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Lopez Santi, R.; Valeff, E.; Duymovich, C.;
Aliata, A.; Ronderos, R.; Panza ,J.; Grinfeld, L.;
Escudero, E.; Mazziotta, D.; Giachello, C.;
Sancholuz, F.; Becerra, C.; Mijailovsky, N.
VARICG Researchers. Federación
Argentina de Cardiología,
Fundación Bioquímica Argentina, Facultad de Ciencias Médicas UNLP,
Facultad de Informática UNLP, Municipalidad de La Plata, Argentina
Introduction: The valuation of risk factors to prevent cardiovascular events has been broadly spread out in worldwide epidemiological studies, being the Framingham Study the maximum example. The concept of valuating the global cardiovascular risk (GCR) includes an integral view of the patient, taking into account anthropometric and biochemical measurements, as well as personal, familiar and environmental epidemiological data.
Objective: To valuate GCR during 10 years in an adult population with working activity.
Material and methods: 949 patients, without cardiovascular history, were valuated prospectively. Male gender n=514 (54%), average age 42.4 years (19/70). GCR was valuated through biochemical tests (LARESBIC, CDC chain, Atlanta), biometric measurements, and a personalized survey, establishing five levels (European Consensus): low (L) <5%, slight (L) 5-10%, moderate (M) 10-20%; high (H) 20-40%, and very high (VH) >40%. Reference values: hypertension (HT) >139/89 mmHg, hypercholesterolemia (HC) >200 mg/dl, overweight (OW) body mass index (BMI) 25-29; obesity (O) >30, hyperglycemia (HG) >126 mg/dl. Statistical analysis: proportion difference test, X2, and Student test.
Results: From 949 patients, 239 (25%) showed a GCR moderated to very high (M/VH). More prevalent risk factor was HC (213 patients, 89%). 92% patients with known HC showed higher levels of cholesterol. 83% patients (n=198) with known HT showed increased figures in the arterial tension. 26 patients (11%) showed HG. 112 patients (47%) were smokers (SMO). The M/VH GCR was higher in the population with smallest education level and a strong relation was established with higher indexes of overweight and obesity.
Conclusions: An important sector of working active population showed an increased GCR, being HC and HT the more prevalent factors. A high percentage of patients known as carriers of HT, HC and diabetes were not controlled. In patients with primary education level showing overweight and obesity, the impact of GRC was higher.
2nd Virtual Congress of Cardiology
Dr. Florencio Garófalo
Dr. Raúl Bretal
Dr. Armando Pacher
Technical Committee - CETIFAC
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