Assessment of cardiovascular risk of patients with arterial hypertension of a public health unit
Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
---|---|
Data(s) |
04/11/2013
04/11/2013
2012
|
Resumo |
OBJECTIVE: To assess the cardiovascular risk, using the Framingham risk score, in a sample of hypertensive individuals coming from a public primary care unit. METHODS: The caseload comprised hypertensive individuals according to criteria established by the JNC VII, 2003, of 2003, among 1601 patients followed up in 1999, at the Cardiology and Arterial Hypertension Outpatients Clinic of the Teaching Primary Care Unit, at the Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. The patients were selected by draw, aged over 20 years, both genders, excluding pregnant women. It was a descriptive, cross-sectional, observational study. The Framingham risk score was used to stratify cardiovascular risk of developing coronary artery disease (death or non-fatal acute myocardial infarction). RESULTS: Age range of 27-79 years (<img src="/img/revistas/eins/v10n1/carx.jpg" align="absmiddle"> = 63.2 ± 9.58). Out of 382 individuals studied, 270 (70.7%) were female and 139 (36.4%) were characterized as high cardiovascular risk for presenting diabetes mellitus, atherosclerosis documented by event or procedure. Out of 243 stratified patients, 127 (52.3%) had HDL-C < 50 mg/dL; 210 (86.4%) had systolic blood pressure > 120 mmHg; 46 (18.9%) were smokers; 33 (13.6%) had a high cardiovascular risk. Those added to 139 enrolled directly as high cardiovascular risk, totaled up 172 (45%); 77 (20.2%) of medium cardiovascular risk and 133 (34.8%) of low risk. The highest percentage of high cardiovascular risk individuals was aged over 70 years; those of medium risk were aged over 60 years; and the low risk patients were aged 50 to 69 years. CONCLUSION: The significant number of high and medium cardiovascular risk individuals indicates the need to closely follow them up. |
Identificador |
Einstein (São Paulo),v.10,n.1,p.33-38,2012 1679-4508 http://www.producao.usp.br/handle/BDPI/40203 10.1590/S1679-45082012000100008 http://www.scielo.br/scielo.php?script=sci_pdf&pid=S1679-45082012000100008&lng=en&nrm=iso&tlng=en |
Idioma(s) |
eng |
Publicador |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
Relação |
Einstein (São Paulo) |
Direitos |
openAccess |
Palavras-Chave | #Hypertension #Cardiovascular diseases #Dyslipidemias #Hypercholesterolemia #Smoking #Primary prevention #Risk assessment #Health centers #Hipertensão #Doenças cardiovasculares #Dislipidemias, hipercolesterolemia #Tabagismo, prevenção primária #Medição de risco #Centros de saúde |
Tipo |
article original article |