[Incidence of ischemic heart disease in the HERMEX study and its association with classical cardiovascular risk factors].

Autor:	Fernández-Bergés D; Unidad de Investigación, Área Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Fundesalud, Villanueva de la Serena, Badajoz, España. Electronic address: daniel.fernandezb@salud-juntaex.es., Buitrago Ramírez F; Centro de Salud La Paz, Servicio Extremeño de Salud, Badajoz, España., Palomo Cobos L; Centro de Salud Zona Centro, Servicio Extremeño de Salud, Cáceres, España., Lozano Mera L; Centro de Salud Urbano I, Servicio Extremeño de Salud, Mérida, Badajoz, España., González-Fernández MR; Servicio de Cardiología, Hospital Universitario de Badajoz, Servicio Extremeño de Salud, Badajoz, España., Rubini A; Unidad de Investigación, Área Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Fundesalud, Villanueva de la Serena, Badajoz, España., Ramírez Moreno JM; Servicio de Neurología, Hospital Universitario de Badajoz, Servicio Extremeño de Salud, Badajoz, España., Robles Pérez-Monteoliva NR; Servicio de Nefrología, Hospital Universitario de Badajoz, Servicio Extremeño de Salud, Badajoz, España., Félix-Redondo FJ; Centro de Salud Villanueva Norte, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España.
Jazyk:	Spanish; Castilian
Zdroj:	Semergen [Semergen] 2022 Mar; Vol. 48 (2), pp. 88-95. Date of Electronic Publication: 2021 Oct 23.
DOI:	10.1016/j.semerg.2021.09.007
Abstrakt:	Objectives: Knowledge about the incidence of coronary heart disease in our country is scarce and its sources are not comparable. Our aim was to determine the incidence of ischemic heart disease in a population cohort in a 7 years of follow-up, as well as the risk associated with the different classical cardiovascular risk factors. Methods: Cohort study with a population sample of 2833 subjects, selected by the simple random method in a population between 25 and 79, from the Don Benito - Villanueva de la Serena (Badajoz) health area, response rate was 80.5%. All episodes of angina pectoris, lethal and non-lethal myocardial infarction were collected in individuals with no previous history of cardiovascular disease. Cumulative incidences and incidence rates adjusted per 100,000 person-years by sex and overall were calculated. Results: From 2833 initial cohort participants, 103 were excluded due to a history of cardiovascular disease and 61 for losses, 2669 completed the follow-up (94.2%). The median follow-up was 6.9 years (IR 6.5-7.5), 56.4% women; 59 events were recorded. The overall incidence rate of ischemic heart disease was 327 cases/100,000 person-years, corresponding to 470 cases/100,000 for men and 211 cases/100,000 people-years for women. The classical cardiovascular risk factors that were associated with a higher risk of presenting events in the follow-up were dyslipidemia and arterial hypertension, in addition to male sex and age. Conclusions: The incidence of ischemic heart disease in the urban-rural population of Extremadura is high. The classical cardiovascular risk factors most strongly associated with events were dyslipidemia, and arterial hypertension. (Copyright © 2021 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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