The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 1 , Pages 92-97 , January 2010

Detecting occult coronary artery disease followed by early coronary artery bypass surgery in patients with diabetic retinopathy: Report from a diabetic retinocoronary clinic

  • Takayuki Ohno, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan
    • Corresponding Author InformationAddress for reprints: Takayuki Ohno, MD, PhD, Department of Cardiothoracic Surgery, the University of Tokyo, Tokyo, Japan, 7-3-1, Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
  • ,
  • Osamu Kinoshita, MD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan
  • ,
  • Hideo Fujita, MD, PhD

      Affiliations

    • Department of Cardiology, University of Tokyo, Tokyo, Japan
  • ,
  • Satoshi Kato, MD, PhD

      Affiliations

    • Department of Ophthalmology, University of Tokyo, Tokyo, Japan
  • ,
  • Akira Hirose, MD, PhD

      Affiliations

    • Department of Ophthalmology, University of Tokyo, Tokyo, Japan
  • ,
  • Takashi Sigeeda, MD, PhD

      Affiliations

    • Department of Ophthalmology, University of Tokyo, Tokyo, Japan
  • ,
  • Kazuyoshi Otomo, MD

      Affiliations

    • Department of Ophthalmology, University of Tokyo, Tokyo, Japan
  • ,
  • Jiro Ando, MD, PhD

      Affiliations

    • Department of Cardiology, University of Tokyo, Tokyo, Japan
  • ,
  • Takashi Kadowaki, MD, PhD

      Affiliations

    • Department of Endocrinology and Metabolism, University of Tokyo, Tokyo, Japan
  • ,
  • Makoto Araie, MD, PhD

      Affiliations

    • Department of Ophthalmology, University of Tokyo, Tokyo, Japan
  • ,
  • Ryozo Nagai, MD, PhD

      Affiliations

    • Department of Cardiology, University of Tokyo, Tokyo, Japan
  • ,
  • Shinichi Takamoto, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Received 30 November 2008 ,Revised 19 March 2009 ,Accepted 1 April 2009.

