Hernández GFF, Ortega FD, Fernández-Britto RJE

Language: Spanish
References: 0
Page: 122-129
PDF size: 342.01 Kb.

ABSTRACT

Introduction: cardiovascular diseases are a major public health problem in many developing countries, and Cuba is no exception.
Objective: to identify early atherogenic signs in atherovulnerable families at a physician's office of primary health care.
Method: descriptive cross-sectional observational study, from October 2015 to September 2016, in the office No. 7 belonging to the Policlínico Docente Dr. Mario Muñoz Monroy, of Guanabo, municipality of East Havana, in Havana, Cuba. A total of 200 families were chosen with their children and adolescents, and the early atherogenic signs were explored, such as: overweight, obesity, increased abdominal circumference and high blood pressure. In the relatives, some «major atherosclerotic crisis» was registered and the presence of traditional atherogenic risk factors (overweight, obesity, high blood pressure and smoking).
Results: an amount of 225 children and adolescents were studied, predominantly male (56.4%), where the abdominal obesity (32%) and the general (according BMI) stand out with 18.2%. The major atherosclerosis crises identified in the 485 adult family members were ischemic heart disease (60 [12.4%]), cerebral vascular disease (27[5.6%]) and peripheral arterial disease (16 [3.3%]); and among the traditional atherogenic factors, high blood pressure (203 [41.9%]) and smoking (109 [2.5%]) predominated.
Conclusions: identifying early atherogenic signs in apparently healthy children and adolescents, and the study of their relatives' background are of vital importance for the identification of atherovulnerable families.