Quirós MM, Delgadillo EB

Language: Spanish
References: 15
Page: 533-538
PDF size: 254.01 Kb.

ABSTRACT

Objective: The aim of this study is to estimate the cardiovascular risk in a ten year period, in a specific population from Ciudad Quesada, San Carlos; and describe this population according to Framingham Risk Scoring, based on the presence of risk factors that could be associated to cardiovascular disease.
Methods: The following is a transversal study of 204 patients, ages between 30-80 years old, from the medical consult of Ciudad Quesada. In which the last laboratory results during 2008-2009 were reviewed and analyzed in association with other factors determined in Framingham Risk Scoring.
Results: Based on Framingham Risk Scoring, 27% of our patients were classified as having low risk for cardiovascular disease; and the other 73% classified as having moderate/high risk for cardiovascular disease in a ten year period. The prevalence for high cardiovascular risk in a 10 000 population is 38.8. Active smoking, high blood pressure disease and Diabetes Mellitus are associated to high cardiovascular risk.
Conclusions: Our application of the Framingham Risk Scoring showed that in the population studied in Ciudad Quesada, San Carlos exist a high prevalence of cardiovascular disease that could imply a greater amount of cases and complication of the disease in this population.

REFERENCES

1. Bierman EL. Atherogenesis in diabetes. Arterioscler Thromb 1992;12:647-56.

2. Castillo S. Lizzie, Alvarado Ana, Sánchez V. María. Enfermedad cardiovascular en Costa Rica. Rev. Costarric. Sal. Pub. 2006; Vol1 (2):1-14.

3. CCSS. Guías para la detección, el diagnóstico y tratamiento de las dislipidemias para el primer nivel de atención.San José Costa Rica, 2004.

4. 4. Esquivel-Solís V, Alvarado M, Solano- Quirós G, Ramírez- Leandro A. Factores de riesgo cardiovascular en un grupo de mujeres con sobrepeso y obesidad. AMC; 2008, Vol 50(4) : 214-220.

5. Guzmán Padilla S., Roselló Arayab M. Riesgo cardiovascular global en la población adulta del área urbana del Cantón Central de Cartago, Costa Rica. Rev. costarric. cardiol; sep. 2006, vol.8 (3):11-16

6. National Cholesterol Education Program, Executive Summary of the report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adult (Adult Treatment Panel III). JAMA 2001; 285(19):1883- 1889

7. National Heart, Lung, and Blood Institute National Institutes of Health. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). National Cholesterol Education Program NIH Publication No. 02-5215 September 2002. NIH Publication No. 02-5215 September 2002.

8. National Institutes of Health Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)

9. Organización Mundial de la Salud. Prevención de las enfermedades cardiovasculares. Guía de bolsillo para la estimación y el manejo del riesgo cardiovascular. Ginebra, 2008.

10. Organización Mundial de la Salud. Enfermedades cardiovasculares .[pdf]. Versión español. Ginebra ; 2010.

11. .Piédrola Gil, Abecia L. Medicina y Salud Nutricional. Editorial Elsiever. Madrid ,España. Año 2003 :668-669.

12. Serra, Luis. Nutrición y salud pública: métodos, bases científicas y aplicaciones . Editorial Elsiever. Madrid ,España. Año 2006:826.

13. Servicios de Salud Departamento de Medicina Preventiva. Caja Costarricense de Seguro Social. Guías para la detección, diagnóstico y tratamiento de la hipertensión arterial en el primer nivel de atención. Mayo 2002: 36-41

14. Stamler J,V accaro O, Neaton JD,W entworth D. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care 1993;16:434-44.

15. World Health Organization. Prevention of Cardiovascular Disease. Guidelines for assessment and management of cardiovascular risk. Geneva, 2007