title: Increased risk of coronary heart disease in male patients with central serous chorioretinopathy: results of a population-based cohort study.
abstract: OBJECTIVE
  To investigate whether patients with central serous chorioretinopathy (CSCR) have increased risk of coronary heart disease (CHD).
  
  
  METHODS
  Population-based retrospective cohort and case control study. Longitudinal data from the Taiwan National Health Insurance Research Database (2000-2009) were analysed. The study cohort comprised 835 patients with a diagnosis of CSCR and 4175 age and gender matched patients without CSCR. Kaplan-Meier plots and log-rank tests were used to compare differences in the hazard rates of CHD between the CSCR and non-CSCR cohorts. Stratified Cox proportional hazard models were applied to examine the association between CSCR and CHD, adjusting for potential confounding factors.
  
  
  RESULTS
  The 5-year CHD cumulative incidence for patients with CSCR was nearly twofold that of the non-CSCR cohort (6.12% vs 3.29%, p=0.004) from the log-rank test. The adjusted CHD HR of CSCR versus non-CSCR was 1.61 (95% CI 1.12 to 2.30, p=0.009) from the Cox model. Specifically, the HR for male patients was 1.72 (95% CI 1.14 to 2.59, p=0.010) and for female patients it was 1.34 (95% CI 0.64 to 2.84, p=0.438).
  
  
  CONCLUSIONS
  Male patients with CSCR had a significantly higher CHD rate than those without CSCR, indicating that CSCR may be a potential risk factor for the development of CHD for men.
authors.affiliation: Department of Ophthalmology, Changhua Christian Hospital, , Changhua, Taiwan.
authors.forename: San-Ni
authors.initials: SN
authors.lastname: Chen
authors.forename: Yi-Chiao
authors.initials: YC
authors.lastname: Chen
authors.forename: Iebin
authors.initials: I
authors.lastname: Lian
mesh_terms: D000328:Adult; D056833:Central Serous Chorioretinopathy / Q000150:complications / Q000453:epidemiology*; D003327:Coronary Disease / Q000453:epidemiology* / Q000209:etiology; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013624:Taiwan / Q000453:epidemiology
keywords: Choroid; Epidemiology; Public Health