Journal of the Medical Sciences (Berkala Ilmu Kedokteran)
Vol 52, No 1 (2020)

The risk of elevated plasma fibrinogen level in hypertensive and normotensive patientsafter bevacizumabintravitreal injection in diabetic retinopathy

Ni Luh Putu Widhyasti (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Anik Ika Winarni (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Natalia Christina Angsana (Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Rizto Wisuda Senuari (Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Angela Nurini Agni (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Agus Supartoto (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Suhardjo Prawiroranu (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Tri Wahyu Widayanti (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Tatang Talka Gani (Department of ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada)
Usi Sukorini (Department of Clinical Pathology and Laboratory Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada-dr. Sardjito General Hospital)



Article Info

Publish Date
27 Feb 2020

Abstract

Bevacizumab intravitreal injection (IVB) could be detected in plasma that might cause an imbalance in the coagulation system. A hypercoagulable state is potentially involved in the risk for thrombosis, which is associated with high cardiovascular mortality.The objective of the current study was to investigate the risk of elevated plasma fibrinogen levelsin hypertensive and normotensive patients after IVB in diabetic retinopathy. This study was conducted at Dr. Sardjito General Hospital, Yogyakarta from March to June 2019. A total of 64 patients were enrolled in the study, included of 32 hypertensive and 32 non-hypertensive patients with diabetic retinopathy who underwent IVB. Patients were interviewed and investigated for physical condition and opthalmological examination. Fibrinogen levelwas measured before and 1 week after IVB. The mean fibrinogen level beforeand after IVB was slightly high in hypertensive patients than normotensive but not significantly different(p>0.05). There was no significant risk of increased fibrinogen levels after IVB in the hypertension group compared to the normotension group in diabetic retinopathy patients. The proportion of patients at high risk for cardiovascular disease after IVB was not significantly different between both groups.

Copyrights © 2020






Journal Info

Abbrev

bik

Publisher

Subject

Immunology & microbiology Neuroscience

Description

Journal of the Medical Sciences (JMedSci) or Berkala Ilmu Kedokteran (BIK) is an international, open-access, and double-blind peer-reviewed journal, published by Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Yogyakarta Indonesia. JMedSci aiming to communicate high-quality ...