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

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.

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Main Authors: Moreira,Tiago Ricardo, Toledo,Luana Vieira, Mendonça,Érica Toledo, Colodette,Renata Maria, Silva,Luciana Saraiva, Cotta,Rosângela Minardi Mitre
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cardiologia 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472020000300217
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spelling oai:scielo:S2359-564720200003002172020-05-26Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care CenterMoreira,Tiago RicardoToledo,Luana VieiraMendonça,Érica ToledoColodette,Renata MariaSilva,Luciana SaraivaCotta,Rosângela Minardi Mitre 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.info:eu-repo/semantics/openAccessSociedade Brasileira de CardiologiaInternational Journal of Cardiovascular Sciences v.33 n.3 20202020-05-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472020000300217en10.36660/ijcs.20180078
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libraryname SciELO
language English
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author Moreira,Tiago Ricardo
Toledo,Luana Vieira
Mendonça,Érica Toledo
Colodette,Renata Maria
Silva,Luciana Saraiva
Cotta,Rosângela Minardi Mitre
spellingShingle Moreira,Tiago Ricardo
Toledo,Luana Vieira
Mendonça,Érica Toledo
Colodette,Renata Maria
Silva,Luciana Saraiva
Cotta,Rosângela Minardi Mitre
Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center
author_facet Moreira,Tiago Ricardo
Toledo,Luana Vieira
Mendonça,Érica Toledo
Colodette,Renata Maria
Silva,Luciana Saraiva
Cotta,Rosângela Minardi Mitre
author_sort Moreira,Tiago Ricardo
title Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center
title_short Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center
title_full Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center
title_fullStr Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center
title_full_unstemmed Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center
title_sort evaluation of cardiovascular risk in hypertensive individuals attending a primary health care center
description 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.
publisher Sociedade Brasileira de Cardiologia
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472020000300217
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