Factores etiológicos y complicaciones del síndrome metábolico, estudio a realizarse en el Hospital Clínica San Francisco período 2014-2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El Síndrome Metabólico (SM) es un conjunto de factores de riesgo cardiovascular de elevado grado de morbimortalidad y con gran relevancia epidemiológica ya que conlleva a un grave problema sanitario. Está formado por Obesidad Central y/o Global, insulinorresitencia, Hipertensión Arterial y alteraciones a nivel del colesterol, que de acuerdo al criterio ATPIII con tres de ellos ya definimos al SM y que de no revertir en el tiempo este estado metabólico llevaría a tener ateroesclerosis, Diabetes Mellitus, Cardiopatía Isquémica y muerte.
En un estudio realizado en el Hospital Clínica San Francisco para determinar la frecuencia de SM en los pacientes ingresados durante los años 2014 a 2015 se determinará el grado de impacto de este síndrome y las complicaciones que abarca el trato no adecuado en atención primaria del mismo.
Los resultados fueron los siguientes:
Del número de pacientes encuestados (120) el 35% correspondió al año 2014 y el 65% al año 2015. La distribución de síndrome metabólico por edad fue mayor en los pacientes de 41 a 60 años con un 39,9%, seguido de los pacientes de 37 a 40 años en un 37,8 % siendo de menor cantidad los mayores de 60 años con un 22,4%.
Con respecto al género sexual el género femenino tuvo una prevalencia del 58% en relación al masculino en un 42%. Según manifestaciones clínicas HDL y triglicéridos elevados predominaron en los pacientes en un 76,2%, HTA 18,9%, Hiperglicemia 4,9%. En los pacientes evaluados mencionaron tener factor de riesgo un 86% y los que no un 14%, entre los factores de riesgo tenemos HTA 4%, diabetes Mellitus 25%, dislipemia 14%, obesidad grado II 57%.En cuanto a antecedentes patológicos personales refirieron tenerlos en un 22,4 % y frente a los que no en un 77,6%; entre estos tenemos Dislipidemia 16%, HTA 22%, Diabetes Mellitus 27%, obesidad grado II 29%.Esto nos demuestra que no existe la definición conceptual de síndrome metabólico tanto como la frecuencia con que se presenta y lo que ello significa.
Metabolic syndrome (MS) is a set of cardiovascular risk factors high degree of morbidity and mortality and with great epidemiological relevance and leads to a serious health problem. It consists of Obesity Central and / or Global, insulinorresitencia, Hypertension and abnormalities in cholesterol, which according to the criteria ATPIII with three of them have already defined the SM and not reverse in time this metabolic state would have atherosclerosis, diabetes mellitus, ischemic heart disease and death. In a study at the Clinic San Francisco Hospital to determine the frequency of MS in patients admitted during the years 2014-2015 the degree of impact of this syndrome and complications that encompasses not adequate treatment in primary care of it will be determined. The results were: The number of patients surveyed (120) corresponded to 35% by 2014 and 65% by 2015. The distribution of metabolic syndrome by age was higher in patients 41 to 60 years with 39.9%, followed by patients 37-40 years 37.8% lower amount being older than 60 years with 22.4%. With regard to gender to female gender he had a prevalence of 58% compared to 42% male. According to clinical manifestations HDL and high triglycerides in patients predominated in 76.2%, hypertension 18.9%, 4.9% Hyperglycemia. In the evaluated patients they have mentioned risk factor 86% and not 14%, among the risk factors 4% have hypertension, diabetes mellitus 25%, 14% dyslipidemia, obesity grade II 57%. As for personal medical history was referred to them by 22.4% and compared to those not in 77.6%; Dyslipidemia among these are 16%, 22% hypertension, 27% diabetes mellitus, obesity grade II 29%. This shows that there is no conceptual definition of metabolic syndrome as well as the frequency with which it is presented and what it means.
Metabolic syndrome (MS) is a set of cardiovascular risk factors high degree of morbidity and mortality and with great epidemiological relevance and leads to a serious health problem. It consists of Obesity Central and / or Global, insulinorresitencia, Hypertension and abnormalities in cholesterol, which according to the criteria ATPIII with three of them have already defined the SM and not reverse in time this metabolic state would have atherosclerosis, diabetes mellitus, ischemic heart disease and death. In a study at the Clinic San Francisco Hospital to determine the frequency of MS in patients admitted during the years 2014-2015 the degree of impact of this syndrome and complications that encompasses not adequate treatment in primary care of it will be determined. The results were: The number of patients surveyed (120) corresponded to 35% by 2014 and 65% by 2015. The distribution of metabolic syndrome by age was higher in patients 41 to 60 years with 39.9%, followed by patients 37-40 years 37.8% lower amount being older than 60 years with 22.4%. With regard to gender to female gender he had a prevalence of 58% compared to 42% male. According to clinical manifestations HDL and high triglycerides in patients predominated in 76.2%, hypertension 18.9%, 4.9% Hyperglycemia. In the evaluated patients they have mentioned risk factor 86% and not 14%, among the risk factors 4% have hypertension, diabetes mellitus 25%, 14% dyslipidemia, obesity grade II 57%. As for personal medical history was referred to them by 22.4% and compared to those not in 77.6%; Dyslipidemia among these are 16%, 22% hypertension, 27% diabetes mellitus, obesity grade II 29%. This shows that there is no conceptual definition of metabolic syndrome as well as the frequency with which it is presented and what it means.
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SINDROME METABOLICO, ETIOLOGIA, HOSPITAL CLINICA SAN FRANCISCO, CANTON GUAYAQUIL, ECUADOR, COMPLICACIONES