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Instituto Nacional de Salud Pública

2009, Número 4

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salud publica mex 2009; 51 (4)


Aplicabilidad del puntaje de Framingham en población mexicana de nivel socioeconómico bajo

Jiménez-Corona A, López-Ridaura R, Williams K, González-Villalpando ME, Simón J, González-Villalpando C

Idioma: Ingles.
Referencias bibliográficas: 37
Paginas: 298-305
Archivo PDF: 137.95 Kb.


RESUMEN

Objetivo. Comparar el riesgo predicho y observado de enfermedad coronaria (EC) e infarto al miocardio (IM) usando ecuaciones del puntaje de Framingham en individuos mexicanos. Material y métodos. Estudio longitudinal de 1 667 hombres y mujeres de entre 35 a 64 años de edad y sin IM en la medición basal. IM se definió por electrocardiograma o certificado de defunción. Se estimó el riesgo predicho y la razón del riesgo predicho y observado de IM. Resultados. Durante el seguimiento (mediana de 6.2 años) hubo 34 casos y 24 defunciones por IM. El puntaje sobreestimó la predicción de IM y muerte por EC (razón 2.27, IC 95% 1.19-3.34) e IM incidente (razón 2.36, IC 95% 1.07-3.65) en hombres. Conclusiones. En este estudio, el puntaje de Framingham sobreestimó el riesgo de IM y muerte por IM en hombres; sin embargo, estos resultados necesitan ser confirmados por otros estudios, para la posterior recalibración del puntaje en población mexicana.


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