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Surgery risk from ACE inhibitors

Use of beta blockers and ACE inhibitors seem to increase the risk of corrective cataract surgery, a new study has found.

In the study, Australian researchers tracked the eye health of over 3,500 people for between five and 10 years. At the start of the study in 1992-4, all participants were at least 49 years old.

A borderline association was found between the use of beta blockers and calcium channel blockers, both of which are classes of blood pressure lowering drug, and the risk of cataract. No such association was found with diuretics or ACE inhibitors.

But after taking account of influential factors, such as age, smoking and use of steroids, which are known to increase cataract risk, the researchers found that both ACE inhibitors and beta blockers significantly predicted the likelihood of cataract surgery.

Those who took beta blockers or ACE inhibitors to lower their blood pressure were, respectively, 61 per cent and 54 per cent more likely to undergo cataract surgery.

Those taking beta blockers for conditions other than high blood pressure were more than twice as likely to have the procedure. It has been argued that high blood pressure itself could be responsible for the development of cataracts, but the evidence in support of this has been inconsistent, the researchers wrote.

In contrast, experimental research has suggested that beta blockade could affect lens transparency by modifying the proteins and disturbing the delicate cellular balance of the lens, the researchers noted.

Early online edition of British Journal of Ophthalmology, available at:
http://press.psprings.co.uk/bjo/july/bj153379.pdf

Posted in Eye, Ear, Nose & Throat on 16 September 2009
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Irish Medical Times | Clinical TImes | Surgery risk from ACE inhibitors

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abortion, accupuncture, ACE inhibitors, acne, ADHD, alcohol, allergies, Alzheimer's, anaemia, anaethesia, anorexia, antibiotics, antidepressants, antihistamine, anxiety, appetite control, arthritis, ASCOT, aspirin, asthma, atherosclerosis, autism, autoantibodies, back pain, beta carotene, beta-blockers, bipolar disorder, birth, bleeding, blindness, blood pressure, body dysmorphic disorder, body mass, breast cancer, breast feeding, bronchitis, Caesarean section, calcium, cancer, carcinogens, carcinoma, cardiac syncope, cardiolgy, cataracts, cervical cancer, chemotherapy, child psychiatry, children, cholesterol, clinical trial, clopidogrel, Clostridium difficile, cognitive behavioural therapy, colectomy, colic, colorectal cancer, complementary and alternative therapies, contraception, COPD, coronary care, coronary stents, Crohn's, cystic fibrosis, defibrillator, dementia, depression, dermatology, diabetes management, diet, disability, DNA, Down's syndrome, eating disorders, echinacea, ECT, eczema, elderly people, endoscopy, epilepsy, erectile dysfunction, euthanasia, exercise, fat, fertility, fitness, flu pandemic, fluoxetine, folic acid, food labelling, fracture, fragile X syndrome, general surgery, genetics, gerontology, GIK infusion therapy, GORD, gout, haemodialysis, hearing, heart attack, heart disease, heart failure, heart health, hepatitis, HIV, hospital care, HPV, HRT, hyperglycaemia, hypertension, hypoglycaemia, IBD, ICU, incontinence, infant, infant mortality, infection, inflammatory bowel disease, influenza, invasive candidiasis, IQ, Irish Heart Foundation, irritable bowel syndrome, keyhole surgery, kidney disease, laser, learning difficulties, leukaemia, liver disease, lumbar disk herniation, lung cancer, lung disease, lymph nodes, macular degeneration, macular oedema, magnetic resonance imaging (MRI), malaria, malnutrition, Marfan syndrome, media, medical ethics, medical research, medication, meningitis, mental illness, metabolic syndrome, migraine, miscarriage, mortality rate, MRSA, multiple sclerosis (MS), NCHDs, nephrology, neurology, OAB, obesity, obstetrics, occupational health, ocular medicine, omega-3, opthalmology, oral cancer, organ transplantation, orthopaedics, osteoporosis, otolaryngology, ovarian cancer, paediatrics, pain management, pancreatic cancer, panic, Parkinson’s disease, patient safety, patient-physician communication, personality disorders, physiotherapy, plastic surgery, polio, practice, pre-eclampsia, pregnancy, preventative health care, probiotics, prostate cancer, psoriasis, psychiatric admission, psychiatry, psychotherapy, PTSD, public health, quality of life, radiology, radiotherapy, rectal cancer, reproductive health, research, resuscitation, rheumatoid arthritis, rheumatology, rhinitis, salt, SARS, schizophrenia, screening, seizures, self harm, sexual abuse, sexual health, sexually transmitted infections, SGA, sinusitis, skin cancer, sleep disorders, smoking, smoking ban, spinal injury, sports medicine, statins, stress, stroke, substance abuse, suicide, supplement, surgery, syncope, technology, teenagers, testosterone, thoracic surgery, thrombosis, thyroid cancer, tonsillectomy, tonsillitis, Tourette's syndrome, toxicology, travel medicine, tuberculosis, tumour angiogenesis, type 1 diabetes, type 2 diabetes, ulcer, ulcerative colitis, urinary incontinence, vaccine, vitamins, weight, WHO, women's health, World Health Assembly

«Previous article | Next article»

Surgery risk from ACE inhibitors

Use of beta blockers and ACE inhibitors seem to increase the risk of corrective cataract surgery, a new study has found.

In the study, Australian researchers tracked the eye health of over 3,500 people for between five and 10 years. At the start of the study in 1992-4, all participants were at least 49 years old.

A borderline association was found between the use of beta blockers and calcium channel blockers, both of which are classes of blood pressure lowering drug, and the risk of cataract. No such association was found with diuretics or ACE inhibitors.

But after taking account of influential factors, such as age, smoking and use of steroids, which are known to increase cataract risk, the researchers found that both ACE inhibitors and beta blockers significantly predicted the likelihood of cataract surgery.

Those who took beta blockers or ACE inhibitors to lower their blood pressure were, respectively, 61 per cent and 54 per cent more likely to undergo cataract surgery.

Those taking beta blockers for conditions other than high blood pressure were more than twice as likely to have the procedure. It has been argued that high blood pressure itself could be responsible for the development of cataracts, but the evidence in support of this has been inconsistent, the researchers wrote.

In contrast, experimental research has suggested that beta blockade could affect lens transparency by modifying the proteins and disturbing the delicate cellular balance of the lens, the researchers noted.

Early online edition of British Journal of Ophthalmology, available at:
http://press.psprings.co.uk/bjo/july/bj153379.pdf

Posted in Eye, Ear, Nose & Throat on 16 September 2009
Tags:

Leave a comment

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