |
Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED study |
| dc.creator.none.fl_str_mv |
Bañeras Rius, Jordi Hernández Pascual, Cristina De Carvalhho N Valente, Filipa Rosa Gutierrez García-Moreno, Laura González Alujas, Teresa Ferreira González, Ignacio Aguade Bruix, Santiago Montaner Villalonga, Joan Serón Micas, Daniel Genescà Ferrer, Joan García Arumí, José Planas Vilaseca, Alejandra Simó Servat, Olga García-Dorado García, David Simó Canonge, Rafael Rodríguez Palomares, Jose Fernando Boixadera Espax, Ana |
| author |
Bañeras Rius, Jordi |
| author_facet |
Bañeras Rius, Jordi Hernández Pascual, Cristina De Carvalhho N Valente, Filipa Rosa Gutierrez García-Moreno, Laura González Alujas, Teresa Ferreira González, Ignacio Aguade Bruix, Santiago Montaner Villalonga, Joan Serón Micas, Daniel Genescà Ferrer, Joan García Arumí, José Planas Vilaseca, Alejandra Simó Servat, Olga García-Dorado García, David Simó Canonge, Rafael Rodríguez Palomares, Jose Fernando Boixadera Espax, Ana |
| author_role |
author |
| author2 |
Hernández Pascual, Cristina De Carvalhho N Valente, Filipa Rosa Gutierrez García-Moreno, Laura González Alujas, Teresa Ferreira González, Ignacio Aguade Bruix, Santiago Montaner Villalonga, Joan Serón Micas, Daniel Genescà Ferrer, Joan García Arumí, José Planas Vilaseca, Alejandra Simó Servat, Olga García-Dorado García, David Simó Canonge, Rafael Rodríguez Palomares, Jose Fernando Boixadera Espax, Ana |
| author2_role |
author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
[Planas A] Grup de Recerca en Diabetis i Metabolisme, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei d’Endocrinologia, Hospital Universitari Vall d’Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. [Simó R, Hernández C, Simó-Servat O] Grup de Diabetis i Metabolisme, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei d’Endocrinologia, Hospital Universitari Vall d’Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Bañeras J, Rodríguez-Palomares J, Valente F, Gutierrez L, González-Alujas T, Ferreira I, García-Dorado D] Grup de Recerca en Malalties Cardiovasculars, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares (CIBER CV), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Aguadé-Bruix S] Àrea de Recerca Mèdica i Metabòlica, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei de Medicina Nuclear, Hospital Universitari Vall d’Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. [Montaner J] Recerca en Malalties Neurovasculars, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. [Seron D] Recerca en Nefrologia, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei de Nefrologia, Vall d'Hebron Hospital, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Red de Investigación Renal, (REDinREN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Genescà J] Recerca en Malalties Hepàtiques, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei de Medicina Interna, Vall d'Hebron Hospital, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red en el Área temática de Enfermedades Hepáticas, (CIBEREHD), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Boixadera A, García-Arumí J] Recerca en Oftalmologia, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Sistema cardiovascular - Malalties Retinopatia diabètica Diabetis no-insulinodependent DISEASES::Cardiovascular Diseases DISEASES::Cardiovascular Diseases::Vascular Diseases::Diabetic Angiopathies::Diabetic Retinopathy DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus, Type 2 ENFERMEDADES::enfermedades cardiovasculares ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::angiopatías diabéticas::retinopatía diabética ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus::diabetes mellitus tipo II |
| topic |
Sistema cardiovascular - Malalties Retinopatia diabètica Diabetis no-insulinodependent DISEASES::Cardiovascular Diseases DISEASES::Cardiovascular Diseases::Vascular Diseases::Diabetic Angiopathies::Diabetic Retinopathy DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus, Type 2 ENFERMEDADES::enfermedades cardiovasculares ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::angiopatías diabéticas::retinopatía diabética ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus::diabetes mellitus tipo II |
| description |
Type 2 diabetes; Diabetic retinopathy; Subclinical cardiovascular disease |
| publishDate |
2019 |
| dc.date.none.fl_str_mv |
2019 2020 2020 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/4583 |
| url |
https://hdl.handle.net/11351/4583 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
BMJ Open Diabetes Research & Care;7(1) https://drc.bmj.com/content/7/1/e000845 |
| dc.rights.none.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf application/pdf |
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BMJ |
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BMJ |
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Scientia reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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1869419969375109120 |
