Análise dos fatores de risco cardiovascular em pacientes com doença de chagas aguda / Analysis of cardiovascular risk factors in patients with acute chagas disease

RESUMO

Na avaliação inicial dos pacientes com doença de Chagas não se pode ignorar a identificação dos fatores de risco cardiovascular, principalmente na fase aguda da doença. Oobjetivo foi analisar os fatores de risco cardiovascular em pacientes com doença de chagas aguda. Trata-se de um estudo retrospectivo, observacional, transversal, de fontes secundárias, em que foram revisados 160 prontuários de pacientes atendidos em dois hospitais públicos de ensino e pesquisa no período de 2009 a 2011. Dentre os 160pacientes, 89 (55,63%) eram homens, a média de idade foi de 41,59± 13,17anos. Osfatores de risco identificados como mais frequentes foram dislipidemia 80,0%, hereditariedade 70,0%, hipertensão arterial 46,8%, IMC elevado 45,0%, diabetes 40,6%, tabagismo 45,0% e etilismo 62,5%. Oprincipal fator de risco para doença cardiovascular foi a dislipidemia, associada com a hipertensão arterial sistêmica, diabetes mellitus, obesidade e sedentarismo. Osautores concluem que os pacientes com doença de Chagas aguda compartilham os mesmos fatores de risco observados na população geral.

ABSTRACT

In the initial evaluation of patients with Chagas' disease can not ignore the identification of cardiovascular risk factors, especially in the acute phase of the disease. The objective was to analyze the cardiovascular risk factors in patients with acute Chagas disease. This is a retrospective, observational, cross-sectional study of secondary sources, which were reviewed 160 medical records of patients treated at two hospitals for teaching and research from 2009 to 2011. Among the 160patients, 89 (55.63%) were men, the average age was 41.59± 13.17years. The risk factors identified as most frequent were dyslipidemia 80.0%, 70.0% heredity, high blood pressure 46.8%, high BMI 45.0%, 40.6% diabetes, smoking and alcohol consumption 45.0% 62 5%. The main risk factor for cardiovascular disease was the dyslipidemia associated with hypertension, diabetes mellitus, obesity and sedentary lifestyle. The authors conclude that patients with acute Chagas disease share the same risk factors observed in the general population.