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Instituto Nacional de Salud Pública

2009, Número 6

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salud publica mex 2009; 51 (6)


Incidencia de infarto al miocardio en residentes de nivel socioeconómico bajo de la Ciudad de México

Jiménez-Corona A, López-Ridaura R, González-Villalpando C

Idioma: Español
Referencias bibliográficas: 30
Paginas: 458-464
Archivo PDF: 130.38 Kb.


RESUMEN

Objetivo. Estimar la incidencia de infarto al miocardio (IM) en población mexicana de nivel socioeconómico bajo. Material y métodos. Estudio longitudinal de 1696 hombres y mujeres de 35 a 64 años de edad y sin IM basal. IM fue definido por electrocardiograma o certificado de defunción. El riesgo de IM se evaluó con regresión logística múltiple. Resultados. Durante el seguimiento (mediana de 6.2 años) 62 participantes desarrollaron IM o murieron por éste. La incidencia de IM ajustada por edad en hombres y mujeres fue de 6.6 y 4.8 por 1 000 años-persona, respectivamente. El riesgo de IM estuvo asociado con diabetes (RM=2.42, p= 0.003), presión arterial sistólica (RM= 1.28 por cada 10 mm Hg, p= 0.013) y colesterol total (RM= 1.36 por cada 50 mg/ dL, p=0.038). Conclusiones. La incidencia de IM en esta población, puede ser debida a la alta prevalencia de diabetes y colesterol elevado. Es necesario tomar medidas preventivas para disminuir estos factores de riesgo.


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