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[Factors associated with cardiovascular risk and cardiovascular and renal disease in the IBERICAN study: Final
S Cinza-Sanjurjo1, R M Micó-Pérez2, S Velilla-Zancada3
1Centro de Salud de Porto do Son, AS Santiago de Compostela, Porto do Son, A Coruña, España.
Insights
Cardiovascular risk factors (CVRF) and cardiovascular disease (CVD) are highly prevalent in Spanish primary care. These factors, along with renal disease, show strong causal relationships, highlighting the need for integrated management.
Area of Science:
- Cardiology
- Primary Care Medicine
- Epidemiology
Background:
- Cardiovascular risk factors (CVRF) and cardiovascular disease (CVD) pose a significant public health challenge.
- Understanding the prevalence and interrelationships of CVRF and CVD in primary care is crucial for effective prevention and management.
Purpose of the Study:
- To analyze the prevalence of CVRF and CVD in a primary care setting.
- To investigate the causal relationships between CVRF, renal disease, and CVD.
Main Methods:
- Cross-sectional analysis of 8,066 patients aged 18-85 from the IBERICAN study.
- Data collected via medical history, analytics, and physician review.
- Multivariate logistic regression analysis incorporating autonomous region as a random effect.
Main Results:
- High prevalence of CVRF and CVD observed in the Spanish primary care population.
- Significant associations found: dyslipidemia more frequent in diabetics (2.4x), hypertension more frequent in diabetics (2x).
- CVD four times more frequent with family history; increased risk in women and patients with renal disease.
Conclusions:
- The analyzed Spanish primary care population exhibits high CVRF and CVD prevalence, indicating substantial cardiovascular risk.
- Multivariate analysis confirms strong causal links between CVRF, renal disease, and CVD.
Objective:
To analyse the prevalence in clinical practice of cardiovascular risk factors (CVRF) and cardiovascular disease (CVD), as well as their causal relationship, in the study inclusion visit.
Material And Methods:
Cross-sectional analysis of the study inclusion visit of 8,066 patients of 18 to 85years of age included in the IBERICAN study. By reviewing the medical history, analytics and medical visits, the patient's physician has collected socio-demographic information, personal and family history and prevalence of CVRF and CVD and renal disease. A multivariate analysis was carried out using a logistic regression that included the autonomous region variable as a random effect variable, in order to analyse the impact of certain variables on the development of each CVRF, metabolic syndrome, subclinical organ damage, renal disease, and CVD.
Results:
Dyslipidaemia was 2.4 times more frequent in diabetics, and the risk was increased by 59% in hypertensive patients. Arterial hypertension was twice as frequent in diabetics, and increased 94% in hyperuricaemic patients and 62.1% in dyslipidaemia patients. Diabetes mellitus was 2.5 times higher in dyslipidaemia patients, and 2.2 times higher in hypertensive patients. CVD was four times more frequent in patients with a family history, and the risk in women was increased by 90.8% and by 53.8% in patients with renal disease.
Conclusions:
The Spanish population seen in Primary Care that were analysed in the IBERICAN study had a high prevalence of CVRF and CVD, which gives it a high CVR. The multivariate analysis performed shows a close causal relationship between the CVRF with each other, and with renal disease and CVD.
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