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[Calculation of coronary risk in the 35-60 year old population registered at a health centre]
E Armero Garrigós1, F Viribay Lorite, A Cabal García
1Residente de tercer año de Medicina Familiar y Comunitaria. Centro de Salud de Cabañaquinta. Aller. Asturias. España.
Objectives:
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.
Design:
Transversal, descriptive study.
Setting:
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.
Main Measurements:
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.
Results:
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.
Conclusions:
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.
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