0000000000113915
AUTHOR
Luis Cea-calvo
Hipertrofia ventricular izquierda en la población hipertensa española. Estudio ERIC-HTA
Introduccion y objetivos El objetivo del presente estudio es evaluar la prevalencia de hipertrofia del ventriculo izquierdo (HVI) en el electrocardiograma y el perfil epidemiologico en pacientes hipertensos atendidos en atencion primaria. Pacientes y metodo Estudio transversal, multicentrico, realizado en 15.798 pacientes hipertensos ≥ 55 anos de centros de atencion primaria. Se midio la presion arterial y se recogieron los antecedentes cardiovasculares de la historia clinica de los pacientes. La HVI se evaluo segun los criterios de Cornell. Resultados Se evaluo a 15.798 pacientes (edad media, 68,0 anos; 55,3% mujeres; 30,4% diabeticos). El 20,3% presento HVI en el electrocardiograma. La pr…
Incidence and Management of Recurrence in Patients with Crohn's Disease Who Have Undergone Intestinal Resection: The Practicrohn Study.
Background: More than 50% of patients with Crohn's disease require intestinal resection at least once. Postoperative recurrence (POR) is almost uniform if prophylactic treatment is not started early. Endoscopic monitoring is generally advised. We studied the incidence and management of recurrence in patients who had undergone intestinal resection. Methods: Practicrohn was an observational retrospective study performed in 26 Spanish hospitals including patients aged >= 18 years who underwent Crohn's disease-related ileocolonic resection between January 2007 and December 2010. We recorded preventive treatments, the incidence of clinical recurrence in daily practice, and associated risk factor…
Prevalencia de filtrado glomerular disminuido en la población española de edad avanzada. Estudio PREV-ICTUS
Fundamento y objetivo Estimar la prevalencia de filtrado glomerular (FG) disminuido ( Pacientes y metodo Se analizo el estudio PREV-ICTUS, realizado en una muestra de individuos de 60 anos o mas seleccionada aleatoriamente, estratificada por comunidades autonomas segun el censo y el habitat de atencion. Se recogieron datos demograficos, factores de riesgo y enfermedades cardiovasculares. Se calculo el FG utilizando la formula de MDRD (Modification of Diet in Renal Disease). Resultados En 6.799 individuos (edad media 71,9 anos; 53,6% mujeres; 72,9% con hipertension arterial [HTA]; 27,0% con diabetes mellitus [DM]; 24,3% con enfermedad cardiovascular), el 25,9% presento FG disminuido (interva…
Clinical inertia in diagnosis and treatment of hypertension in primary care: Quantification and associated factors
The objective of the present study was to quantify both diagnostic and therapeutic inertia in hypertension and to identify patient-associated variables.Cross-sectional, multicenter study of 35 424 subjects carried out in 428 health centers and/or primary care clinics in the Valencian Community, Spain, in a preventive activity conducted during 2003 and 2004. Diagnostic inertia was identified when a patient without known hypertension had high blood pressure (BP) but was labeled "normal" by the medical staff, and therapeutic inertia when treatment was not modified for a hypertensive patient on the presence of high BP values. Bivariate and multivariate statistical analyses were performed to ide…
Left Ventricular Hypertrophy in the Spanish Hypertensive Population. The ERIC-HTA Study
Introduction and objectives. Left ventricular hypertrophy (LVH) is the earliest manifestation of cardiac damage in hypertension. Its appearance is associated with a poor cardiovascular prognosis. The objectives of this study were to determine the prevalence of electrocardiographic LVH and to assess the epidemiological characteristics of hypertensive patients receiving primary care. Patients and method. A cross-sectional multicenter study of hypertensive patients aged 55 years or more was carried out in a primary care setting. Blood pressure was measured using the standard method. Cardiovascular history was determined from medical records and LVH was assessed electrocardiographically using C…
Differences in blood pressure control and stroke mortality across Spain: the Prevención de Riesgo de Ictus (PREV-ICTUS) study.
