[Cardiovascular risk factors prevalence among patients with dyslipidemia in Colombia]
Jorge E Machado-Alba1, Manuel E Machado-Duque
1Grupo de investigación en fármacoepidemiología y farmacovigilancia, Universidad Tecnológica de Pereira, Pereira, Colombia.
Insights
Patients with dyslipidemia have a 14% 10-year cardiovascular event risk, with hypertension and diabetes being prevalent. Public health policies should target these risk factors to improve cardiovascular outcomes.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Dyslipidemia is a significant cardiovascular risk factor.
- Understanding cardiovascular risk in dyslipidemic patients is crucial for preventative strategies.
- Colombian healthcare system data provides a valuable population for study.
Purpose:
- To determine the prevalence of cardiovascular risk factors.
- To assess the 10-year risk of cardio-cerebrovascular events in dyslipidemic patients.
- To inform public health policies in Colombia.
Summary:
- A retrospective study analyzed 311 dyslipidemic patients in Colombia.
- The mean 10-year cardiovascular event risk was 14%, with hypertension (93.2%) and diabetes (28.5%) being highly prevalent.
- Mixed dyslipidemia was most common (46.6%).
Impact:
- Identifies high cardiovascular risk in dyslipidemic patients.
- Highlights the need for targeted interventions for hypertension and diabetes.
- Provides data to support the development of public health policies for cardiovascular disease prevention.
Objectives:
To determine the prevalence of cardiovascular risk factors and the ten years risk of cardio-cerebrovascular event in patients with dyslipidemia who were affiliated to the Colombian health system.
Materials And Methods:
A retrospective study was carried out in a random and stratified sample of 551 patients with dyslipidemia, from a population of 41,201 people with lipid-lowering therapy in ten Colombian cities between January 1, 2010 and June 30, 2011. Sociodemographic, anthropometric and biochemical variables were taken from medical records, as well as risk factors. To establish the 10-year cardiovascular risk was used Framingham algorithm.
Results:
311 patients were included, 56.4% of them were women, mean age 64.9 ± 10.8 years. The mean probability of developing a cardiovascular event at 10 years was 14%. Other cardiovascular risk factors found were hypertension (93.2%), male older than 55 years (35.8%), women older than 65 years (28.1%), diabetes mellitus (28.5%), family history of coronary heart disease (17.2%), personal history of heart disease or stroke (16.7%) and smoking (6.4%). The types of dyslipidemia by frequency were: mixed (46.6%), isolated hypercholesterolemia (29.4%) and hypertriglyceridaemia (20.3%).
Conclusions:
Patients were men and women older than 65 years, mainly suffering mixed dyslipidemia, and have a 14.0% probability of suffering a cardiovascular event in the next 10 years. It should promote healthy public policies to reduce the presence of hypertension and diabetes mellitus.
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