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女性心血管疾病风险因素分析

Analysis of Cardiovascular Disease Risk Factors in Women.

作者信息

Tairova Maria Stanislavovna, Graciolli Lucas Odacir, Tairova Olga Sergueevna, De Marchi Thiago

机构信息

Cardiovascular Rehabilitation Institute of Sports Medicine of Caxias do Sul, Caxias do Sul, Brazil.

Faculdade Cenecista of Bento Gonçalves, Rio Grande do Sul, Brazil.

出版信息

Open Access Maced J Med Sci. 2018 Aug 14;6(8):1370-1375. doi: 10.3889/oamjms.2018.274. eCollection 2018 Aug 20.

DOI:10.3889/oamjms.2018.274
PMID:30159059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6108803/
Abstract

AIM

Study the cardiovascular risk factors in a feminine population vulnerable to cardiovascular events particularly to evaluate the principal factors or possible confounding variables.

METHODS

This is a cross-sectional descriptive study. Were analysed all the female patients from the Cardiovascular Rehabilitation Institute of Sports Medicine of Caxias do Sul who had the complete information on cardiovascular disease history, comorbidities and habits and who knew the complete gynaecological history by a phone interview.

RESULTS

A group of 91 patients were analysed. About the comorbidities and habits, 45.2% of these patients presented some tobacco load, 82.4% are hypertensive, 61.5% are dyslipidemic, 25.3% are diabetic and the BMI average was 29.27 (overweight). Between the patients who undergone a hysterectomy and had an episode of the acute coronary syndrome (10 patients), 70% had the event after the procedure. Between the post-menopause women with at least one episode of the acute coronary syndrome, 80.5% (33 patients) had the first event after the menopause.

CONCLUSION

We found multiple lifetime risk factors that predisposed the women of the sample to have cardiovascular disease. Between the women with specific to women risk factors and without, the prevalence of cardiovascular disease was very similar. This information supports the idea that these are just confounding factors of CVD and the principals involved are the genetic factors and habits. For this reason, the focus of CVD prevention and treatment should be directed towards these aspects.

摘要

目的

研究易发生心血管事件的女性人群中的心血管危险因素,尤其要评估主要因素或可能的混杂变量。

方法

这是一项横断面描述性研究。对南卡希亚斯运动医学心血管康复研究所的所有女性患者进行了分析,这些患者通过电话访谈掌握了完整的心血管疾病史、合并症和生活习惯信息,并且了解完整的妇科病史。

结果

分析了91例患者。关于合并症和生活习惯,这些患者中有45.2%有一定的烟草暴露量,82.4%患有高血压,61.5%患有血脂异常,25.3%患有糖尿病,体重指数平均为29.27(超重)。在接受子宫切除术且发生过急性冠状动脉综合征的患者(10例)中,70%在手术后发生该事件。在至少发生过一次急性冠状动脉综合征的绝经后女性中,80.5%(33例)在绝经后首次发生该事件。

结论

我们发现了多个终生危险因素,使样本中的女性易患心血管疾病。在有特定女性危险因素和没有特定女性危险因素的女性中,心血管疾病的患病率非常相似。这一信息支持了这样一种观点,即这些只是心血管疾病的混杂因素,主要因素是遗传因素和生活习惯。因此,心血管疾病预防和治疗的重点应指向这些方面。