Riesgo coronario en la hipertensión arterial sistólica asociada a factores de riesgo prevalentes. Hospital Nacional PNP "Luis N. Saenz"

Abstract

Estimate the risk of coronary heart disease is possible with the use of tools such as the Framingham score. Systolic hypertension according to the guidelines of the current Clinical Practice Guidelines constitutes a valid starting point for the investigation of coronary disease associated with its prevalent risk factors such as diabetes Mellitus, dyslipidemia and smoking. The goal of this research was to determine the coronary risk in people with isolated systolic hypertension or associated with prevalent cardiovascular risk factors. Relevant data was collected from 1469 users in the Department of Cardiology National of the PNP Hospital "Luis N. Sáenz" during the 2012-2013 period, estimating the probability of coronary disease and identifying the high intermediate risk profile. From those 1469 users, 706 (48.06%) were male and 763 (51.94%) of female gender; 65.49% of them between 60 and 79 years. Diabetes Mellitus Type 2 was identified in 365 (24.85%) patients, obesity in 387 (26.34%) and dyslipidemia in 768 (52.28%). The coronary risk according to the Framingham score, resulted in low risk at 36.76%, moderate for 30.50% and high and very high at 32.74%. The high coronary risk is very high and most often presented between 70 and 79 years old. Arterial hypertension alone or associated with other cardiovascular risk factors increases coronary risk. Other factors associated with high risk are chronic kidney disease having a previous stroke. The Framingham score has proven useful in the calculation of coronary risk.