References 

  1. Bonow RO, Bohannon N, Hazzard W. Risk stratification in coronary artery disease and special populations. Am J Med. 1996;101(suppl):17S–22S
  2. Ferris FL, Davis MD, Aiello LM. Treatment of diabetic retinopathy. N Engl J Med. 1999;341:1127–1133
  3. Klein R, Klein BE, Moss SE, Cruickshanks KJ. Association of ocular disease and mortality in a diabetic population. Arch Ophthalmol. 1999;117:1487–1495
  4. Klein BE, Klein R, McBride PE, Cruickshanks KJ, Palta M, Knudtson MD, et al. Cardiovascular disease, mortality, and retinal microvascular characteristics in type 1 diabetes: Wisconsin epidemiologic study of diabetic retinopathy. Arch Intern Med. 2004;164:1917–1924
  5. Henricsson M, Nilsson A, Heiji A, Janzon L, Groop L. Mortality in diabetic patients participating in an ophthalmological control and screening programme. Diabet Med. 1997;14:576–583
  6. Mittinen H, Haffner SM, Lehto S, Ronnemaa T, Pyorala K, Laakso M. Retinopathy predicts coronary heart disease events in NIDDM patients. Diabetes Care. 1996;19:1445–1448
  7. Faglia E, Favales F, Calia P, Paleari F, Seqalini G, Gamba PL, et al. Cardiac events in 735 type 2 diabetic patients who underwent screening for unknown asymptomatic coronary heart disease: 5-year follow-up report from Milan Study on Atherosclerosis and Diabetes (MiSAD). Diabetes Care. 2002;25:2032–2036
  8. Torffvit O, Lövestam-Adrian M, Agardh E, Agardh CD. Nephropathy, but not retinopathy, is associated with the development of heart disease in type 1 diabetes: a 12-year observation study of 462 patients. Diabet Med. 2005;22:723–729
  9. Soedamah-Muthu SS, Chaturvedi N, Toeller M, Toeller M, Ferris B, Redoldi P, et al. Risk factors for coronary heart disease in type 1 diabetic patients in Europe: the EURODIAB Prospective Complications Study. Diabetes Care. 2004;27:530–537
  10. Juutilainen A, Lehto S, Ronnemaa T, Pyorala K, Laakso M. Retinopathy predicts cardiovascular mortality in type 2 diabetic men and women. Diabetes. 2007;30:292–299
  11. Cheung N, Wang JJ, Klein R, Coupep D, Sharrett AR, Wong TY. Diabetic retinopathy and the risk of coronary heart disease: the Atherosclerosis risk in Communities Study. Diabetes Care. 2007;30:1742–1746
  12. Ohno T, Takamoto S, Motomura N. Diabetic retinopathy and coronary artery disease: from the cardiac surgeon's perspective. Ann Thorac Surg. 2008;85:681–689
  13. Gibbons RJ, Balady GJ, Beasley JW, Bricker JT, Duvernoy WFC, Froelicher VF, et al. ACC/AHA Guidelines for Exercise Testing: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing). J Am Coll Cardiol. 1997;30:260–315
  14. Janand-Delenne B, Savin B, Habib G, Bory M, Vague P, Lassmann-Vague V. Silent myocardial ischemia in patients with diabetes: who to screen. Diabetes Care. 1999;22:1396–1400
  15. Gokcel A, Aydin M, Yalcin F, Yapar AF, Ertorer ME, Ozsahin AK, et al. Silent coronary artery disease in patients with type 2 diabetes mellitus. Acta Diabetol. 2003;40:176–180
  16. Araz M, Celen Z, Akdemir I, Okan V. Frequency of silent myocardial ischemia in type 2 diabetic patients and the relation with poor glycemic control. Acta Diabetol. 2004;41:38–43
  17. Woodcock A, Bradley C, Plowright R, ffytche T, Kennedy-Martin T, Hirsch A. The influence of diabetic retinopathy on quality of life: interviews to guide the design of a condition-specific, individualised questionnaire: the RetDQoL. Patient Educ Couns. 2004;53:365–383
  18. Bailey CC, Sparrow JM. Visual symptomatology in patients with sight-threatening diabetic retinopathy. Diabet Med. 2001;18:883–888
  19. Coyne KS, Margolis MK, Kennedy-Martin T, Baker TM, Klein R, Paul MD, et al. The impact of diabetic retinopathy: perspectives from patient focus groups. Fam Pract. 2004;21:447–453
  20. Katritsis DG, Ioannidis JP. Percutaneous coronary intervention versus conservative therapy in nonacute coronary artery disease: a meta-analysis. Circulation. 2005;111:2906–2912
  21. Boden WE, O'Rourke RA, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356:1503–1516
  22. Yusuf S, Zucker D, Peduzzi P, Fisher LR, Takaro T, Kennedy JW, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomized trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet. 1994;344:563–570
  23. BARI Investigators. The final 10-year follow-up results from the BARI randomized trial. J Am Coll Cardiol. 2007;49:1600–1606
  24. Ohno T, Ando J, Ono M, Morita T, Motomura N, Hirata Y, et al. The Beneficial effect of coronary-artery-bypass surgery on survival in patients with diabetic retinopathy. Eur J Cardiothorac Surg. 2006;30:881–886
  25. Ono T, Kobayashi J, Sasako Y, Bando K, Tagusari O, Niwaya K, et al. The impact of diabetic retinopathy on long-term outcome following coronary artery bypass graft surgery. J Am Coll Cardiol. 2002;40:428–436
  26. Ono T, Ohashi T, Asakura T, Ono N, Ono M, Motomura N, et al. Impact of diabetic retinopathy on cardiac outcome after coronary artery bypass graft surgery: prospective observational study. Ann Thorac Surg. 2006;81:608–612
  27. Ohno T, Takamoto S, Ando J, Morita T, Fujita H, Hirata Y, et al. Diabetic retinopathy and coronary implantation of sirolimus-eluting stents. J Interven Cardiol. 2007;20:1–10
  28. Norgaz T, Hobikoglu G, Aksu H, Guveli A, Aksoy S, Ozer O, et al. Retinopathy is related to the angiographically detected severity and extent of coronary artery disease in patients with type 2 diabetes mellitus. Int Heart J. 2005;46:639–646
  29. Mansour AM, Awwad ST, Najjar DM, Sibai AN, Sibai AN, Medawar WA, et al. Anterior ischaemic optic neuropathy after coronary artery bypass graft: the role of anaemia in diabetics. Eye. 2006;20:706–711
  30. Chadha V, Styles C. Progression of diabetic retinopathy following coronary artery bypass graft. Eye. 2007;21:864–865
  31. Small KW, Buckley EG. The risk of vitreous hemorrhage caused by coronary artery bypass grafting in proliferative diabetic retinopathy. J Thorac Cardiovasc Surg. 1990;99:176–177

PII: S0022-5223(09)00519-4

doi: 10.1016/j.jtcvs.2009.04.005

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 1 , Pages 92-97 , January 2010