2021, Number 6
Risk factors and macrovascular lesions in patients with type 2 diabetes mellitus
Language: Spanish
References: 13
Page:
PDF size: 225.08 Kb.
ABSTRACT
Introduction: among Théo clinical conditions that cause cardiovascular risk, type 2 diabetes mellitus stands out, and macrovascular complications in these patients are the main cause of morbidity and mortality.Objective: to identify the possible association betei risk factors and the development of macrovascular lesions in patients with type 2 diabetes.
Methods: an analytical case-control study (1: 2 ratio) was carried out in patients with type 2 DM admitted to the Diabetic Care Center (CAD) of Bayamo, Granma province, in the period between 2017 and 2019.
Results: the analysis of the qualitativos variables, the non-control of diabetes was the most important factor (OR = 13.05; CI = 5.750-29.633; p = 0.000) followed by pathological electrocardiogram (OR = 10.61; CI = 4.269 -26.396; p = 0.000). Univariate analysis of quantitative variables, age over 55 years and arterial hypertension regardless of type (systolic or diastolic) were the most frequent factors. The multivariate analysis through a binary logistic regressos, the most important factor was the non-control of diabetes mellitus (CI = 6.758-27.639; p = 0.00) followed by the metabolic syndrome (OR = 15.837; CI = 2.869- 17,424; p = 0.00) uncontrolled hypertension (OR = 11.319; CI = 2.016-63.542; p = 0.000).
Conclusions: the most relevant risk factors for the development of cardiovascular disease in patients with type 2 diabetes were uncontrolled diabetes mellitus, metabolic syndrome and uncontrolled arterial hypertension.
REFERENCES
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Misterio de Salud Pública. Anuario Estadístico de Salud de Cuba 2019. [Internet]. La Habana: MINSAP; 2020. [citado 2/4/2020]. Disponible en: https://temas.sld.cu/estadisticassalud/2020/05/13/publicado-el-anuario-estadistico-de-salud-2019/ 8. Gnatiuc L, Herrington WG, Halsey J, Tuomilehto J, Fang X, Kim HC, et al. Sex-specific relevance of diabetes to occlusive vascular and other mortality: a collaborative meta-analysis of individual data from 980 793 adults from 68 prospective studies. The lancet Diabetes & Endocrinology 2018; 6(7): 538-46. 9. Consentino F, Grant P, Aboyans V, Bailey CJ, Ceriello A, Delgado V, et al. Guía ESC 2019 sobre diabetes, prediabetes y enfermedad cardiovascular, en colaboración con la European Association for the Study of Diabetes (EASD). Revista Española de Cardiología 2020; 73(5): 404.e1-404.e59.