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MEDISAN

versão On-line ISSN 1029-3019

Resumo

TERAZON MICLIN, Oneida  e  ANGULO ELERS, Carlos Manuel. Determination of the global cardiovascular risk in hypertensive patients. MEDISAN [online]. 2020, vol.24, n.6, pp. 1172-1186.  Epub 02-Dez-2020. ISSN 1029-3019.

Introduction:

The global cardiovascular risk is the probability of getting sick or die due to a vascular disease after its determination that allows to stratify the population according to the level of risk.

Objective:

To determine the global cardiovascular risk in patients with hypertension assisted in the community.

Methods:

A descriptive and cross-sectional study of 116 patients with hypertension was carried out, they were assisted in Carlos Juan Finlay Teaching Polyclinic in Santiago de Cuba during 2017. The global cardiovascular risk was determined according to the degree of hypertension, cardiovascular risk factors, renal lesion ―by means of the Cockcrolt Gault equation and glomerular filtration rate―, eyeground, echocardiogram and comorbidity. The punctual estimate, the percentage as summary measure and the chi- square test were used as statistical validation, with a significance level of 95 %, for p ≤ 0.5.

Results:

In the series there was prevalence of the high global cardiovascular risk in degree 2 hypertensive patients, stress, physical inactivity and inadequate diet as main risk factors, besides the hyperuricemia, hiypertriglyceridemia, degrees 2 and 3 of renal damage, concentric left ventricular hypertrophy, degrees 2 and 3 of hypertensive retinopathy, as well as type 2 diabetes mellitus among the comorbidities.

Conclusions:

The risk factors and the clinical course time of the disease influenced in the affectation of target organs and in the increment of the cardiovascular risk in hipertensive patients, reason why its determination is useful in primary health care, since it allows to carry out preventive actions in case of possible complications and mortality.

Palavras-chave : hypertension; global cardiovascular risk; Primary Health Care.

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