Factores de riesgo de las urgencias hipertensivas: Policlínico "Raúl Sánchez", 2008 / Risk factors on the emergencies of hypertension. "Raul Sanchez" Teaching Outpatient Clinic. 2008
Abstract
Se realizó un estudio de casos y controles en pacientes con hipertensión arterial (HTA), para identificar los factores riesgo de aparición de la urgencia hipertensiva en el primer trimestre del año 2007 en el Policlínico Raúl Sánchez. Se analizaron 100 casos y 200 controles de forma aleatoria, 1:2. El sexo masculino cuadruplicó el riesgo (OR 4,45; IC 1,98-10,12; p 0,000) y la edad mayor de 65 años lo elevó casi 12 veces (OR 11,87; IC 4,91- 29,33; p 0,000). El tabaquismo cuadruplicó el riesgo (OR 4,89; IC 1,99-12,97; p 0,000). De los factores premórbidos, la hipercolesterolemia septuplicó el riesgo (OR 7,21; IC 3,05-17,30; p 0,000), seguida del sedentarismo (OR 6,69; IC 2,79-16,26; p 0,000), entre otros. No tener la tensión arterial controlada duplicó el riesgo (OR 2,30; IC 1,07-4,99; p 0,000). El grado de hipertensión muy severo casi quintuplica el riesgo (OR 4,96; IC 1,97-12,65; p 0,000).
Palabras clave: Hipertensión arterial, urgencia hipertensiva, factores de riesgo.
ABSTRACT
A case-control study was conducted with hypertensive patients aimed at identifying the risk factors on the onset of emergencies during the first term of 2007 at "Raul Sanchez" Teaching Outpatient Clinic. One hundred (100) cases and 200 controls at random were analyzed, 1:2. In male sex the risk increased four-folds (OR 4,45; CI 1,98-10,12; p 0,000) and the age older than 65 years old increased it twelve times (OR 11,87; CI 4,91- 29,33; p 0,000). Smoking increased the risk four-folds (OR 4,89; CI 1,99-12,97; p 0,000). Out of the premorbid factors, hypercholesteremia increased the risk six times (OR 7,21; CI 3,05-17,30; p 0,000), followed by sedentary lifestyle (OR 6,69; CI 2,79-16,26; p0, 000), among others. Uncontrolled blood pressure doubled the risk (OR 2,30; IC 1,07-4,99; p 0,000). Severe hypertension nearly increased the risk five times (OR 4,96; CI 1,97-12,65; p 0,000).
Key words: Hypertension/emergency; risk factors.
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References
1. The Seven Report of the Joint National Comitte on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Arch Intern Med. 2003; 158:2.413-2. 446.
2. Corsi, Paulo C; Hirosawa, Renata; Duarte, Daniella; Azevedo, Paula S; Minicucci, Marcos F; Matsui, Mirna and et all. Clinical profile and predictors of mortality in patients with hypertensive emergency. Rev. Soc. Bras. Clin. Med. 2007; 5 (4):114-118.
3. Fernández-Escribano Hernández M, Suárez Fernández C, Sáez Vaquero T, Blanco F, Alonso Arroyo M, Rodríguez Salvanés F, and et all Relationship between pulse pressure and clinical cardiovascular damage in elderly subjects of EPICARDIAN study. Rev Clin Esp. 2007; 207(6):284-90.
4. Seo HJ, Kim SG, Kim CS, Chang YK, Park IG. The incidence and risk factors of hypertension that developed in a male-workers' cohort for 3 years] J Prev Med Pub Health.2006 ;39(3):229-34.
5. Lozano JV, Redón J, Cea-Calvo L, Fernández-Pérez C, Navarro J, Bonet A et al. Hipertrofia ventricular izquierda en la población hipertensa española. Estudio ERIC-HTA. Rev Esp Cardiol. 2006; 59 (02):136-42.
6. Corsi, PC; Hirosawa, R; Duarte, D; Azevedo, PS; Minicucci, MF; Matsui, M and et all. Clinical profile and predictors of mortality in patients with hypertensive emergency.Rev. Soc. Bras. Clin. Med.2007; 5(4):114-118.
7. Mainous AG 3rd, Koopman RJ, Diaz VA, Everett CJ, Wilson PW, Tilley BC. A coronary heart disease risk score based on patient-reported information. Am J Cardiol. 2007 May 1; 99(9):1236-41.
8. Agusti Campos, Régulo. Epidemiología de la hipertensión arterial en el Perú / Epidemiology of arterial hypertension in Peru.Acta med. peru. 2006; 23(2):69-75. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172006000200005&lng=es
9. Marín A, Medrano MJ, González J, Pintado H, Compaired V, Bárcena M, and et all. Risk of ischaemic heart disease and acute myocardial infarction in a Spanish population: observational prospective study in a primary-care setting. BMC Public Health. 2006; 17; 6:38.
10. Parikh NI, Pencina MJ, Wang TJ, Benjamin EJ, Lanier KJ, Levy D and et all. A risk scores for predicting near-term incidence of hypertension: the Framingham Heart Study. Ann Intern Med. 2008 Jan 15; 148(2):102-10.
11. Hippisley-Cox J, Coupland C, Vinogradova Y, Robson J, May M, Brindle P.Derivation and validation of QRISK, a new cardiovascular disease risk scores for the United Kingdom: prospective open cohort study. BMJ. 2007 Jul 21; 335(7611):136.
12. Miranda Guerra AJ y Hernández Vergel LL, Presencia de factores de riesgo coronarios en una localidad de Belice. Rev Cubana Med Gen Integr 2006; 22 (2):1. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252006000200013&lng=es.
13. Álvarez Aliaga A, Rodríguez Blanco L y Chacón Parada T, Factores de riesgo de la miocardiopatía hipertensiva. Rev cubana med. 2007; 46(1):Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232007000100003&lng=es.
14. Aguilar Hernández, I; Vázquez Aguilar, JL; Benítez Maqueira, B; Perera Milián, LS; Pérez Hernández, I. Influencia del ejercicio físico en algunos factores de riesgo de la cardiopatía isquémica. Rev. Cuba. med. gen. integr 2007;23(2):Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252007000200005&lng=es.
15. Rodríguez-Roca GC, Alonso-Moreno FJ, Barrios V, Llisterri JL, Lou S, Matalí A, and et all.[Blood pressure findings in Spanish dyslipidemic primary-care patients. LIPICAP-PA Study] Rev Esp Cardiol. 2007; 60(8):825-32.
16. Lee DS, Massaro JM, Wang TJ, Kannel WB, Benjamin EJ, Kenchaiah S, Levy D, D'Agostino RB Sr, Vasan RS.Antecedent blood pressure, body mass index, and the risk of incident heart failure in later life. Hypertension. 2007; 50(5):869-76.
17. Salas Zarauz, AE; Battilana Guanilo, CA. Sal, riñon e hipertensión. Acta med. peru. 2006; 23(2):83-86. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172006000200007&lng=es&nrm=iso&tlng=es
18. Alegría-Ezquerra, Gnozález-Juanatey JR. Cardiopatía hipertensiva: propuesta de clasificación clínica. Rev Esp Cardiol. 2006; 59:398-9.
19. Fernández-Escribano Hernández M, Suárez Fernández C, Sáez Vaquero T, Blanco F, Alonso Arroyo M, Rodríguez Salvanés F and et all. [Relationship between pulse pressure and clinical cardiovascular damage in elderly subjects of EPICARDIAN study] Rev Clin Esp. 2007; 207(6):284-90.
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