Diabetic Retinopathy and Cardiovascular Disease

Diabetic Retinopathy and Cardiovascular Disease
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Описание книги

Diabetic retinopathy (DR), a common microvascular complication, has consistently been shown to be associated with an increased risk of cardiovascular disease (CVD). This book provides complete coverage of DR as a potential marker for CVD in those with diabetes. It succinctly reviews the epidemiological and pathogenic links of DR to various cardiovascular events including stroke, coronary artery disease, chronic kidney disease, heart failure, and mortality. Furthermore, it discusses the usefulness of DR in CVD risk prediction and cardiovascular safety of anti-VEGF therapy in diabetic patients. There are insights from contemporary diabetic trials that demonstrated the enhanced cardiovascular benefit of novel glucose lowering therapy. It also highlights the potential of novel retinal imaging to predict CVD and its risk factors using the state-of-the art artificial intelligence-based deep learning systems. This book will be an invaluable resource for specialists translating research findings into clinical care, including those in cardiology, endocrinology, ophthalmology, and general practitioners. IT will also be of interest to public health practitioners, researchers, graduate students, and biotech companies interested in developing retinal image-based diagnostic and prognostic tools.

Оглавление

Группа авторов. Diabetic Retinopathy and Cardiovascular Disease

Frontiers in Diabetes

Diabetic Retinopathy and Cardiovascular Disease

Contents

Preface

Cardiovascular Disease Risk in Diabetes Mellitus

Abstract

Introduction

Epidemiology of Diabetes Mellitus

Diabetes and Vascular Disease Mechanisms

Trends in Cardiovascular Risk and Mortality

Glycaemia and Cardiovascular Risk

Is Diabetes a Risk Equivalent to Previous Coronary Disease?

Variability in Risk Associated with Diabetes

Predicting Risk in Individuals

Cardiovascular Disease Risk Scores

Risk Score Development and Internal Validation

External Validation

Model Impact Studies

Risk Scores in Diabetes Guidelines

Novel Biomarkers for Cardiovascular Disease Risk

Genetic Risk Scores for Cardiovascular Disease Prediction

Risk Prediction in the Era of Big Data and Machine-Learning

Conclusions

References

Epidemiology and Risk Factors for Diabetic Retinopathy

Abstract

Epidemiology

Incidence

Non-Modifiable Risk Factors

Modifiable Risk Factors

Other Risk Factors

Axial Hyperopia

Cerebrospinal Fluid Pressure

Risk Factors for DME

Prevention Strategies for DR

Progression and Regression of DR

Gaps in Current Research

Conclusions

Financial Disclosures

References

Diabetic Retinopathy and Stroke

Abstract

Introduction

Diabetes Mellitus and Cerebrovascular Disease

Diabetic Retinopathy and Cerebrovascular Disease

Cerebrovascular Disease Morbidity and Mortality. Morbidity and Mortality

Financial Implications

Pathophysiology of Cerebrovascular Disease

Diabetic Retinopathy

Diabetic Retinopathy and Cerebrovascular Disease

Diabetic Retinopathy as a Risk Factor for Ischaemic Cerebrovascular Disease

Diabetic Retinopathy and Embolic Ischaemic Cerebrovascular Disease

Other Retinal Microvascular Changes and Ischaemic Cerebrovascular Disease. Retinal Venular Circulation and Ischaemic Cerebrovascular Disease

Subclinical Ischaemic Cerebrovascular Disease

Cerebral Imaging and Ischaemic Cerebrovascular Disease

Retinopathy and Intracerebral Lobar Haemorrhagic Strokes

Inclusion of Retinopathy in Risk Prediction Models for Cerebrovascular Disease

Conclusion

References

Diabetic Retinopathy and Heart Disease

Abstract

Introduction

Pathophysiological Link between Diabetic Retinopathy and Heart Disease

Diabetic Retinopathy and CHD

Diabetic Retinopathy and Heart Failure

Diabetic Retinopathy and Sub-Clinical Heart Disease

Clinical Implications

References

Chronic Kidney Disease and Diabetic Retinopathy

Abstract

Diabetic Kidney Disease

DKD and Diabetic Retinopathy: The Renal-Retinal Link

Association between DKD and DR

Concordance between DKD and DR

DR and Prediction of DKD

Prevention of DR and DR-Related Visual Loss in CKD

Anti-VEGF Treatment on Kidney Function and Proteinuria

Research Gaps

References

Diabetic Retinopathy and Mortality

Abstract

Introduction

Impact of DR on Mortality in Type 1 Diabetes

Stronger Associations between DR and All-Cause Mortality in Type 2 Diabetes

Systematic Review

Microvascular and Macrovascular Confounders

Protective Effect of Sight-Threatening DR on Mortality

DR and Cause-Specific Mortality

Concomitant Ocular Complications and Mortality in Diabetes

Conclusion

References

Retinal Vascular Changes in Diabetes and Dementia

Abstract

Introduction

Retinopathy and Dementia

Retinal Vessel Calibre and Dementia

Retinal Vascular Network Parameters and Dementia

Clinical Implications

Current Challenges and Future Directions

Conclusion

References

Anti-Vascular Endothelial Growth Factor Therapy and Cardiovascular Disease Risk

Abstract

Ranibizumab

Aflibercept

Bevacizumab

Conclusion

Disclosure Statement

Financial Support

References

Novel Retinal Imaging in Assessment of Cardiovascular Risk Factors and Systemic Vascular Diseases

Abstract

Introduction

Novel Computer-Aided Analysis for Retinal Vasculature

Deep Learning for CVD Risks Using Retinal Imaging

OCT ± Angiography

Diabetes Mellitus

Cardiovascular Diseases

Conclusions

Disclosure Statement

References

Reducing Cardiovascular Risk in Diabetes: Insights from Diabetes Trials

Abstract

Introduction

Improving Glycaemic Control and Cardiovascular Outcomes

Novel Anti-Diabetic Agents and Cardiovascular Outcomes

DPP-4 Inhibitors

SGLT-2 Inhibitors

GLP-1 Analogues

Future Directions

Conclusion

References

Author Index

Subject Index

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Diabetic Retinopathy and Cardiovascular Disease

Series Editor

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30Kannel WB, McGee D, Gordon T: A general cardiovascular risk profile: the Framingham Study. Am J Cardiol 1976;38:46–51.

31van Dieren S, Beulens JW, Kengne AP, et al: Prediction models for the risk of cardiovascular disease in patients with type 2 diabetes: a systematic review. Heart 2012;98:360–369.

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