Obligatoriedad de evaluacion de consultorio de riesgo cardiovascular? Experiencia de Obra Social en Cordoba

HERNAN A. PEREZ; NESTOR H. GARCIA; J DAVID SPENCE; LUIS J. ARMANDO

Mendoza

Congreso; XXXII Congreso nacional de Cardiologia; 2014

Federacion Argentina de Cardiologia

Although the positive family history for premature cardiovascular events (FHPC VE) has been considered a putative risk factor for decades, it has not been incorporated along with other established risk factors such as hyperlipidemia, hypertension, and cigarette smoking in the daily clinical practice when physicians evaluates the cardiovascular risk of a patient. One of the reason may be the presence of multiple risk factors coexisting during these evaluations. Our objective was to investigate if patients with a family history of premature cardiovascular events have higher total plaque area than patients without it, in the absence of other classical risk factors. Design and method. Patients from the primary prevention database of Blossom DMO program were identified to have positive FHPC VE. After apply excluding criteria (absence of any classical risk factor) 23 patients qualified. A control group was generated reaching same data in variables (blood pressure, age, body weight, LDL cholesterol), except carotid total plaque area which was reported at the end of groups formation, once both groups were formed. We used the same definition as the Framingham study (family history of