%0 Journal Article
%T Malignant Hypertensive Retinopathy-Clinical and Fundus Manifestations in Patients with New Onset or Acute Exacerbation of Chronic Hypertension.
%A Yi-Hao Chen
%A Hsi-Kung Kuo
%A Min-Lun Kao
%J Chang Gung Medical Journal
%D 2003
%I 
%X Background: We attempted to review the clinical and fundus findings in patients withmalignant hypertension (MHT).Methods: Charts and fundus photographs of patients with malignant hypertensiveretinopathy from 1995 to 2000 were retrospectively reviewed. Data ofpatients were included when their color fundus photographs revealed findingssuggestive of malignant hypertension (MHT). There had to have been atleast 1 high blood pressure reading recorded in the chart during the periodwhen the symptoms occurred. Data were excluded from patients with diseasessuch as diabetes mellitus, blood dyscrasia, and autoimmune and infectiousdiseases which can mimic the fundus findings of MHT.Results: Fourteen patients were included in our study. Patients were divided into 2groups according to whether or not they had a history of hypertension. Group1 included 6 patients with no hypertension history, while group 2 included 8patients with a known hypertension history. In group 1, MHT was diagnosedby an ophthalmologist in 4 patients, and the other 2 patients were referredfrom the Gynecology and Nephrology Departments. Between the 2 groups,there were no significant differences in age, or systolic and diastolic bloodpressures. There were more complications such as renal failure and stroke ingroup 2 patients.Conclusion: Funduscopy has decisive significance in the diagnosis and monitoring ofMHT. In order to accurately diagnose and achieve early control of this criticalcondition, a detailed fundus examination and blood pressure monitoringare mandatory.
%K malignant hypertension
%K malignant hypertensive retinopathy
%U http://memo.cgu.edu.tw/cgmj/2609/260906.pdf