Abstract

RODRIGUEZ PERON, José Miguel; DAUDINOT MONTERO, Silvio; ACOSTA CABRERA, Erick B.  and  MORA GONZALEZ, Salvador R.. Influence of cardiovascular risk factors on the clinical control of arterial hypertension. Rev Cub Med Mil [online]. 2005, vol.34, n.3, pp. 0-0. ISSN 1561-3046.

A cohort, prospective and longitudinal clinicoepidemiological research was conducted to evaluate the influence of various coronary risk factors in the clinical control of arterial hypertension from November 2000 to January 2002. The population studied was composed of 120 military officers that were diagnosed essential arterial hypertension and categorized at their family physician's office. 2 study groups were organized: one exposed (n=60) with cardiovascular disease risk factors, and a non-exposed group (n=60) of hypertensive patients without other concomitant risks. Both groups were simultaneously observed for a year with monthly readings to compare the control of arterial pressure. The results obtained reported that the cardiovascular risk factors associated with hypertension were sedentarism, obesity, stress, smoking, hyperlipidaemia and diabetes mellitus. The behavior according to the criteria of control showed that the incidence rate/100 individuals of the uncontrolled was higher in the exposed group (56.2/100 individuals) in relation to the nonexposed (20.0/100 individuals) with a relative risk of 2.81, which confirmed the hypothesis of causal association between both variables. The association of other cardiovascular risk factors with arterial hypertension influences on the clinical control of arterial pressure and on its natural evolution, since it significantly increases the probability of severe cardiovascular events that justify the elevated morbidity and mortality.

Keywords : Arterial hypertension; risk factors; cardiovascular mortality; atherosclerosis.