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Revista Cubana de Medicina
versão impressa ISSN 0034-7523
Resumo
ARIAS MORALES, Asdrúbal; GARCIA HERNANDEZ, Ricardo e OLIVA PEREZ, Maritza. Global cardiovascular risk in hypertensive elderly patients. Rev cubana med [online]. 2014, vol.53, n.2, pp.178-188. ISSN 0034-7523.
Introduction: hypertension is the most common condition which can be prevented. Hypertension affect adult's health around the world. Objective: to describe cardiovascular global risk in elderly hypertensive patients as well as the associated correlated risk factors. Methods: an observational, transversal, descriptive study was conducted at the #2 general practice in Miraflores Nuevo from October 2009 to July 2010. A sample of 65 patients was constituted, who had a complete physical exam and a serum cholesterol dosification was used in each patients. Results: the age rank 70-79 years (60 %), male gender (58.4 %) and diabetes mellitus (38.1 %) presented a strong association related to cardiovascular global risk. Systolic blood pressure ³ 160 mmHg (30.7 %) and serum cholesterol levels ³ 6.0 mmol/l (26.1 %) are related to a high class of cardiovascular global risk (p= 0.003 y p= 0.000). In women, diabetes mellitus (80.0 %) and systolic blood pressure ³ 160 mmHg were the most common risk factors associated to a high class of global risk (p= 0.000 y p= 0.001 respectively), whereas in men these factors were systolic blood pressure (p= 0.000) and age ³ 70 (p= 0.001). Conclusions: in elderly hypertensive patients, diabetes mellitus systolic blood pressure ³ 160 mmHg and age ³ 70 were the more important risk conditions related to global cardiovascular risk.
Palavras-chave : hipertensión arterial; diabetes mellitus; ancianos; riesgo cardiovascular global; factores de riesgo; high blood pressure; diabetes mellitus; elderly patients; cardiovascular global risk; risk factor.