Armero Garrigós E, Viribay Lorite F, Cabal García A, Hevia Rodríguez E
Residente de tercer año de Medicina Familiar y Comunitaria. Centro de Salud de Cabañaquinta. Aller. Asturias. España.
Aten Primaria. 2003 Dec;32(10):577-82. doi: 10.1016/s0212-6567(03)79335-4.
To stratify the population between 35 and 60 years old according to their coronary risk (CR) and to identify the modifiable cardiovascular risk factors that affect our population.
Transversal, descriptive study.
Cabañaquinta Health Centre, in a rural health district in Asturias area VII.Participants. Simple randomised sampling based on the health cards of the population between 35 and 60 years old assigned to a health centre. Total number of people included was 205, and 95 did not reply.
The variables were: age, sex, total cholesterol, HDL-cholesterol, triglycerides, diastolic blood pressure, systolic blood pressure, tobacco dependency, diabetes, hypertension treatment, treatment for lipaemia, and personal background of cardiovascular disease (CVD). CR was calculated with the ATP-III tables (Adult Treatment Panel III). High CR was understood as over 20% likelihood of developing CVD or having recurrent episodes of CVD in the next 10 years.
A simple descriptive study was conducted. 53% were women; mean age was 48. 37% were smokers, 27% with lipaemia and 29% with hypertension. Mean systolic pressure was 126 mm Hg, mean diastolic pressure was 80 mm Hg. Cholesterol was 213 mg/dL (confidence interval [CI], 174-252), HDL-cholesterol 52.64 mg/dL (CI, 39.94-65.34), LDL-cholesterol 139 mg/dL (CI, 104-174) and triglycerides 106.02 mg/dL (CI, 19.72-192.32). 45% of the sample had two or more CV risk factors. Mean CV risk in the population was 5.3% (CI, <1%-11.3%). According to the table used, 2% of the population had high CR.
Most of our population had moderate risk. The most common group of patients is a young woman smoker with moderate risk. Tobacco is the most prevalent modifiable risk factor.
根据35至60岁人群的冠心病风险(CR)对其进行分层,并确定影响该人群的可改变心血管危险因素。
横向描述性研究。
阿斯图里亚斯地区七区农村卫生区的卡瓦尼亚昆塔健康中心。参与者。基于分配到健康中心的35至60岁人群的健康卡进行简单随机抽样。纳入的总人数为205人,95人未回复。
变量包括:年龄、性别、总胆固醇、高密度脂蛋白胆固醇、甘油三酯、舒张压、收缩压、烟草依赖、糖尿病、高血压治疗、血脂异常治疗以及心血管疾病(CVD)个人史。使用ATP-III表格(成人治疗小组III)计算CR。高CR被理解为在未来10年内发生CVD或CVD复发的可能性超过20%。
进行了一项简单的描述性研究。53%为女性;平均年龄为48岁。37%为吸烟者,27%有血脂异常,29%有高血压。平均收缩压为126 mmHg,平均舒张压为80 mmHg。胆固醇为213 mg/dL(置信区间[CI],174 - 252),高密度脂蛋白胆固醇52.64 mg/dL(CI,39.94 - 65.34),低密度脂蛋白胆固醇139 mg/dL(CI,104 - 174),甘油三酯106.02 mg/dL(CI,19.72 - 192.32)。45%的样本有两个或更多心血管危险因素。该人群的平均心血管风险为5.3%(CI,<1% - 11.3%)。根据所使用的表格,2%的人群有高CR。
我们的大多数人群风险中等。最常见的患者群体是有中度风险的年轻吸烟女性。烟草是最普遍的可改变危险因素。