Frecuencia de dislipidemias y determinación del riesgo cardiovascular en pacientes con hipertensión arterial sistémica

Abstract

Objective: to determine the frequency of dyslipidemia and cardiovascular risk (CVR) in patients with systemic arterial hypertension (SAH) in a family medicine unit. Methods: analytical cross-sectional study conducted at the Family Medicine Unit No. 26 of the Mexican Institute of Social Security (IMSS) in Acapulco, Mexico, which included 150 patients with a confirmed diagnosis of systemic arterial hypertension in the electronic clinical record, obtained by non-probabilistic sampling by convenience, from November 2020 to May 2021. It was applied a questionnaire to obtain sociodemographic information, somatometry, laboratory tests, and the cardiovascular risk was assessed with the Globorisk estimation table. Descriptive statistics, bivariate and multivariate analysis were performed with the obtained data.

Results: the frequency of dyslipidemia was 56.7% (n= 85), with a greater distribution in women 67% (n= 57), female to male ratio 2:1, 22.7% (n= 34) had mixed hyperlipidemia. 48% (72/150) presented moderate cardiovascular risk. Being a man and having a glomerular filtration rate <60 ml/min/1.27m2sc increased the possibility of presenting high cardiovascular risk.

Conclusion: moderate cardiovascular risk was observed in almost half of the patients. Being male and having a gfr <60 ml/min/1.27m2sc increased the risk of presenting high cvr.