Resultados hospitalarios de la cirugía del reemplazo valvular aórtico: el punto de referencia para el implante valvular transcatéter / In-hospital Outcomes of Surgical Aortic Valve Replacement: the Benchmark for Transcatheter Valve Implant
Rev. argent. cardiol
; 86(3): 121-125, jun. 2018.
Article
em Es
|
LILACS-Express
| LILACS
| ID: biblio-1003198
Biblioteca responsável:
AR1.1
RESUMEN
RESUMEN Objetivos:
Analizar en octononagenarios los factores de riesgo cardiovasculares, la medicación y el cumplimiento de las metas en prevención cardiovascular. Material ymétodos:
Estudio descriptivo, multicéntrico, de muestras consecutivas que incluyó sujetos ≥ 80 años. Se evaluaron las metas de C-LDL (< 130 y < 100 mg/dL en prevención primaria y secundaria), presión arterial (< 150/90 mmHg) y HbA1c (< 7%).Resultados:
Se incluyeron 265 pacientes (mujeres 54,0%, edad 85,0 ± 4 años). El 74,3%, 47,5%, 4,5% y 16,2% mostró hipertensión arterial, dislipidemia, tabaquismo o diabetes, respectivamente. El 26,2% recibía ≥ 3 antihipertensivos, el 18,5% (prevención primaria) y 58,3% (prevención secundaria) aspirina y el 50,6% estatinas. El 80,8% alcanzó la meta de presión arterial, el 67,4% y 63,9% alcanzó los objetivos de C-LDL (prevención primaria y secundaria) y el 76,9% mostró control glucémico.Conclusión:
La prevalencia de factores de riesgo fue considerable, y alcanzó una gran proporción de pacientes las metas recomendadas.ABSTRACT
SUMMARY:
Objectives:
The aim of this study was to analyze cardiovascular risk factors, medication and cardiovascular prevention goals achieved in an octo/nonagenarian population.Methods:
This was a descriptive, multicenter study of consecutive samples that included subjects ≥80 years. LDL-C (<130 and <100 mg / dL in primary and secondary prevention), blood pressure (<150/90 mmHg), and HbA1c (<7%) goals were evaluated.Results:
A total of 265 patients were included in the study (women 54.0%, age 85.0±4 years). History of hypertension, dyslipidemia, smoking, or diabetes was present in 74.3%, 47.5%, 4.5% and 16.2% of patients, respectively. In 26.2% received ≥3 antihypertensive drugs, 18.5% (primary prevention) and 58.3% (secondary prevention) received aspirin, and 50.6% received statins. The blood pressure goal was fulfilled in 80.8% of cases. The LDL-C goals were attained in 67.4% (primary prevention) and 63.9% (secondary prevention) patients and 76.9% showed glycemic control.Conclusion:
The prevalence of risk factors was significant, with a high proportion of patients achieving the recommended goals.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Tipo de estudo:
Clinical_trials
/
Risk_factors_studies
Idioma:
Es
Revista:
Rev. argent. cardiol
Assunto da revista:
CARDIOLOGIA
/
Doenas Cardiovasculares
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Argentina
País de publicação:
Argentina