Riesgo coronario Framingham. Análisis de población atendida en CESFAM de Pedro Aguirre Cerda.

Authors

  • Raúl Valenzuela Labra Estudiante de Medicina, Facultad de Medicina, Universidad de Chile
  • Josefina Huneeus Estudiante de Medicina, Facultad de Medicina, Universidad de Chile
  • Pablo Valenzuela Labra Estudiante de Medicina, Facultad de Medicina, Universidad de Chile
  • Juan Manuel González Arriaza Estudiante de Medicina, Facultad de Medicina, Universidad de Chile

Abstract

Cardiovascular disease (CVD) are the leading cause of death in Chile and primary prevention is essential. The Cardiovascular Health Program of our country estimates cardiovascular risk (CV) quantitatively with the Framingham equation. However, both domestically and internationally actual coronary risk is overestimated. Framingham risk charts were developed adapted to our population to estimate the overall coronary risk at 10 years. Our objective was to determine the coronary risk of a random sample (n = 295) of a Family Health Center of Pedro Aguirre Cerda, according to Framingham risk charts. 73.4% of hypertensive patients had a low CV risk, highlighting the 87.6% of hypertensive women with low CV risk. In diabetics, 63.1% had a low CV risk, whereas 83.8% of diabetic women had a low CV risk. Unlike the old approach this method seeks to assess overall risk,. This was developed with foreign data because Chile has no follow-up programs for CV surveillance. It needs a longer follow-up time to confirm if these tables are better adjusted to the incidence of coronary events.