Incidencia de eventos cerebrovascular isquémico en pacientes hipertensos con hiperuricemia, mayores de 50 años en el hospital “Dr. Teodoro Maldonado Carbo” en el período comprendido entre enero 2009 y enero 2015
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Se determinará la incidencia de evento cerebro vascular isquémico (ECVi) en los pacientes hipertensos con hiperuricemia, mayores de 50 años, mediante un estudio descriptivo y retrospectivo, en 286 pacientes hipertensos hiperuricemicos atendidos en el Hospital “Dr. Teodoro Maldonado Carbo” de enero 2009 a enero 2015. Los datos se obtuvieron de historias clínicas, y fueron procesados con el programa “Excel”.
De los 286 pacientes, 152 fueron mujeres (53%), y 134 fueron hombres (47%); del total, 81 (28.32%), presentaron un ECVi, se obtuvo una incidencia general promedio de 24x100 pacientes al año, y una incidencia por sexo de 30% en mujeres y del 26% en hombres; el tipo más frecuente de lesión en estos pacientes fue el infarto lacunar múltiple.
La incidencia de ECVi en este tipo de pacientes es significativamente mayor comparada con la incidencia en hipertensos en general (En este Hospital, 1.2 por cada 100 pacientes al año). Se recomienda la realización de estudios posteriores que permitan demostrar, con el control adecuado de las variables y los sesgos, la independencia de la hiperuricemia como factor de riesgo en estos pacientes.
The incidence of stroke in hypertensive patients with hyperuricemia, over 50 years will be determined by a descriptive and retrospective study on 286 hyperuricemic hypertensive patients treated at the Hospital "Dr. Teodoro Maldonado Carbo "January 2009 to January 2015. Data were collected from medical records, and processed with the" Excel ". Of the 286 patients, 152 were women (53%) and 134 (47%) were men. 81 patients (28.32%), presented a stroke, an incidence of 24x100 patients for year. The incidence was obtained by sex 30% women and 26% men; the most common type of injury in these patients was lacunar infarction. Stroke’s incidence in these patients is significantly higher compared to the incidence in hypertensive patients in general (in this hospital, 1.2 per 100 patients for year). Conducting further studies to demonstrate, with proper control of variables and biases, independence of hyperuricemia as a risk factor in these patients is recommended
The incidence of stroke in hypertensive patients with hyperuricemia, over 50 years will be determined by a descriptive and retrospective study on 286 hyperuricemic hypertensive patients treated at the Hospital "Dr. Teodoro Maldonado Carbo "January 2009 to January 2015. Data were collected from medical records, and processed with the" Excel ". Of the 286 patients, 152 were women (53%) and 134 (47%) were men. 81 patients (28.32%), presented a stroke, an incidence of 24x100 patients for year. The incidence was obtained by sex 30% women and 26% men; the most common type of injury in these patients was lacunar infarction. Stroke’s incidence in these patients is significantly higher compared to the incidence in hypertensive patients in general (in this hospital, 1.2 per 100 patients for year). Conducting further studies to demonstrate, with proper control of variables and biases, independence of hyperuricemia as a risk factor in these patients is recommended
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HIPERURICEMIA, HIPERTENSION, ENDOTELIO, Isquemia encefálica, FACTORES DE RIESGO, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR, ACCIDENTE CEREBROVASCULAR ISQUEMICO