ABSTRACT
Objetivos. Aproximar el riesgo cardiovascular de los pacientes adultos atendidos en la Clínica Médica Cayetano Heredia (CMCH), de acuerdo al perfil lipídico y las características demográficas. Materiales y métodos. Se realizó un estudio descriptivo-retrospectivo, en base a los registros del laboratorio de la CMCH, durante el periodo comprendido entre 2004 y 2006. Se seleccionaron los datos del perfil lipídico completo (colesterol total, triglicéridos, HDL-C, LDL-C). Los datos obtenidos fueron almacenados en una base de datos. La clasificación y el análisis de los datos obtenidos tuvo como referencia principal el reporte Adult Treatment Panel iii (ATP iii). Resultados. Se encontró una población adulta total de 1 300 pacientes: 279 en adulto i (de 20 a 40 años) y 1 021 en adulto ii (de 41 a 64 años). Los triglicéridos ≥ 150 mg/dL en mujeres fueron 18,5% y 37,2% y en varones, 43% y 48,9%, en adultos i y ii, respectivamente. El HDL-C < 50 mg/dL en mujeres se encontró en 73,1% y 71,1% en adultos i y ii, respectivamente; HDL-C < 40 mg/dL en varones se encontró en 57,7% y 61,5% en adultos i y ii, respectivamente. La asociación HDL-C disminuido y triglicéridos ≥ 150 mg/dL en mujeres se encontró en 16,2% y 31,3% y en varones, 28,9% y 32,9%, en adultos i y ii, respectivamente. La tríada de HDL-C disminuido, triglicéridos ≥150 mg/dL y LDL-C ≥130 mg/dL en mujeres se halló en 8,5% y 23,8% y en varones, en 19,5% y 21,5%, en adultos i y ii, respectivamente. El no-HDL-C > 130 mg/dL en mujeres fue 58,5% y 78,1% y en varones, 71,1% y 80,8%, en adultos i y ii, respectivamente. La asociación triglicéridos ≥ 200 mg/dL y no-HDL-C > 130 mg/dL en mujeres fue 7,7% y 17,1% y en varones, 20,1% y 28,4%, en adultos i y ii, respectivamente. Conclusiones. A la población adulta atendida en la CMCH, le corresponde un riesgo cardiovascular incrementado según los niveles séricos hallados de HDL-C, triglicéridos, LDL-C y no HDL-C.
Approximation of the cardiovascular risk as related to the lipid profile in an adult population attended at the Cayetano Heredia Medical Clinic (CHMC) in the period 2004-2006. Objectives. To approximate the global cardiovascular risk of adult patients treated at the CHMC as related to their lipid profile and demographic characteristics. Materials and Methods. A descriptive retrospective study was conducted. The clinical laboratory registry was searched for the first lipid profile results (total cholesterol, triglycerides, HDL-C and LDL-C) that were registered between April 2004 and January 2006. The data obtained were stored in a database. The classification and analysis of the data obtained were reported in terms of the Adult Treatment Panel iii (ATP iii). Results. We identified 1 300 adult patients; 279 of whom were adult i (20 to 40 years) and 1 021 were adult ii (from 41 to 64 years). Triglycerides ≥ 150 mg/dL in females were found in 18,5% and 37,2% in adult i and ii, respectively; in men they were found in 43% and 48,9%, respectively. HDL-C < 50 mg/dL in females were found in 73.1% and 71,1% in adults i and ii, respectively; HDL-C < 40 mg/dL in men were found in 57,7% and 61,5% in adults i and ii, respectively. The association of low HDL-C and triglycerides ≥ 150 mg/dL in women was found in 16.2% and 31,3% in adults i and ii, respectively; in men it was found in 28,9% and 32,9% % in adults i and ii, respectively. The association of low HDL-C, triglycerides ≥150 mg/dL and LDL-C ≥ 130 mg/dL, in women was found in 8,5% and 23,8% in adults i and ii, respectively; and in men was found in 19,5% and 21,5%, respectively. The non-HDL-C > 130 mg/dL in women was in 58,4% and 78,1% in adults i and ii, respectively; and in men it was found in 71,1% and 80,7%, respectively. The association of triglycerides ≥ 200 mg/dL and non-HDL-C > 130 mg/dL in women was found in 7,7% and 17.1% in adults i and ii, respectively; in men was found in 20,1% and 28,4%, respectively...
