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Published on: December 9, 2015
Unmasking the Silent Threat: Prevalence of Cardiovascular Risk Factors in MS Patients in Bucharest, Romania
Florentina Cristina Pleșa1, Elena Andreea Arsene2, Andreea Pleșa3
1Clinical Neurosciences Department, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Insights
Cardiovascular risk factors were assessed in multiple sclerosis patients, revealing elevated risks in males and those with advanced disease. Early identification and management are crucial for this population.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- Multiple sclerosis (MS) patients face increased risks for cardiovascular diseases (CVDs).
- Identifying specific cardiovascular risk factors in MS populations is essential for proactive healthcare.
- This study examines CVD risk factors in a Romanian cohort of MS patients.
Purpose of the Study:
- To identify prevalent cardiovascular risk factors in 91 patients diagnosed with multiple sclerosis.
- To assess the average cardiovascular risk score within this specific patient group.
- To determine demographic and disease-related factors associated with higher cardiovascular risk.
Main Methods:
- Retrospective analysis of medical records and self-administered questionnaires.
- Evaluation of parameters including smoking status, body mass index (BMI), blood sugar, cholesterol, triglycerides, and blood pressure.
- Calculation of average cardiovascular risk using established risk assessment models.
Main Results:
- Average BMI was 23.89 kg/m², with 41.76% outside normal limits. Smoking prevalence varied, with former smokers being the largest group.
- Elevated fasting blood glucose (>126 mg/dL) was observed in 25.27% of patients; 11 patients had hypertension (HTA).
- Average cardiovascular risk was 6.61%, higher in males, rural patients, and those with secondary-progressive MS or disease duration over 10 years.
Conclusions:
- Multiple sclerosis patients exhibit various cardiovascular risk factors that warrant attention.
- Specific subgroups, including males and those with advanced MS, are at higher cardiovascular risk.
- Proactive screening and management of cardiovascular risk factors are vital for improving outcomes in multiple sclerosis patients.
Abstract:
Background and Objectives: This study aims to identify cardiovascular risk factors among 91 patients with multiple sclerosis in Bucharest, Romania, using data from medical records and a self-administered questionnaire. Materials and Methods: The research focuses on smoking status, body mass index, blood sugar, cholesterol, triglycerides, blood pressure, and renal function. The average age of the patients was 42.90 ± 10.60 years, and 74.73% were female. The average BMI was 23.89 kg/m2 ± 4.74 kg/m2 (lower than in the general population), with 41.76% of patients having a BMI outside normal limits. The majority were former smokers (35.87%), followed by non-smokers (28.26%), and the fewest were smokers of more than 20 cigarettes/day (7.61%). The average total cholesterol was 198.48 ± 38.56 mg/dL, triglycerides were 114.22 mg/dL ± 76.2281 mg/dL, and blood glucose was 97.54 ± 36.58 mg/dL. While 25.27% of the patients had fasting blood glucose > 126 mg/dL, only five patients were diagnosed with DM. The average blood pressure was 137.5165 ± 19.5047 mmHg, with only 11 patients diagnosed with HTA. Results: The study found an average cardiovascular risk of 6.6133% ± 7.1412%, with higher values among males, rural patients, those with secondary-progressive MS, and those with a disease progression >10 years (after age adjustment). Conclusions: The study underscores the importance of identifying and combating cardiovascular risk factors in patients with multiple sclerosis.
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