Assessing the feasibility of the Healthy Life in Suriname Study: using advanced hemodynamics to evaluate cardiovascular risk.

Autor:	Aartman JQ; Department of Cardiology, Academic Hospital of Paramaribo, Paramaribo, Suriname., Diemer FS; Department of Cardiology, Academic Hospital of Paramaribo, Paramaribo, Suriname., Karamat FA; Department of Vascular Medicine, Academic Medical Center, Amsterdam, the Netherlands., Bohte E; Department of Vascular Medicine, Academic Medical Center, Amsterdam, the Netherlands., Baldew SM; Department of Physiotherapy, Anton de Kom University of Suriname, Paramaribo, Suriname., Jarbandhan AV; Department of Physiotherapy, Anton de Kom University of Suriname, Paramaribo, Suriname., van Montfrans GA; Department of Internal Medicine, Academic Medical Center, Amsterdam, the Netherlands., Oehlers GP; Department of Cardiology, Academic Hospital of Paramaribo, Paramaribo, Suriname., Brewster LM; Department of Internal Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	Revista panamericana de salud publica = Pan American journal of public health [Rev Panam Salud Publica] 2017 Jun 08; Vol. 41, pp. e46. Date of Electronic Publication: 2017 Jun 08.
Abstrakt:	Objectives: To determine the feasibility of assessing population cardiovascular risk with advanced hemodynamics in the Healthy Life in Suriname (HELISUR) study. Methods: This was a preliminary study conducted in May - June 2012 using the Technical-Economic-Legal-Operational-Scheduling (TELOS) method to assess the feasibility of the HELISUR-a large-scale, cross-sectional population study of cardiovascular risk factors and disease in Suriname. Suriname, a middle-income country in South America with a population of mostly African and Asian ethnicity, has a high risk of cardiovascular disease. A total of 135 volunteers 18 - 70 years of age participated. A health questionnaire was tested in a primary health care center, and non-invasive cardiovascular evaluations were performed in an academic health center. The cardiovascular evaluation included sitting, supine, and standing blood pressure, and intermediate endpoints, such as cardiac output, peripheral vascular resistance, pulse wave velocity, and augmentation index. Results: The TELOS testing found that communicating by cellular phone was most effective for appointment adherence, and that completion of the questionnaire often required assistance from a trained interviewer; modifications to improve the clarity of the questions are recommended. Regarding the extended cardiovascular assessments of peripheral and central hemodynamics, the findings showed these to be technically and operationally feasible and well tolerated by participants, in terms of burden and duration. Conclusions: Findings of this feasibility assessment indicate that large-scale, detailed evaluations of cardiovascular risk, including a questionnaire and advanced central and peripheral hemodynamics, are feasible in a high-risk population in a middle-income setting.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu