European Heart Journal Advance Access published online on July 10, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm281
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
The eye, the mirror of the heart
Cardiovascular Division, Medical School, University of Minnesota, Minneapolis, MN 55455, USA
Corresponding author. Tel. +1-612-624-4948; fax +1-612-626-4411. E-mail address: dupre007@umn.edu
This editorial refers to Retinal vessel diameter and cardiovascular mortality: pooled data analysis from two older populations by J.J. Wang et al., doi:10.1093/eurheartj/ehm221
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The major health economical burden of cardiovascular disease (CVD) is leading to a swift move from treatment of CVD to diagnosis of early CVD in asymptomatic people. Primary prevention of CVD has been aimed at risk factor identification and treatment, without efforts to document early CVD.
It is well recognized that vascular changes, including atherosclerosis, begin early in life as a silent, asymptomatic disease process. Therefore, identification of early vascular abnormalities in asymptomatic subjects may help identify asymptomatic individuals at risk, before blood pressure is elevated above an arbitrary level that we currently identify as hypertension.1 These vascular parameters
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