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Assessment of cardiovascular risk of patients with arterial hypertension of a public health unit

机译：评估公共卫生部门高血压患者的心血管风险

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OBJECTIVE: To assess the cardiovascular risk, using the Framingham risk score, in a sample of hypertensive individuals coming from a public primary care unit. METHODS: The caseload comprised hypertensive individuals according to criteria established by the JNC VII, 2003, of 2003, among 1601 patients followed up in 1999, at the Cardiology and Arterial Hypertension Outpatients Clinic of the Teaching Primary Care Unit, at the Faculdade de Medicina de Ribeir?o Preto, Universidade de S?o Paulo. The patients were selected by draw, aged over 20 years, both genders, excluding pregnant women. It was a descriptive, cross-sectional, observational study. The Framingham risk score was used to stratify cardiovascular risk of developing coronary artery disease (death or non-fatal acute myocardial infarction). RESULTS: Age range of 27-79 years ( = 63.2 ± 9.58). Out of 382 individuals studied, 270 (70.7%) were female and 139 (36.4%) were characterized as high cardiovascular risk for presenting diabetes mellitus, atherosclerosis documented by event or procedure. Out of 243 stratified patients, 127 (52.3%) had HDL-C < 50 mg/dL; 210 (86.4%) had systolic blood pressure 120 mmHg; 46 (18.9%) were smokers; 33 (13.6%) had a high cardiovascular risk. Those added to 139 enrolled directly as high cardiovascular risk, totaled up 172 (45%); 77 (20.2%) of medium cardiovascular risk and 133 (34.8%) of low risk. The highest percentage of high cardiovascular risk individuals was aged over 70 years; those of medium risk were aged over 60 years; and the low risk patients were aged 50 to 69 years. CONCLUSION: The significant number of high and medium cardiovascular risk individuals indicates the need to closely follow them up.
机译：目的：使用弗雷明汉（Framingham）风险评分评估来自公共基层医疗机构的高血压个体的心血管风险。方法：根据JNC VII（2003年，2003年）确定的标准，由1999年在Faculdade de Medicina de教学中心的心血管病和动脉高血压门诊就诊的1601名患者中的高血压患者组成Ribeir？o Preto，圣保罗大学。通过抽签选择年龄在20岁以上的患者，男女均不包括孕妇。这是一项描述性，横断面，观察性研究。 Framingham风险评分用于对发展为冠心病（死亡或非致命性急性心肌梗塞）的心血管风险进行分层。结果：年龄范围为27-79岁（= 63.2±9.58）。在研究的382名个体中，有270名（70.7％）为女性，而139名（36.4％）被表征为因事件或程序记录而表现出糖尿病，动脉粥样硬化的高心血管风险。在243名分层患者中，有127名（52.3％）HDL-C <50 mg / dL; 210（86.4％）的收缩压> 120 mmHg;吸烟者46（18.9％）; 33（13.6％）人患有心血管疾病的风险较高。直接纳入心血管疾病高危人群的139人中，有172人（占45％）直接入选。中度心血管疾病风险为77（20.2％），低风险为133（34.8％）。高心血管风险个体的最高年龄是70岁以上;中等风险者年龄超过60岁;低危患者的年龄为50至69岁。结论：大量高中度心血管风险个体表明需要密切跟进他们。

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