Enfermedad cerebrovascular en pacientes con comorbilidades de diabetes mellitus e hipertensión arterial. Estudio a realizar en el Hospital Universitario de Guayaquil período 2014 - 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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La enfermedad cerebrovascular hace referencia a cualquier alteración, transitoria o permanente, de una o varias áreas del encéfalo como consecuencia de un trastorno de la circulación cerebral. Lo que llegamos a comprobar con nuestro estudio es similar a las investigaciones internacionales. En el Hospital Universitario durante el período de investigación se dieron los siguientes resultados; mayor prevalencia en el 2014 con el 59% (61 casos). Los principales factores de riesgo de la enfermedad cerebrovascular fueron; en primer lugar la hipertensión arterial con el 23% (67 casos), seguido de la obesidad con 20% (59 casos). Tenemos que de las comorbilidades asociadas la que más se presentó fue la hipertensión arterial más obesidad con el 46% (37 casos). Dentro de las características epidemiológicas de la enfermedad cerebrovascular tenemos que el género sexual en el que más se presentó fue el femenino con el 60% (62 casos).El grupo etario más frecuente fue los adultos mayores con el 38% (40 casos). (29 casos). Tenemos que de los 104 casos investigados que 51 eran diabéticos pero se presentaron hiperglicemias >200mg/dL en el 33% (34 casos), hipoglicemias <70mg/dL en el 18% (19 casos). El 33% (32 casos) ingresaron con una emergencia hipertensiva. Para concluir pudimos determinar que el tipo de enfermedad cerebrovascular que más predomino fue el Isquémico con el 52%(54 casos), seguido del hemorrágico con el 35% (36 casos).
Cerebrovascular disease refers to any alteration, temporary or permanent, of one or varias areas of the brain as a result of a disorder of the cerebral circulation. What arrived to check with our study is similar to international investigations. University Hospital during the investigation period gave the following results; higher prevalence in 2014 with 59% (61 cases). The main risk factors for cerebrovascular disease were; first blood pressure with 23% (67 cases), followed by 20% obesity (59 cases). We have associated comorbidities showed that more was more obesity hypertension 46% (37 cases). Among the epidemiological characteristics of cerebrovascular disease we have that sexual gender in which more was presented was the female with 60% (62 cases) .The most common age group was the elderly with 38% (40 cases). (29 cases). We have investigated 104 cases of which 51 were diabetic but had hyperglycemia> 200 mg / dL in 33% (34 cases), hypoglycemia <70 mg / dL in 18% (19 cases). 33% (32 cases) were admitted with a hypertensive emergency. In conclusion we determined that the type of cerebrovascular disease was the most predominant Ischemic to 52% (54 cases), followed by hemorrhagic with 35% (36 cases).
Cerebrovascular disease refers to any alteration, temporary or permanent, of one or varias areas of the brain as a result of a disorder of the cerebral circulation. What arrived to check with our study is similar to international investigations. University Hospital during the investigation period gave the following results; higher prevalence in 2014 with 59% (61 cases). The main risk factors for cerebrovascular disease were; first blood pressure with 23% (67 cases), followed by 20% obesity (59 cases). We have associated comorbidities showed that more was more obesity hypertension 46% (37 cases). Among the epidemiological characteristics of cerebrovascular disease we have that sexual gender in which more was presented was the female with 60% (62 cases) .The most common age group was the elderly with 38% (40 cases). (29 cases). We have investigated 104 cases of which 51 were diabetic but had hyperglycemia> 200 mg / dL in 33% (34 cases), hypoglycemia <70 mg / dL in 18% (19 cases). 33% (32 cases) were admitted with a hypertensive emergency. In conclusion we determined that the type of cerebrovascular disease was the most predominant Ischemic to 52% (54 cases), followed by hemorrhagic with 35% (36 cases).
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Trastornos cerebrovasculares, Diabetes mellitus, Hipertensión, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Comorbilidad