medigraphic.com
ISSN 1729-519X (Print)

2012, Number 3

<< Back Next >>

Revista Habanera de Ciencias Médicas 2012; 11 (3)

Global cardiovascular risk In a population of combatants

Cabrera ASA, Suárez CR

Language: Spanish
References: 16
Page:
PDF size: 81.25 Kb.


ABSTRACT

Introduction: In the 90s, to new concept was born to optimize the treatment in our patients, because it was learned that the association of different risk factors interacting with each other increases the risk of suffering cardiovascular illness, this establishes the concept Cardiovascular Global of Risk.
Objective: To determine the Global Cardiovascular risks according to the charts of the OMS recommended for Cuba by combatants.
Method: A descriptive observational investigation was carried out, where the global cardiovascular risk was determined by combatants of the Combinado del este, abril 2010-2011. 102 patients over 40 were studied, chosen according to the exclusive criteria in a previous consultation. Results: 60.7% of the total patients had a low global cardiovascular risk (low RCVG), 14.7% had a medium cardiovascular risk (medium RCVG) and 24.5% had a high cardiovascular risk (high RCVG), taking into consideration that 69.6% of the patients represented were between 40 and 49, in those that 10.8% had high RCVG. 70.6% were smokers, 48% diabetics and 77.4% had hypertension. In our study, 77 patients with low and medium global cardiovascular risk 58(75.3%) showed one risk factor at least that are not contemplated in this models with a higher risk of cardiovascular diseases.
Conclusions: The incidence of the cardiovascular illness increases every day and it affects all of the populations, including the relatively young ones. Frequently, parameters that are not contemplated in the charts of RCVG contribute to a higher risk of suffering these pathologies.


REFERENCES

  1. Ordúñez García PO, Cooper RS, et al. Enfermedades cardiovasculares en Cuba: determinantes para una epidemia y desafíos para la prevención y control. Rev cubana Salud Pública. 2005; 31(4).

  2. Toros XH, Castellanos R, Fernández-Britto JE. Fibrinógeno y riesgo trombótico cardiovascular: algunas reflexiones. Rev Cubana Invest Biomed [online]. 2005;24(3): Disponible en: http://scielo.sld.cu/scielo

  3. OMS.Prevención de las enfermedades cardiovasculares. Guía de bolsillo para la estimación y el manejo del riesgo cardiovascular. Tablas para las subregiones epidemiológicas de la OMS AMRA,AMRB,AMRD. Ginebra: 2008.

  4. Dennos LK, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson L, Issenbacher KJ. Harrison's . Principles of internal medicine. Ed: McGraw-Hill. Prevención y tratamiento de la ateroesclerosis.16th edition. Estados Unidos: 2007,p.7840-45.

  5. López Santi R, Ricardo G, Valeff E, Duymovich C, Sancholuz F, Aliatta A, Mijailovsky N, Giachello CF, Castro L. Riesgo cardiovascular global de una población en un programa de prevención primaria. Rev Fed Arg Cardiol. 2003; 32: 358-367.

  6. Fox CS, Coady S, Sorlie PD, D'Agostino RB, Pencina MJ, Vasan RS, et al. Increasing cardiovascular disease burden due to diabetes mellitus: the Framingham Heart Study. Circulation. 2007;115:1544-50.

  7. Danaei G, Lawes CM, Vander Hoorn S, Murray CJ, Ezzati M. Global and regional mortality from ischaemic heart disease and stroke attributable to higherthan-optimum blood glucose concentration: comparative risk assessment. Lancet. 2006;368:1651-9.

  8. Alfonso Guerra JP. Hipertensión Arterial en la atención primaria de salud. 1ra edición. La Habana: Ecimed; 2010:5:43-45.

  9. Chambless LE, Filsom AR, Sharret AR, Sirlie P, Cooper D, Szkio M, Nieto FJ. Coronary heart desease risk prediction in the atherosclerosis risk in communities study. J Clin Epidemiol. 2003; 56:880-890.

  10. Burns DM. Epidemiology of Smoking-Induced Cardiovascular Disease. Progress in Cardiovascular Disease. Jul 2003; 46(1):11-29.

  11. Dueñas Herrera A, Armas Rojas NB, De la Noval García R, Turcios Tristá SE, Milián Hernández A, Cabalé Vilariño MB. Riesgo cardiovascular total en los trabajadores del Hotel "Meliá Cohíba". Rev Cubana Endocrinol. 2008; 19(1).

  12. 12 Preidt R. Reducir la presión arterial podría ayudar a disminuir el riesgo cardíaco para las mujeres.Hipertensión.2011. URL disponible en: http://www.nlm.nih.gov/medlineplus/spanish/news/fullstory_108039.html

  13. Enuth S, Eastman R, Kahn R, Klein R, Lachin J, Lebovitz H, et al. The UKPDS risk engine: a model for the risk of coronary heart disease in type 2 diabetes (UKPDS 56). Clin Sci (Lond). 2001;101: 671-9.

  14. Alfonso Guerra JP. Obesidad. Epidemia del siglo XXI. 1ra ed. La Habana: Ecimed; 2008.

  15. Haffner S. on behalf of the IDEA Executive Committee. Waist circumference and Body Mass Index are both independently associated with cardiovascular desease.The International Day for the Evaluation of Abdominal Obesity (IDEA) survey. Abstract presentation at American College of Cardiology's 55th Annual Scientific Session.2006.

  16. Diercks GF, Van Bowen AJ, Hillege HL, Jansen Wol, Kors JA, de Jong PE, Grobble DE, Crijins HJ, Van Gilst WH. Microalbuminuria was associated with ischemic electrocardiographic abnormalities in a large non-diabetic population. The Prevend EurHeathJ. 2000; 21(23):1922-7.




2020     |     www.medigraphic.com