Resumen

VEGA ABASCAL, Jorge et al. Prediction of Coronary and Global Cardiovascular Risk in Primary Health Care. ccm [online]. 2015, vol.19, n.2, pp.202-211. ISSN 1560-4381.

Introduction: the current trend is toward a comprehensive view of cardiovascular risk, cardiovascular risk functions are instruments for classification that are useful in prioritizing preventive intervention and the risk functions should be update and improved. Objective: to determine the coronary heart disease risk and global cardiovascular risk in patients of primary health care. Methods: a cross sectional survey  was carried out, the population were 1 200 patients with age  between 34-75 years, without history of cardiovascular disease, of the Velasco Teaching Polyclinic during January to June 2011, a random sample of 308 cases were taken,  for the prediction of coronary risk the Framingham-Wilson coronary risk prediction score(1998) was used as well as the Framingham- D´Agostino general cardiovascular risk score(2008) for the prediction of the global cardiovascular risk. Results: the coronary heart disease reference table determined as low risk(<10 %) 51.6 % of the population, 30.8 % as intermediate risk ( 10-20 %) and 17.6 % as  high risk(>20 %), the global cardiovascular risk table determined  39.6 %,  27.6 % and 32.8 % as low, intermediate and high risk respectively. Concordance value of coronary heart disease risk table compared to global cardiovascular risk table was 0.54 (IC 95 % 0.46-0.62). Conclusion: the use of prediction tables is a useful tool to determine coronary and global cardiovascular risk in primary health care.

Palabras clave : cardiovascular risk factors; cardiovascular risk prediction; coronary risk prediction; and primary health care.

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