Perfil bioquímico del riesgo cardiovascular en población extremeña y su relación con la asistencia nefrológica

Abstract

Cardiovascular disease remains the leading cause of mortality in Extremadura. High prevalence of cardiovascular risk factors could be the reason. The aim of our study was to analyse the prevalence of biochemical cardiovascular risk factors and to stratify cardiovascular risk in general population. Material and Methods.- We collected all laboratory investigations from Primary Care along five years. Prevalence of diabetes, impaired fasting glucose, dyslipidaemia, reduced renal function and/or elevated urinary excretion of albumin. Cardiovascular risk was stratified according to different functions. Equations to estimate glomerular filtration rate were compared. Need for statins use was determinated according to cholesterol treatment guidelines. Results.- 304.523 laboratory investigations from 97.470 patients were analysed. Prevalence of diabetes and dyslipidaemia was 4.5 and 53.4%. Renal damage was present in 7.6%. High cardiovascular risk was present in 5.8 to 35.7% depending on cardiovascular function used. Need for statins use was 5 to 35%. Only 1% of patients required referral to Nephrology. Conclusions.- There is a high prevalence of cardiovascular risk factors in Extremadura. Until 33% of patients are stratified as high cardiovascular disease after a laboratory investigation. And 33% of patients required statins.