Introduction:

among Théo clinical conditions that cause cardiovascular risk, type 2 diabetes mellitus stands out, and macrovascular complications in these patients are the main cause of morbidity and mortality.

Objective:

to identify the possible association betei risk factors and the development of macrovascular lesions in patients with type 2 diabetes.

Methods:

an analytical case-control study (1: 2 ratio) was carried out in patients with type 2 DM admitted to the Diabetic Care Center (CAD) of Bayamo, Granma province, in the period between 2017 and 2019 .

Results:

the analysis of the qualitativos variables, the non-control of diabetes was the most important factor (OR = 13.05; CI = 5.750-29.633; p = 0.000) followed by pathological electrocardiogram (OR = 10.61; CI = 4.269 -26.396; p = 0.000). Univariate analysis of quantitative variables, age over 55 years and arterial hypertension regardless of type (systolic or diastolic) were the most frequent factors. The multivariate analysis through a binary logistic regressos, the most important factor was the non-control of diabetes mellitus (CI = 6.758-27.639; p = 0.00) followed by the metabolic syndrome (OR = 15.837; CI = 2.869- 17,424; p = 0.00) uncontrolled hypertension (OR = 11.319; CI = 2.016-63.542; p = 0.000).

Conclusions:

the most relevant risk factors for the development of cardiovascular disease in patients with type 2 diabetes were uncontrolled diabetes mellitus, metabolic syndrome and uncontrolled arterial hypertension.

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