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Retinopathy patients at higher risk for poor cardiovascular prognosis

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OSAKA, Japan — Retinal evaluation may be useful for predicting the long-term outcomes and management needs of diabetic patients who need bypass surgery. In a long-term study here, patients with diabetic retinopathy had a distinctly worse long-term prognosis after coronary artery bypass graft surgery than non-retinopathy patients with diabetes.

Researchers here examined the records of 223 patients with diabetes and multivessel coronary artery disease who had retinal exams within 1 year prior to coronary artery bypass graft surgery. Median follow-up after the surgery was 11.6 years.

Diabetic retinopathy was a strong independent predictor of overall mortality and repeat revascularization. Patients with retinopathy and the presence of either preoperative renal or ventricular dysfunction had a higher likelihood for mortality.

The study is published is published in the Journal of the American College of Cardiology.