Heart attacks, medically known as acute myocardial infarctions, primarily affect the heart but can also have unexpected effects on other parts of the body, including the eyes. The research “Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction” highlights that many older adults who suffer heart attacks also experience vision problems, not necessarily caused directly by the heart attack itself, but linked through shared vascular health issues. Poor blood flow, inflammation, and damaged blood vessels can impact the retina—the light-sensitive tissue in the eye—leading to blurred vision, temporary vision loss, or more serious eye conditions related to heart disease. Emerging evidence shows that vision impairment in heart attack patients is common and is associated with worse health outcomes, underscoring the importance of eye health in cardiovascular care.
The link between heart attack and vision loss
Vision and heart health are closely intertwined because the eyes rely on a dense network of tiny blood vessels to receive oxygen and nutrients. Cardiovascular conditions such as heart attacks can impair this blood flow. Studies demonstrate that vascular disease weakens or blocks these vessels, increasing the risk of retinal damage that may lead to vision impairment or loss. Research from top medical centers indicates that specific eye diseases, like a form of age-related macular degeneration (AMD), are strongly linked to underlying heart and vascular problems.
Common vascular risk factors affect both heart and eyes
Older adults experiencing heart attacks frequently have other health challenges such as hypertension, diabetes, and high cholesterol. These vascular risk factors simultaneously affect the heart and the blood vessels supplying the eyes. A large U.S. study of seniors over 75 found that over one-third of patients hospitalized for heart attacks had vision impairment. Furthermore, those with both vision and cognitive impairments faced higher risks of death and functional decline after the heart attack.
Vision problems may signal underlying heart disease
Eye doctors can spot early warning signs of heart disease during routine eye exams by observing changes in retinal blood vessels. Conditions such as retinal artery occlusion or ocular strokes can indicate an increased risk of heart attack or stroke. This makes vision health a critical component in detecting and managing cardiovascular risk.
Managing vision health alongside heart care
For individuals recovering from a heart attack, monitoring vision health can help prevent further complications. Addressing vision issues and controlling vascular risk factors through proper medication, lifestyle changes, and regular eye check-ups can improve overall outcomes. The research underscores that vision impairment should not be overlooked in cardiac care, especially in older patients.