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H 039 EPIDEMIOLOGIC PROFILE OF PATIENTS SUBMITTED TO CORONARY ANGIOPLASTY IN UNIVERSITY HOSPITAL IN SÃO LUIZ
Age Gender MF Family History Diabetes Mellitus Smoking Hypercholesterolemia Hypertriglyceridemia Abdominal Obesity BMI > 27 Microalbuminuria Renal Failure Cerebrovascular accident CAD LVH N H 037
RH 50.0±9.1 28/42 45 9 12 28 27 45 43 5 10 5 15 49 70
%
64 13 17 40 39 64 61 7 14 7 21 70
HT 52.2±11.1 24/56 46 8 6 30 12 33 28 2 4 4 6 31 80
%
Methods: Transversal study done in 2007 enrolling 58 patients submitted to angioplasty and stent implantation. The information was obtained by the application of a questionnaire containing socioeconomic data, clinical history, physical examination, and anthropometric evaluation. The data bank was analyzed by the Epi-info program version 3.4. Results: Of the studied patients, 56.9% (n=33) did not perform regular physical activity. Regarding BMI, 39.7% (n=23) were overweight (BMI between 25 and 29.9) while 13.8% (n=8) were obese grade I (BMI between 30 and 34.9). It was observed that systolic blood pressure (SBP) of 34.5% (n=20) of the patients was equal or superior to 140 mmHg and 51.7% (n=30) presented SBP between 120 and 139 mmHg. Concerning diastolic blood pressure (DBP), 19% (n=11) presented levels equal to or greater than 90 mmHg. Only 6.9% (n=4) were smokers. Conclusion: Among the studied patients the majority was sedentary and presented BMI with values greater than those considered ideal by the Brazilian Association for the Obesity Study (ABESO). It was also observed that there were a significant number of hypertensive patients and few smokers. This shows the importance of these factors for the evolution of CHD.
58 10 8 38 15 41 36 2.5 5 5 8 39
H 039
PROJECT THIS MACHINE CANNOT STOP
Lígia Regina Vidigal
João R Jr, Allison N Santos, Camila M Polary, George D L Pinheiro, Pamela Ss Chaves, Talia B Teixeira, Maira C Lopes, Jose B Barbosa, Fabricio F Barbosa, Priscila M O Vidigal, Jose M M Filho
Municipal Health Secretariat Rosário da Limeira MG BRASIL This project arose because of a better utilization of the municipal health and education network with priority to preventive actions. Objectives: – to organize an eduational project containing information of the cardiovascular system, CHD and their risk factors – to direct the implementation according to the sites of application: school, health services – group of hypertensives and diabetics, special groups – walking and the elderly and urban/rural community – to perform an epidemiologic studies in order to identify SAH and nutritional state in students Methods: In 2004 it was started in schools, divided into educational work and epidemiological study. The theoretical content, showing to be of great interest to the students’ family members was extended to the whole community. In 2005, together with the Federal University of Viçosa the nutrition was studied in depth. The year 2006 was dedicated to improvement of nutritional quality and fight against sedentary lifestyle in the whole municipality. Results: The epidemiologic study of the students in the 5 to 10-year age range showed a 6.5% prevalence of SAH and 12% overweight. Educational work in school made easier the inclusion, learning process and compliance of the young population – 50% of the 4 to 19 – year-old population and, on extrapolating its limits, increased the number of participants and gave an impulse to the already established groups, consolidating the link between user and the health team. Conclusion: Being of low operational cost due to resources of the locality itself and the use of benefits by the federal partnership, and because of its wideranging proposal and approaching the theme of emerging urgency and its great social values, it demnstrates a wide reference potential for municipalitites that believe in prevention as investment in health policies, liable to be reproduced in this and other themes which may become necessary. H 038
EPIDEMIOLOGIC PROFILE OF PATIENTS SUBMITTED TO CORONARY ANGIOPLASTY IN UNIVERSITY HOSPITAL IN SÃO LUIZ
UFMA São Luiz, MA, BRAZIL. Introduction: percutaneous coronary intervention is an established method used for treatment of patients with coronary artery disease. Currently, coronary stents are the method of choice due to safety and lower rates of restenosis. Objectives: To evaluate the epidemiologic profile of patients submitted to coronary angioplasty in the University Hospital in Sao Luiz. Methods: Data were collected by students of the Medical School of the Federal University of São Luiz. And inserted in the Epi-Info. Fifty-eight patients were included and the following variables were analysed: sex, age, level of education, ethnicity, pattern of coronary disease, blood pressure, diabetes. Results: Sixty-two percent of studied population were male, ages ranging from 40 to 49y in 12.1%; 50 to 59 in 27.6% and 58.6% were 60 y or older. We found that 12.1% were single and 74.1% married, and 10.3% widow. Level of education analysis showed that 13.8% had received education for a period less than 3y, 25.9% for 4-8y, and 50.0% 9y or more, while data for 10.3% were unknown. Regarding the pattern of coronary disease, critical lesions were found in 1.7% in posterior descending artery, 37.9% in right coronary artery, 19% in circunflex artery, 10% in right marginal branch. Patients were hypertensives in 77.65, and these individuals had type 2 diabetes in 37,9%, 5.2% had a prior stroke, another 5.2% had peripheral artery disease, and 58.6% had prior diagnosis of coronary artery disease. Conclusion: a large proportion of this population were male, married and older than 60y. The majority of these patients had a 4-8 period of education, Incomes were in the range of 1-3 minimum wages. Patients submitted to coronary intervention were predominantly hypertensives and diabetes were also significantly prevalent.
