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[Association patterns of risk factors or cardiovascular disease, in a high risk Spanish population of 2,264 patients]
B Ebrí Torné1, I Ebrí Verde, J Sardaña Ferrer
1Hospital Universitario Miguel Servet, Zaragoza. b.ebri@able.es
Insights
This study reveals distinct associations between cardiovascular disease risk factors and organ damage in patients with arterial hypertension (AH). Findings highlight significant correlations with cholesterol levels, smoking, and family history, varying by gender and age.
Area of Science:
- Cardiology and Internal Medicine
- Hypertension Research
- Public Health
Context:
- Arterial hypertension (AH) is a major risk factor for cardiovascular disease (CVD).
- Understanding the complex interplay between AH risk factors and target organ damage is crucial for effective management.
- Previous research has identified various associations, but comprehensive analysis across diverse patient demographics remains important.
Purpose:
- To delineate the specific association patterns between cardiovascular disease risk factors and target organ lesions in patients with arterial hypertension (AH).
- To investigate potential differences in these associations based on gender and age.
- To compare the study's findings with existing medical literature.
Summary:
- A nationwide cross-sectional study involving 2264 high-risk patients aged 18+ identified significant correlations between lipid profiles (total cholesterol, LDL, HDL), smoking, and family history (FH) of early cardiovascular events.
- Left ventricular hypertrophy (LVH) showed associations with proteinuria, creatinine levels, atheromatosis, retinopathy, ischemic cardiopathy, and diabetic nephropathy.
- Ischemic cardiopathy, proteinuria, retinopathy, elevated creatinine, atheromatosis, peripheral vascular disease (PVD), cerebrovascular disease, and age demonstrated intricate interrelationships, with notable gender-based differences observed across most variables.
Impact:
- Provides a detailed map of cardiovascular risk factor associations with target organ damage in hypertension.
- Highlights the importance of considering gender and age in risk assessment and clinical management of AH.
- Offers valuable data for refining clinical guidelines and developing targeted preventive strategies for cardiovascular complications.
Unlabelled:
INTRODUCTION, BASES AND AIMS: The aim of this study is to present the different association patterns between cardiovascular disease risk factors and target organs lesion due to arterial hypertension (AH), and to establish the possible differences by gender and age, and compare our findings with the existing references in the medical literature.
Material And Methods:
Nationwide croo-sectional study with 2264 consecutive patients in the Outpatient Clinic of Internal Medicine 18 years of age or older and with high cardiovascular risk taken from the CIFARC (Integral Control of High Risk Cardiovascular Factors) study run by the SEMI (Spanish Internal Medicine Association) cardiovascular Risk Group.
Results And Discussion:
We have obtained statistically significant correlations between: Raised levels of total cholesterol and LDL cholesterol, low HDL cholesterol and smoking habit. LDL cholesterol with Family History of early cardiovascular events (hereinafter FH) and ischemic cardiopathy. Low HDL cholesterol with FH. Smoking habit with FH. Left ventricular hypertrophy (LVH) with raised levels of proteinuria and creatinine, atheromatosis, retinopathy I-II, ischemic cardiopathy, and diabetic nephropathy. Ischemic cardiopathy with LVH, diabetic nephropathy, peripheral vascular disease (PVD) and age. Proteinuria with raised levels of creatinine, atheromatosis, retinopathy I-II, nephropathy and severe retinopathy. Retinopathy I-II with raised levels of creatinine, atheromatosis, nephropathy, PVD and severe retinopathy. Raised levels of creatinine with reduced levels of HDL cholesterol, proteinuria, atheromatosis, retinopathy I-II, nephropathy and PVD. FH inversely with age: patients with FH consult a doctor an average of three years earlier than patients who do not experience FH. Atheromatosis with LVH, raised levels of proteinuria and creatinine, retinopathy I-II, cerebrovascular disease, nephropathy, PVD and age. PVD with raised levels of creatinine, atheromatosis, retinopathy I-II, and ischemic cardiopathy. Cerebrovascular disease with atheromatosis, age and weight. Severe retinopathy with proteinuria, nephropathy, and retinopathy I-II. Diabetic nephropathy with raised levels of proteinuria and creatinine, atheromatosis, retinopathy I-II, ischemic cardiopathy, and severe retinopathy. Age with raised creatinine, atheromatosis, ischemic cardiopathy, and cerebrovascular disease. With respect to gender, we found differences in most of the studied variables.
Conclusions:
There exist different association patterns between the studied variables.
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