The objective was to assess the stroke risk and prevalence of the cardiovascular risk factors and to analyze their relationship with the specific stroke rates of mortality in each of the autonomic communities of Spain. We conducted a multicenter, cross-sectional study of population >60 years old in Spanish primary care centers. In all of the subjects, clinical, biochemical, and electrocardiographic data were obtained, and the 10-year stroke risk was calculated using the Framingham score. Mortality rates of stroke, age and sex adjusted, were obtained for each of the autonomic communities from the Ministry of Health. A total of 7343 subjects (mean age: 71.6 years, 53.4% women, 34.4% obese…
Evaluación del riesgo de un primer ictus en la población hipertensa española en atención primaria. Estudio ERIC-HTA
Fundamento y objetivo El accidente cerebrovascular (ictus) es una de las principales causas de morbilidad y mortalidad en la poblacion hipertensa. El objetivo de este estudio es estimar el riesgo a 10 anos de experimentar un primer ictus en la poblacion hipertensa espanola aplicando la escala de Framingham. Pacientes y metodo Estudio transversal y multicentrico realizado en centros de atencion primaria de Espana que incluyo a pacientes hipertensos de 55 o mas anos (10 pacientes consecutivos por medico). Se midio la presion arterial (PA) conforme a las normas estandarizadas. Los riesgos se estimaron aplicando las tablas de Framingham para riesgo de ictus y para riesgo de enfermedad coronaria…
Prevalencia de sobrepeso y obesidad en población española de 60 años o más y factores relacionados. Estudio PREV-ICTUS
Fundamento y objetivo: Los datos sobre prevalencia de obesidad en poblacion de edad avanzada en Espana son escasos. El objetivo de este trabajo ha sido describir la prevalencia de obesidad y los factores relacionados en una muestra aleatoria de la poblacion espanola de 60 anos o mas, estratificada por comunidades autonomas (CC.AA.). Sujetos y metodo: Se analizo el estudio PREV-ICTUS, realizado en una muestra seleccionada aleatoriamente entre septiembre y diciembre de 2005, estratificada por CC.AA. segun el censo y el habitat de atencion. Se clasifico a los sujetos segun su indice de masa corporal (IMC) en aquellos con peso normal (IMC < 25), sobrepeso (IMC de 25-29,9) y obesos (IMC $ 30). R…
Concordancia de las escalas REGICOR y SCORE para la identificación del riesgo cardiovascular alto en la población española
Introduction. The aims of this study were to evaluate the consistency between the SCORE (Systematic Coronary Risk Evaluation) and REGICOR (Registre Gironi del Cor) scales in identifying high cardiovascular risk and to describe the characteristics of those individuals for whom scale results were discrepant. Methods. This cross-sectional study involved 8942 subjects aged 40-65 years who had an indication for a complete lipid profile. The agreement between SCORE (for low-risk countries) and Framingham-REGICOR (with a high risk threshold of 10%) scales in classifying patients as high risk was evaluated using the kappa statistic. Subjects for whom there was a discrepancy between classifications …
Colesterol HDL y enfermedad cardiovascular en mujeres hipertensas de España. Estudio RIMHA
Introduccion y objetivos. Evaluar la prevalencia de concentracion baja de colesterol de las lipoproteinas de alta densidad (cHDL), los factores asociados y la relacion con la enfermedad cardiovascular (ECV), en 11.042 mujeres hipertensas de 55 o mas anos de edad. Metodos. Analisis del estudio transversal RIMHA. Se recogieron datos demograficos, bioquimicos, y clinicos. Se analizo la relacion entre cHDL bajo (< 46 mg/dl) y ECV, y entre concentracion de cHDL (quintiles) y ECV mediante modelos multivariables de regresion logistica. Resultados. La prevalencia de cHDL bajo fue del 24,3% (intervalo de confianza [IC] del 95%, 23,5-25,1), y fue mayor en mujeres diabeticas o con ECV. El cHDL bajo se…
Prevalencia de fibrilación auricular en la población española de 60 o más años de edad. Estudio PREV-ICTUS
Introduction and objectives. The aims of this study were to determine the prevalence of atrial fibrillation in individuals aged 60 years or more in Spain using a random sample of the population and to identify associated factors. Methods. An analysis of the PREV-ICTUS study, a randomized cross-sectional population-based study of individuals aged 60 years or more, was carried out. Data on demographic variables, cardiovascular risk factors, and cardiovascular disease were obtained from medical records. The diagnosis of atrial fibrillation was based on the patient’s medical history and an electrocardiogram performed during the study. Results. In the 7108 individuals studied (mean age, 71.9 [7.…
Prevalencia del síndrome metabólico en la población española de 60 años o más. Estudio de base poblacional PREV-ICTUS
Resumen Fundamento y objetivos se dispone de poca informacion sobre el sindrome metabolico (SM) en poblacion de edad avanzada. Los objetivos de este estudio han sido estimar su prevalencia en poblacion general espanola de 60 anos o mas y los factores asociados. Pacientes y metodo se realizo un estudio transversal de ambito poblacional en una muestra aleatoria y representativa de individuos de 60 anos o mas de todo el territorio espanol, estratificada por comunidades autonomas segun censo y habitat de residencia, entre septiembre y diciembre de 2005. Se recogieron datos sociodemograficos, clinicos, bioquimicos y electrocardiograficos. Para la definicion del SM se utilizaron los criterios del…
Blood pressure and estimated risk of stroke in the elderly population of Spain: the PREV-ICTUS study.
Background and Purpose— The objective of this study was to estimate the high blood pressure values and the 10-year risk of stroke in the Spanish general population aged 60 years or older using the Framingham scale. Methods— This was a multicenter, population-based, cross-sectional study performed in Spanish primary care centers. A randomized selection of centers and recruitment population was used. We collected clinical, biochemical, and electrocardiographic data. Results— We analyzed 7343 subjects (mean age, 71.6 years; standard deviation, 7.0; 53.4% females, 34.4% obese subjects, and 27.1% diabetic subjects). Electrocardiographic–left ventricle hypertrophy was present in 12.9% of the sub…