Valor de la presión de pulso como marcador de riesgo cardiovascular en mayores de 60 años atendidos por el Servicio de Cardiología del Hospital Luis Vernaza durante el período enero-diciembre 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Existen diversos estudios publicados en los últimos 5 años que han comprobado
que la presión de pulso tiene una relación directa con procesos tales como la
hipertrofia miocárdica, cardiopatía isquémica, insuficiencia cardíaca, estenosis
carotidea, accidente cerebrovascular, insuficiencia renal, y mortalidad
especialmente en el grupo de mayores de 60 años. . El objetivo de la investigación
fue establecer el valor de la presión de pulso como marcador de riesgo
cardiovascular en mayores de 60 años para que pueda ser utilizado por los
médicos de manera oportuna en este grupo poblacional,cumpliendo con los
objetivos 2.8 literal f y el objetivo 3.1 del plan nacional del buen vivir. Este estudio
se realizó el Hospital Luis Vernaza. Los materiales y métodos utilizados, en éste
trabajo están basados en un estudio Retrospectivo, Descriptivo no experimental.
Los datos se obtuvieron de las historias clínicas de cada paciente mayor de 60
años atendidos en el servicio de cardiología durante el año 2014. Se procedió de
forma minuciosa con la recolección de datos de las historias clínicas mediante
formulario. Se incluyó a 200 pacientes con una media de edad 73±9, el 40,5%
fueron mujeres, el 59,5% hombres, la media de la presión arterial sistólica fue 131
± 26mmhg; la media de la presión diastolica fue 72,5 ± 12 mmhg, la media de la
presión de pulso fue 58,5 ±18, el porcentaje de pacientes con DM fue 42,5%, el
porcentaje de pacientes con HTA sistolica aislada fue de 90,5 % y el porcentaje de
pacientes con HTA fue de 90,5%. Los terciles de la presión de pulso fueron: tercíl
1, ≤ 50 mmhg, tercíl 2, 51-59 mmhg, tercíl 3, ≥ 60 mmhg. Se observo que el tercíl
3 se asocia a mayor prevalencia de HTA sistólica aislada, Insuficiencia Cardiaca y
Síndrome Coronario Agudo y mortalidad por causa cardiovascular. Se concluye
que el aumento de la presion de pulso ≥60 mmhg es un marcador de riesgo
cardiovascular independiente en mayores de 60 años.
There are several studies published in the last 5 years that have verified that pulse pressure is directly related to processes such as myocardial hypertrophy, ischemic heart disease, heart failure, stenosis carotid, stroke, kidney failure, and mortality especially in the group of over 60 years. . The objective of the investigation was to establish the value of pulse pressure as a risk marker cardiovascular in over 60 years so that it can be used by doctors in a timely manner in this population group, complying with the objectives 2.8 literal f and objective 3.1 of the national plan of good living. This studio Luis Vernaza Hospital was held. The materials and methods used, in this work are based on a Retrospective, Descriptive, non-experimental study. Data was obtained from the medical records of each patient older than 60 years attended in the cardiology service during 2014. We proceeded from Thoroughly collecting data from medical records using form. 200 patients with a mean age of 73 ± 9, 40.5% were included were women, 59.5% men, the mean systolic blood pressure was 131 ± 26mmhg; the mean diastolic pressure was 72.5 ± 12 mmhg, the mean of the pulse pressure was 58.5 ± 18, the percentage of patients with DM was 42.5%, the percentage of patients with isolated systolic hypertension was 90.5% and the percentage of patients with HTN was 90.5%. The tertiles of the pulse pressure were: tertile 1, ≤ 50 mmhg, tertile 2, 51-59 mmhg, tertile 3, ≥ 60 mmhg. It was observed that the tertile 3 is associated with a higher prevalence of isolated systolic hypertension, heart failure, and Acute Coronary Syndrome and cardiovascular mortality. It concludes that increased pulse pressure ≥60 mmhg is a risk marker independent cardiovascular in over 60 years.
There are several studies published in the last 5 years that have verified that pulse pressure is directly related to processes such as myocardial hypertrophy, ischemic heart disease, heart failure, stenosis carotid, stroke, kidney failure, and mortality especially in the group of over 60 years. . The objective of the investigation was to establish the value of pulse pressure as a risk marker cardiovascular in over 60 years so that it can be used by doctors in a timely manner in this population group, complying with the objectives 2.8 literal f and objective 3.1 of the national plan of good living. This studio Luis Vernaza Hospital was held. The materials and methods used, in this work are based on a Retrospective, Descriptive, non-experimental study. Data was obtained from the medical records of each patient older than 60 years attended in the cardiology service during 2014. We proceeded from Thoroughly collecting data from medical records using form. 200 patients with a mean age of 73 ± 9, 40.5% were included were women, 59.5% men, the mean systolic blood pressure was 131 ± 26mmhg; the mean diastolic pressure was 72.5 ± 12 mmhg, the mean of the pulse pressure was 58.5 ± 18, the percentage of patients with DM was 42.5%, the percentage of patients with isolated systolic hypertension was 90.5% and the percentage of patients with HTN was 90.5%. The tertiles of the pulse pressure were: tertile 1, ≤ 50 mmhg, tertile 2, 51-59 mmhg, tertile 3, ≥ 60 mmhg. It was observed that the tertile 3 is associated with a higher prevalence of isolated systolic hypertension, heart failure, and Acute Coronary Syndrome and cardiovascular mortality. It concludes that increased pulse pressure ≥60 mmhg is a risk marker independent cardiovascular in over 60 years.
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PRESION ARTEREAL, ANCIANO, RIESGO CARDIOVASCULAR, ESTUDIOS RETROSPECTIVOS, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR