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2016, Number 1

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Revista Cubana de Obstetricia y Ginecología 2016; 42 (1)

Cardiovascular risk in middle-aged women at 'Mártires del Corynthia' policlinic

Oramas HL, Lugones BM, Massip NJ

Language: Spanish
References: 26
Page:
PDF size: 364.96 Kb.


ABSTRACT

Introduction: It is important to know the cardiovascular risk during the years leading up to menopause for preventive actionsin order to reduce morbidity and mortality.
Objective: Determine the overall cardiovascular risk in supposedly healthy middleaged women at "Mártires del Corynthia" Policlinic.
Methods: Cross-sectional descriptive study in supposedly healthywomen aged 40-59 years was carried out at "Mártires del Corynthia" Policlinic, who were assisted from June 1st, 2012 to June 1st, 2013. The universe of study was comprised of 415 women from four medical practices. The sample was consideredinto two parts.The first part considered alpha 0.05 with a confidence level of 95 % equal to a statistical program called SAMPLE. The universe consisted of 415 women of the fourmedical practices and the result was 200 women as significant sample. A simple random sample was done at the second step, numbering the total of the universe and choosing the odd numbers up to a total sample of 200 women.
Results: 186 women at low risk (93 %), 13 with moderate risk (6.5 %) and one at high risk (0.5 %) were found. The cardiovascular risk factors found were hypercholesterolemia (43.5 %), smoking (26.5 %), hypertension (16.0 %), and diabetes mellitus (11.0 %). Older age and postmenopause were associated with increased cardiovascular risk (p= 0.049 and p= 0.050 respectively).
Conclusions: Cardiovascular risk factors were found in supposedly healthy women,making important to establish measures and educational guidance in this group.


REFERENCES

  1. De la Noval GR, Armas Rojas NB, De la Noval GI, Fernández GY, Pupo Rodríguez HB, Dueñas HA, et al. Estimación del Riesgo Cardiovascular Global en una población del Área de Salud Mártires del Corynthia. La Habana, Cuba. Rev Cubana Cardiol Cir Cardiovasc. 2011[Consultado 27 de abril de 2015];17(1). Disponible en: http://bvs.sld.cu/revistas/car/vol17_1_11/car09111.pdf

  2. Artiles VL. Las condiciones de vida como determinantes del proceso saludenfermedad en la mujer climatérica. En: Artiles L, Navarro D, Manzano B. Climaterio y menopausia, un enfoque desde lo social. La Habana: Editorial Científico Técnica; 2007. p. 38-57.

  3. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2010. La Habana; 2011.

  4. Sarduy NM, Lugones BM. II Consenso Cubano de Climaterio y Menopausia. La Habana: Editorial CIMEQ; 2007. p. 12-51.

  5. Organización Panamericana de la Salud. Consulta regional: prioridades para la salud cardiovascular en las Américas. Mensajes claves para los decisores. Ordúñez-García P, Campillo-Artero C, eds. OPS; 2011.

  6. O'Donnell CJ, Elosua R. Factores de riesgo cardiovascular. Perspectivas derivadas del Framingham Heart Study. Rev Esp Cardiol. 2008;61(3):299-310.

  7. Joint British Societies: Guidelines on prevention of cardiovascular disease in clinical practice. Heart. 2005;91(Suppl V):v1-v52.

  8. Heredia Hernández B, Lugones Botell M. Edad de la menopausia y su relación con el hábito de fumar, estado marital y laboral. Rev Cubana Obstet Ginecol. 2007 [Consultado 27 de abril de 2015];33(3):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X2007000300008&lng=es

  9. Wilson PWF, McGee DL, Kannel WB. Obesity, very low density lipoproteins and glucose intolerance over fourteen years. Am J Epidemiol. 2012;114:697-704.

  10. World Health Organization. American Collaborative Group. Multifactorial Trial in the prevention of coronary heart disease: I. Recruitment and initial findings. Am Heart J. 1980;1:72-80.

  11. Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. European guidelines on cardiovascular disease prevention in clinical practice: executive summary. EurHeart J. 2007[citado 3 Feb 2012];28:2375-414. Disponible en: http://eurheartj.oxfordjournals.org/content/28/19/2375.full

  12. Keys A, Suárez A, Carabeiro H. The Seven Countries Study: 2.289 death in 15 years. OPS. Prev Med. 2010;13:141-54.

  13. Naranjo Domínguez AA, Amador González A, Rodríguez Navarro AY, Aroche Aportela R. Niveles de tratamiento y control de la hipertensión arterial en el Policlínico Turcios Lima. CorSalud. 2012 Oct-Dic;4(4):254-60.

  14. Hernández Gárciga FF, Opeyemi Jimada I, Pría Barros M del C. Riesgo cardiovascular global consultorio 3. Área de salud de Guanabo 2008. Rev Haban Cien Méd. 2010 [citado 6 Dic 2012];9(S5). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729- 519X2010000500006&lng=es&nrm=iso&tlng=es

  15. Caballero Gueto J, Villa López M, López González A, Caballero Gueto F. Factores de riesgo cardiovascular. Diabetes Mellitus Insulindependiente y no insulindependiente. 2007 [citado 24 Ago 2013]. Disponible en: en: http://www.portalesmedicos.com/publicaciones/articles/751/1/Factores-de-Riesgo- Cardiovascular-Diabetes-Mellitus-Insulindependiente-y-no-insulindependiente.html

  16. Lafá AL. El tabaquismo provoca 17 por ciento de muertes en Cuba. 25 de mayo de 2011. Agencia Cubana de Noticias. Disponible en: http://www.ain.cubaweb.cu/2011/mayo/25aem-tabaquismo.htm

  17. Fernández Guerrero Ml, Muñoz Calero B, García Rubira JC, López García-Aranda V. Tabaco y corazón. Programas actuales del control del hábito. Clin Invest Arterioscl. 2010;22:167-73.

  18. Kenfield SA, Stampfer MJ, Rosner BA, Colditz GA. Smoking and smoking cessation in relation to mortality in women. JAMA. 2008;299:2037-47.

  19. Roopinder K, Sandhu RK, Jimenez MC, Chiuve SE, Fitzgerald KC, Kenfield SA, et al. Smoking, Smoking Cessation, and Risk of Sudden Cardiac Death in Women. Circ Arrhythm Electrophysiol. 2012;5:1091-7.

  20. Candelaria Brito JC, Cruz González T, Rieumont E, Acosta Cruz C, Alfonso González Y. Estimación del riesgo cardiovascular global en pacientes con diabetes mellitus. MEDISAN. 2013 [citado 24 Ago 2013];17(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192013000200011&lng=es&nrm=iso

  21. Oficina Nacional de Estadísticas e Información. Anuario Estadístico de Cuba. 2012. p. 59.

  22. Grau M, Marrugat J. Funciones de riesgo en la prevención primaria de las enfermedades cardiovasculares. Rev Esp Cardiol. 2008;61(4):404-16.

  23. Michelotto de Oliveira M, Martins Fagundes RL, Machado Moreira MA, Santos de Moraes EB, Tales de Carvalho C. Relación de indicadores antropométricos con factores de riesgo para enfermedad cardiovascular. Arq Bras Cardiol. 2010;94(4):462-9.

  24. Velasquez-Meléndez G, Kac G, Tavares R, Silva CQ, Garcia ES. Evaluation of waist circumference to predict general obesity and arterial hypertension in women in Greater Metropolitan Belo Horizontal, Brazil. Cad Saúde Pública. 2012;18(3):765-71.

  25. OMS. Prevención de las enfermedades cardiovasculares. Guía de bolsillo para la estimación y el manejo del riesgo cardiovascular. Ginebra 2008. ISBN 978-92 25

  26. García FM, Maderuelo-Fernández JA, García-Ortiz A. Riesgo cardiovascular: concepto, estimación, usos y limitaciones. AMF. 2008;4(8):423-33.




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