Abstract

VARGAS VELAZQUEZ, Jessica María Angélica  and  ESCOBAR SALINAS, Jorge Sebastián. Probability of a coronary event in the next 10 years in diabetic patients according to the Framingham - REGICOR scale. Rev. virtual Soc. Parag. Med. Int. [online]. 2016, vol.3, n.1, pp.53-59. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2016.03(01)53-059.

Introduction: Diabetic patients have a coronary risk 2 to 4 times higher than the one observed in the general population. Objective: To estimate the probability of a coronary event in next 10 years in diabetic patients of the Regional Hospital Regional of Coronel Oviedo, Paraguay. Subjects and methods: Cross-sectional descriptive observational study. Non-probabilistic sampling of consecutive cases by revision of the clinical records of diabetic patients that attended the Department of diabetes during 2013. The instrument used for the estimation of the coronary event was the Framingham Scale calibrated for Spain, known as REGICOR. Results: Eighty two clinical records of diabetic patients aged 30 to 76 years (mean 56.29 ± 11.62 years) were included. Sixty one percent was female and 97.6% had type 2 diabetes mellitus. About fifty six percent (56.1%) has 3 to 4 coronary risk factors, being the most frequent the hyperglycemia (97.6%). Forty six point three has moderate probability of 5 to 9% of a coronary event at 10 years. Conclusion: The most frequent coronary risk factors were hyperglycemia, hypertriglyceridemia and abdominal obesity. Almost half the patients have moderate probability of coronary events at 10 years.

Keywords : diabetes mellitus; coronary event; hypertriglyceridemia; REGICOR.

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