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Diabetic retinopathy as an independent predictor of subclinical cardiovascular disease: baseline results of the PRECISED studyBañeras Rius, JordiHernández Pascual, CristinaDe Carvalhho N Valente, Filipa RosaGutierrez García-Moreno, LauraGonzález Alujas, TeresaFerreira González, IgnacioAguade Bruix, SantiagoMontaner Villalonga, JoanSerón Micas, DanielGenescà Ferrer, JoanGarcía Arumí, JoséPlanas Vilaseca, AlejandraSimó Servat, OlgaGarcía-Dorado García, DavidSimó Canonge, RafaelRodríguez Palomares, Jose FernandoBoixadera Espax, AnaSistema cardiovascular - MalaltiesRetinopatia diabèticaDiabetis no-insulinodependentDISEASES::Cardiovascular DiseasesDISEASES::Cardiovascular Diseases::Vascular Diseases::Diabetic Angiopathies::Diabetic RetinopathyDISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus, Type 2ENFERMEDADES::enfermedades cardiovascularesENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::angiopatías diabéticas::retinopatía diabéticaENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus::diabetes mellitus tipo IIType 2 diabetes; Diabetic retinopathy; Subclinical cardiovascular diseaseDiabetis tipus 2; Retinopatia diabètica; Malalties cardiovasculars subclíniquesDiabetes tipo 2; Retinopatía diabética; Enfermedades cardiovasculares subclínicasObjective Detection of subclinical cardiovascular disease (CVD) has significant impact on the management of type 2 diabetes. We examined whether the assessment of diabetic retinopathy (DR) is useful for identifying patients at a higher risk of having silent CVD. Research design and methods Prospective case–control study comprising 200 type 2 diabetic subjects without history of clinical CVD and 60 age-matched non-diabetic subjects. The presence of subclinical CVD was examined using two parameters: (1) calcium coronary score (CACs); (2) composite of CACs >400 UA, carotid plaque ≥3 mm, carotid intima–media thickness ratio >1, or the presence of ECG changes suggestive of previous asymptomatic myocardial infarction. In addition, coronary angio-CT was performed. DR was assessed by slit-lamp biomicroscopy and retinography. Results Type 2 diabetic subjects presented higher CACs than non-diabetic control subjects (p<0.01). Age, male gender, and the presence of DR were independently related to CACs >400 (area under the receiver operating characteristic curve (AUROC) 0.76). In addition, an inverse relationship was observed between the degree of DR and CACs <10 AU. The variables independently associated with the composite measurement of subclinical CVD were age, diabetes duration, the glomerular filtration rate, microalbuminuria, and the presence of DR (AUROC 0.71). In addition, a relationship (p<0.01) was observed between the presence and degree of DR and coronary stenosis. Conclusions The presence and degree of DR is independently associated with subclinical CVD in type 2 diabetic patients. Our results lead us to propose a rationalized screening for coronary artery disease in type 2 diabetes based on prioritizing patients with DR, particularly those with moderate–severe degree.This work was supported by an Integrative Excellence Project by the Spanish Institute of Health, Instituto de Salud Carlos III, grant PIE 2013/27, CIBER CV, CIBERDEM, and the European Regional Development Fund (ERDF-FEDER). The Neurovascular Research Laboratory is part of the Spanish Stroke Research Network INVICTUS+ (RD16/0019/0021).BMJ[Planas A] Grup de Recerca en Diabetis i Metabolisme, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei d’Endocrinologia, Hospital Universitari Vall d’Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. [Simó R, Hernández C, Simó-Servat O] Grup de Diabetis i Metabolisme, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei d’Endocrinologia, Hospital Universitari Vall d’Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Bañeras J, Rodríguez-Palomares J, Valente F, Gutierrez L, González-Alujas T, Ferreira I, García-Dorado D] Grup de Recerca en Malalties Cardiovasculars, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares (CIBER CV), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Aguadé-Bruix S] Àrea de Recerca Mèdica i Metabòlica, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei de Medicina Nuclear, Hospital Universitari Vall d’Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. [Montaner J] Recerca en Malalties Neurovasculars, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. [Seron D] Recerca en Nefrologia, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei de Nefrologia, Vall d'Hebron Hospital, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Red de Investigación Renal, (REDinREN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Genescà J] Recerca en Malalties Hepàtiques, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Servei de Medicina Interna, Vall d'Hebron Hospital, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red en el Área temática de Enfermedades Hepáticas, (CIBEREHD), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Boixadera A, García-Arumí J] Recerca en Oftalmologia, Vall d'Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain.Vall d'Hebron Barcelona Hospital Campus202020202019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11351/4583Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésBMJ Open Diabetes Research & Care;7(1)https://drc.bmj.com/content/7/1/e000845Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/45832026-05-29T05:05:01Z |
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15.812455 |