Affordable Access

deepdyve-link
Publisher Website

Lipid control and associated risk factors, before suffering from the first cardiovascular event.

Authors
  • Oriol Torón, Pilar Ángeles1
  • Badía Farré, Teresa2
  • Romaguera Lliso, Amparo3
  • 1 Medicina Familiar y Comunitaria, ABS Martorell, SAP Alt Penedès-Garraf-Baix Llobregat Nord, DAP Costa de Ponent, Institut Català de la Salut, Barcelona, España. Electronic address: [email protected]
  • 2 Medicina Familiar y Comunitaria, ABS Martorell, SAP Alt Penedès-Garraf-Baix Llobregat Nord, DAP Costa de Ponent, Institut Català de la Salut, Barcelona, España.
  • 3 Atención primaria, Costa de Ponent, Institut Català de la Salut, Barcelona, España.
Type
Published Article
Journal
Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis
Publication Date
Jan 01, 2019
Volume
31
Issue
4
Pages
141–151
Identifiers
DOI: 10.1016/j.arteri.2018.12.002
PMID: 30770220
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

To ascertain the degree of lipidic control before the first cardiovascular accident in population attended during 2013 at Primary Care. To analyze the distribution of these events depending on control intervals of cholesterol LDL (LDL-chol), cholesterol HDL (HDL-chol) and triglycerides (TG). A multicentric cross-sectional, descriptive study on above 18-year-old people attended at the centres of the Primari Care Service (PCS) Baix Llobregat Nord, who had suffered a first cardiac or cerebral ischemic attack from 01/01/2013 to 31/12/2013. Variables collected included age,sex, smoking, high blood preassure,diabetes, dyslipidemia (DLP), obesity, total cholesterol (chol-tot), LDL-chol, HDL-chol, TG, systolic and diastolic blood preassure (SBP,DBP), IMC, HbA1c, atherogenic indices, REGICOR, drugs. 379 affected people, among them 197 (52%) heart attack and 182 (48%) stroke (ictus). Two hundred and twenty-five (54.4%) males, diagnosis median age 68.9 years (DS 13.7), 71.2 (DS 14.4) in CV (p: .001). High blood preassure 214 (56.5%), diabetes 113 (29.8%), DLP 193 (50.9%). Cases in LDL<100-159: 88%, HDL≥40/50: 72.8%, TG<150: 71.3%. chol-tot average: 198.3 mg/dl (DS 40.2), LDL-chol:121 (DS 33.8), LDL-chol<130:170 (58.6%). HDL-chol average: 52.5 mg/dl (DS 15.4) and TG: 130.9 mg/dl (DS 73.2) (CI:139.5 [DS 84.2] vs. CV: 120.9 [DS 55.9] [p: .003]). Optimal chol-tot/HDL-chol 67%, optimal TG/HDL-chol 39.8%. CI:optimal chol-tot/HDL-chol male vs. female: 51.2% vs. 76.9% (p: .002); optimal TG/HDL-chol male vs. female: 28% vs. 53.8% (p: .004). The quantity of events was similar in both cardiac and cerebral territories, whereas the median age in the diagnosis was a little higher in CV. High blood preassure, DLP and obesity are the most prevalent FRCV, and its control at primary prevention is improvable. Most of the cases were grouped in the LDL lipid ranges <100-159mg/dl, HDL ≥ 40/50mg/dl and TG <150mg/dl. Copyright © 2019 Sociedad Española de Arteriosclerosis. Publicado por Elsevier España, S.L.U. All rights reserved.

Report this publication

Statistics

Seen <100 times