Subject(s)
Humans , Male , Adult , Female , Cardiovascular Diseases , Lipids , Epidemiology, Descriptive , Retrospective StudiesABSTRACT
Objetivos: Aproximar el riesgo cardiovascular de los pacientes adultos atendidos en la Clínica Médica Cayetano Heredia, de acuerdo al perfil lipídico y características demográficas. Materiales y métodos: Se realizó un estudio descriptivo - retrospectivo, en base a los registros del laboratorio de la Clínica Médica Cayetano Heredia, durante el periodo comprendido entre el 2004 y el 2006. Se seleccionaron los datos del perfil lipídico completo (Colesterol total, Triglicéridos, HDL-C, LDL-C); los datos obtenidos fueron almacenados en una base de datos. La clasificación y análisis de los datos obtenidos tuvo como referencia principal el reporte Adult Treatment Panel III (ATP III). Resultados: Se encontró una población adulta total de 1300 pacientes: 279 en Adulto I (de 20 a 40 años) y 1021 en Adulto II (de 41 a 64 años). Los triglicéridos mayor o igual que 150 mg/dL en mujeres fueron 18.5 por ciento y 37.2 por ciento en Adulto I y II, respectivamente; y en varones 43 por ciento y 48.9 por ciento, respectivamente. HDLûC menor que 50 mg/dL en mujeres se encontró en 73.1 por ciento y 71.1 por ciento en Adulto I y II, respectivamente; HDL-C menor que 40 mg/dL en varones se encontró en 57.7 por ciento y 61.5 por ciento en Adulto I y II, respectivamente. La asociación HDL-C disminuido y triglicéridos mayor o igual que 150 mg/dL en mujeres se encontró en 16.2 por ciento y 31.3 por ciento en Adulto I y II, respectivamente; y en varones 28.9 por ciento y 32.9 por ciento, respectivamente. La triada de HDL-C disminuido, triglicéridos mayor o igual que 150 mg/dL y LDL-C mayor o igual que 130 mg/dL en mujeres se halló en 8.5 por ciento y 23.8 por ciento en Adulto I y II, respectivamente; y en varones en 19.5 por ciento y 21.5 por ciento, respectivamente. El no-HDL-C mayor que 130 mg/dL en mujeres fue 58.5 por ciento y 78.1 por ciento en Adulto I y II, respectivamente; y en varones 71.1 por ciento y 80.8 por ciento, respectivamente.
Objectives: To approximate the global cardiovascular risk of adult patients treated at the Cayetano Heredia Medical Clinic as related to their lipid profile and demographic characteristics. Materials and Methods: A descriptive retrospective study was conducted. The clinical laboratory registry was searched for the first lipid profile results (total cholesterol, triglycerides, HDL-C and LDL-C) that were registered between April 2004 and January 2006. The data obtained were stored in a database. The classification and analysis of the data obtained were reported in terms of the Adult Treatment Panel III (ATP III). Results: We identified 1300 adult patients; 279 of whom were adult I (20 to 40 years) and 1021 were adult II (from 41 to 64 years). Triglycerides more or equal than 150 mg/dL in females were found in 18.5 per cent and 37.2 per cent in adult I and II, respectively; in men they were found in 43 per cent and 48.9 per cent, respectively. HDL-C less than 50 mg/dL in females were found in 73.1 per cent and 71.1 per cent in adults I and II, respectively; HDL-C less than 40 mg/dL in men were found in 57.7 per cent and 61.5 per cent in adults I and II, respectively. The association of low HDL-C and triglycerides more or equal than 150 mg/dL in women was found in 16.2 per cent and 31.3 per cent in adults I and II, respectively; in men it was found in 28.9 per cent and 32.9 per cent in adults I and II, respectively. The association of low HDL-C, triglycerides more or equal than 150 mg/dL and LDL-C more or equal than 130 mg/dL, in women was found in 8.5 per cent and 23.8 per cent in adults I and II, respectively; and in men was found in 19.5 per cent and 21.5 per cent, respectively. The non-HDL-C less than 130 mg/dL in women was in 58.4 per cent and 78.1 per cent in adults I and II, respectively; and in men it was found in 71.1 per cent and 80.7 per cent, respectively.