2020, Number 3
Early atherosclerotic signs in middle-aged women with a history of pre-eclampsia
Language: Spanish
References: 27
Page: 275-282
PDF size: 677.87 Kb.
ABSTRACT
Introduction: In our country, cardiovascular diseases are the leading cause of death among women.Objective: To identify early atherosclerotic signs in middle aged women with a history of pre-eclampsia.
Method: An observational descriptive study was carried out with 108 women aged 45-59 years old, at the Policlínico Docente Chiqui Gómez Lubián, in Santa Clara (Cuba), over the years 2017 and 2018. The study group was made up of 54 women who had a history of pre-eclampsia in the last decade while the control group comprised the same number of women with no history of pre-eclampsia.
Results: The most prevalent risk factor in the total number of women studied was the combination of overweight and obesity (75%); this subgroup comprised 98.1% of those with a history of pre-eclampsia. It was followed in frequency by hypercholesterolemia (71.3%), high blood pressure (54.6%), smoking (51.8%) and diabetes mellitus (38.9%). The 92.6% of women with a history of pre-eclampsia were hypertensive and all had an abdominal circumference ≥ 88 cm. Furthermore, all those with moderate, high or very high cardiovascular risk had a history of pre-eclampsia, and of the total number of women with low cardiovascular risk, only 22 (28.9%) had such a background; as the rest (71.1%) accounted for the total number of women without pre-eclampsia.
Conclusions: Early atherosclerotic signs: obesity, abdominal circumference greater than 88 cm and high blood pressure, as well as atherogenic risk factors associated with moderate, high and very high cardiovascular risk predominated in women with pre-eclampsia.
REFERENCES
León Regal ML, Benet Rodríguez M, Brito Pérez de Corcho Y, González Otero LH, de Armas García JO, Miranda Alvarado L. La hiperreactividad cardiovascular y su asociación con factores de riesgo cardiovasculares. Rev Finlay [Internet]. 2015 [citado 4/07/2019];5(4):228-41. Disponible en: http://revfinlay.sld.cu/index.php/finlay/article/view/377/1445
Suárez González JA y Gutiérrez Machado M. Caracterización del riesgo cardiometabólico en mujeres de edad mediana con antecedentes de preeclampsia en la última década. CorSalud [Internet]. 2019 [citado 7/07/2019];11(1):30-6. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/407/814
Naranjo Domínguez AA, Padrón González AA, Arman Alessandini GE, Aroche Aportela R, Cabinda A. Señales aterogénicas tempranas en un área de salud del municipio Consolación del Sur. CorSalud [Internet]. 2014 [citado 7/07/2019];6(4):314-20. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/119/289
Lugones Botell MA, Navarro Despaigne D, Fernández Britto-Rodríguez JE, Bacallao Gallestey J. Intensidad y evolución del síndrome climatérico y su relación con los factores de riesgo para aterosclerosis. Rev Cuban Obstet Ginecol [Internet]. 2017 [citado 8/07/2019];43(1): Disponible en: http://revginecobstetricia.sld.cu/index.php/gin/article/view/149/135
Pérez Piñero JS. Escala cubana para clasificar la intensidad del síndrome climatérico. Resultados de su aplicación en provincias seleccionadas 1999 - 2004 [Tesis Doctoral]. La Habana: Editorial Universitaria [Internet]; 2008 [citado 8/07/2019]. Disponible en: http://tesis.sld.cu/index.php?P=DownloadFile&Id=300
Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro Despaigne DA, de la Noval García R, et al. Guía cubana de diagnóstico, evaluación y tratamiento de la hipertensión arterial. Rev Cuban Med [Internet]. 2017 [citado 9/07/2019];56(4):242-321. Disponible en: http://scielo.sld.cu/pdf/med/v56n4/med01417.pdf
Oramas Hernández L, Lugones Botell M, Massip Nicot J. Sobrecarga de género asociada al riesgo cardiovascular en mujeres de edad mediana supuestamente sanas del policlínico "Mártires del Corynthia". Rev Cuban Obstet Ginecol [Internet]. 2017 [citado 10/07/2019];43(3). Disponible en: http://revginecobstetricia.sld.cu/index.php/gin/article/view/237/180
Livingstone KM, Celis-Morales C, Papandonatos GD, Erar B, Florez JC, Jablonski KA, et al. FTO genotype and weight loss: systematic review and meta-analysis of 9563 individual participant data from eight randomised controlled trials. BMJ [Internet]. 2016 [citado 11/07/2019];354:i4707. Disponible en: http://doi.org/10.1136/bmj.i4707