Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center

• Autor(a) principal: Moreira,Tiago Ricardo
• Data de Publicação: 2020
• Outros Autores: Toledo,Luana Vieira, Mendonça,Érica Toledo, Colodette,Renata Maria, Silva,Luciana Saraiva, Cotta,Rosângela Minardi Mitre
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Journal of Cardiovascular Sciences (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472020000300217
• topic: Cardiovascular Diseases/mortality; Risk Factors; Hypertension; Life Style; Treatment Adherence anf Compliance; Sedentarism; Obesity; Prevention and Control

Abstract Background: Cardiovascular risk (CVR) stratification has traditionally been used as a strategy for the prevention of cardiovascular diseases in asymptomatic people. Objective: To identify the CVR in hypertensive patients attending a primary health care center, using the Framingham risk score, and to evaluate possible associations and correlations with sociodemographic, clinical and laboratory variables not included in this score. This cross-sectional study was conducted with hypertensive patients treated in a primary health care center in Brazil (n = 166). Methods: Data collection, administration of questionnaires, anthropometric measurements and laboratory tests were performed from July to August 2013. Multiple linear regression was used in the analysis. A two-tailed p-value < 0.05 was considered significant. Results: High CVR was independently associated with male sex (B = 8.73; 95%CI: 6.27: 11.19), high serum levels of total cholesterol (B = 0.05; IC95%: 0.02: 0.08), number of drugs used (B = 0.55; 95%Ci: 0.12: 0.98) and a low glomerular filtration rate (GFR) (B = -0.11; 95%CI: -0.18 : -0.03). Conclusion: The results of this study reinforce the importance of continuous and longitudinal care practices directed to hypertensive patients aiming at early detection of risk factors and appropriate intervention to improve the prognosis of this population.