PMID- 36669741 OWN - NLM STAT- MEDLINE DCOM- 20230222 LR - 20230303 IS - 2254-8874 (Electronic) IS - 2254-8874 (Linking) VI - 223 IP - 2 DP - 2023 Feb TI - Nonvalvular atrial fibrillation and retinal vein occlusion: The Valdecilla Cohort. PG - 77-83 LID - S2254-8874(23)00009-7 [pii] LID - 10.1016/j.rceng.2022.11.005 [doi] AB - INTRODUCTION AND OBJECTIVES: Retinal vein occlusion (RVO) and nonvalvular atrial fibrillation (NVAF) are associated with vascular risk factors (VRF) and aging. The aim of this study is to analyze differences in the prevalence of VRF, vascular events, glaucoma, and anticoagulant treatment in patients with NVAF and RVO compared to a control group of the general population from the same geographic area. METHODS: This is a prospective, single-center, case-control study. All patients diagnosed with RVO from December 2008 to March 2020 as well as a control group were included. Clinical, laboratory, electrocardiographic, and carotid ultrasound variables were analyzed. RESULTS: A total of 386 patients with RVO and 343 controls were studied. Patients with RVO and NVAF were older and more of them had hypertension, a history of vascular events, and carotid atheromatosis than subjects with RVO without NVAF. In patients with NVAF who were on anticoagulants, those who had RVO differed from the controls with NVAF in that they had a higher prevalence of glaucoma (32 vs. 5.3%; p<0.034), with no significant differences regarding age, VRF, vascular events, or type of anticoagulant therapy (acenocumarol or direct-acting oral anticoagulants). CONCLUSIONS: Patients with RVO and NVAF were older and had a higher prevalence of hypertension and carotid atheromatosis than subjects with RVO without NVAF. Patients with NVAF and RVO had higher prevalence of glaucoma than subjects with NVAF without RVO. In patients with NVAF, it is recommended to optimized VRF treatment and glaucoma control to prevent the development of RVO. CI - Copyright (c) 2022 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved. FAU - Gonzalez Bores, P AU - Gonzalez Bores P AD - Servicio de Medicina Interna, Hospital Universitario Marques de Valdecilla-IDIVAL, Santander, Cantabria, Spain. Electronic address: paula.gonzalezb@scsalud.es. FAU - Napal Lecumberri, J J AU - Napal Lecumberri JJ AD - Servicio de Medicina Interna, Hospital Universitario Marques de Valdecilla-IDIVAL, Santander, Cantabria, Spain. FAU - de la Torre Hernandez, J M AU - de la Torre Hernandez JM AD - Servicio de Cardiologia, Hospital Universitario Marques de Valdecilla-IDIVAL, Santander, Cantabria, Spain. FAU - Gonzalez-Mesones Galan, B AU - Gonzalez-Mesones Galan B AD - Servicio de Hematologia, Hospital Universitario Marques de Valdecilla-IDIVAL, Santander, Cantabria, Spain. FAU - Hernandez Hernandez, J L AU - Hernandez Hernandez JL AD - Servicio de Medicina Interna, Hospital Universitario Marques de Valdecilla-IDIVAL, Santander, Cantabria, Spain; Universidad de Cantabria, Santander, Cantabria, Spain. LA - eng PT - Journal Article DEP - 20230118 PL - Spain TA - Rev Clin Esp (Barc) JT - Revista clinica espanola JID - 101632437 RN - 0 (Anticoagulants) SB - IM MH - Humans MH - *Atrial Fibrillation/complications/epidemiology/drug therapy MH - Case-Control Studies MH - Prospective Studies MH - *Retinal Vein Occlusion/etiology/complications MH - Anticoagulants/therapeutic use MH - Risk Factors MH - *Hypertension/epidemiology MH - *Carotid Artery Diseases/chemically induced/complications/drug therapy MH - *Glaucoma/epidemiology/chemically induced/complications OTO - NOTNLM OT - Anticoagulacion OT - Anticoagulation OT - Fibrilacion auricular no valvular OT - Glaucoma OT - Nonvalvular atrial fibrillation OT - Obstruccion venosa retiniana OT - Retinal vein occlusion EDAT- 2023/01/21 06:00 MHDA- 2023/02/22 06:00 CRDT- 2023/01/20 19:26 PHST- 2022/03/21 00:00 [received] PHST- 2022/11/15 00:00 [accepted] PHST- 2023/01/21 06:00 [pubmed] PHST- 2023/02/22 06:00 [medline] PHST- 2023/01/20 19:26 [entrez] AID - S2254-8874(23)00009-7 [pii] AID - 10.1016/j.rceng.2022.11.005 [doi] PST - ppublish SO - Rev Clin Esp (Barc). 2023 Feb;223(2):77-83. doi: 10.1016/j.rceng.2022.11.005. Epub 2023 Jan 18.