Corneal endothelial cell density and cardiovascular mortality: A Global Survey and Correlative Meta-Analysis

Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
Warren J Scherer

Abstract

Based on embryological commonalities between eye and heart development, a global, country-specific meta-analysis of normal, adult corneal endothelial cell density (ECD) was performed and correlated against mortality rates secondary to diseases affecting cardiac neural crest cell (CNCC)-derived cardiovascular structures. A country-specific survey of ECD was performed by searching PubMed for studies reporting ECD datasets from normal adults. All eligible datasets were assigned a country of origin. Country-specific weighted mean ECD were calculated based on dataset n. Country-specific disease mortality rates were obtained from the World Health Organization. The correlations between weighted mean ECD and mortality rates secondary to diseases affecting CNCC-derived cardiovascular structures were calculated. As controls, correlations between ECD and noncardiovascular disease mortality were examined. Pearson correlation coefficients (r) corresponding to P-value < 0.05 were considered significant. Three hundred ninety-two datasets (39,762 eyes) from 267 source-studies were assigned to 42 countries. Significant correlations were found between ECD and mortality due to coronary heart disease (r = -0.39, P = 0.011), hypertension (r = -0.33...Continue Reading

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Citations

May 22, 2020·Progress in Retinal and Eye Research·Stephan Ong ToneUla V Jurkunas
Jun 9, 2021·The Clinical Respiratory Journal·Murat Serkan SongurBülent Çiftçi
Aug 8, 2021·Journal of Clinical Medicine·Franziska SchönJoanna Wasielica-Poslednik
Jan 1, 2022·Experimental and Therapeutic Medicine·Renata VaiciulieneVytautas Jasinskas

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