FACTORS ASSOCIATED WITHC CORONARY HEART DISEASE IN PATIENTS SUBMITTED TO ANGIOPLASTY AND STENT IMPLANTATION IN A UNIVERSITY HOSPITAL, SAO LUIS, MA, 2007
H 040
PLASMA CHOLESTEROL IS AN INDEPENDENT MODULATOR FOR THE REST BLOOD PRESSURE REGULATION IN CHILDREN AND IN IDENTICAL TWINS
Allison Nobrega dos Santos, Camila M Polari, George D L Pinheiro, João Reggiani Jr, Maira C Lopes, Pamela S Chaves, Talia B. Teixeira, Fabricio F. Barbosa, Jose M M Filho, Priscila M O Vidigal
Andrei C. Sposito MD PhD1, Raul D. Santos MD PhD2, Agnaluce Moreira MSc3, José Carlos Lima3, Dulcinéia Saes Parra Abdalla PHD4, Tânia Leme Rocha Martinez MD PhD2 and Abel Pereira MD PhD2
UFMA São Luis, MA, Brazil
University of Brasília Medical School, Brasília – DF – BRAZIL; 2 Heart Institute (InCor-SP), University of São Paulo Medical School – São Paulo – SP – BRAZIL; 3 School of Pharmaceutical Sciences, University of São Paulo – São Paulo – SP – BRAZIL; 4 Laborátório de Patologia Clínica (LPC) – Salvador – BA – BRAZIL. 1
Introduction: Coronary heart disease (CHD) presents a multifactorial origin involving hereditary and acquired risk factors which can be directly responsible or only be associated to the disease. Among the main factors are CHD familial story, dyslipidemia, arterial hypertension, diabetes mellitus, obesity, smoking and sedentary life style. Objective: To evaluate the prevalence of risk factors associated with CHD in patients attended by the hemodinamic service of the University Hospital Presidente Dutra for angioplasty and stent implantation procedures.
Background: Despite of an elevated co-prevalence of hypertension an Hypercholesterolemia and the mechanistic plausibility for such an interaction the assumption of causality has been weakened by the non-exclusion of confounding variables such as genetic background, aging and metabolic syndrome. 15
RH 50.0±9.1 28/42 45 9 12 28 27 45 43 5 10 5 15 49 70
%
64 13 17 40 39 64 61 7 14 7 21 70
HT 52.2±11.1 24/56 46 8 6 30 12 33 28 2 4 4 6 31 80
%
Methods: Transversal study done in 2007 enrolling 58 patients submitted to angioplasty and stent implantation. The information was obtained by the application of a questionnaire containing socioeconomic data, clinical history, physical examination, and anthropometric evaluation. The data bank was analyzed by the Epi-info program version 3.4. Results: Of the studied patients, 56.9% (n=33) did not perform regular physical activity. Regarding BMI, 39.7% (n=23) were overweight (BMI between 25 and 29.9) while 13.8% (n=8) were obese grade I (BMI between 30 and 34.9). It was observed that systolic blood pressure (SBP) of 34.5% (n=20) of the patients was equal or superior to 140 mmHg and 51.7% (n=30) presented SBP between 120 and 139 mmHg. Concerning diastolic blood pressure (DBP), 19% (n=11) presented levels equal to or greater than 90 mmHg. Only 6.9% (n=4) were smokers. Conclusion: Among the studied patients the majority was sedentary and presented BMI with values greater than those considered ideal by the Brazilian Association for the Obesity Study (ABESO). It was also observed that there were a significant number of hypertensive patients and few smokers. This shows the importance of these factors for the evolution of CHD.
58 10 8 38 15 41 36 2.5 5 5 8 39
H 039
PROJECT THIS MACHINE CANNOT STOP
Lígia Regina Vidigal
João R Jr, Allison N Santos, Camila M Polary, George D L Pinheiro, Pamela Ss Chaves, Talia B Teixeira, Maira C Lopes, Jose B Barbosa, Fabricio F Barbosa, Priscila M O Vidigal, Jose M M Filho
Municipal Health Secretariat Rosário da Limeira MG BRASIL This project arose because of a better utilization of the municipal health and education network with priority to preventive actions. Objectives: – to organize an eduational project containing information of the cardiovascular system, CHD and their risk factors – to direct the implementation according to the sites of application: school, health services – group of hypertensives and diabetics, special groups – walking and the elderly and urban/rural community – to perform an epidemiologic studies in order to identify SAH and nutritional state in students Methods: In 2004 it was started in schools, divided into educational work and epidemiological study. The theoretical content, showing to be of great interest to the students’ family members was extended to the whole community. In 2005, together with the Federal University of Viçosa the nutrition was studied in depth. The year 2006 was dedicated to improvement of nutritional quality and fight against sedentary lifestyle in the whole municipality. Results: The epidemiologic study of the students in the 5 to 10-year age range showed a 6.5% prevalence of SAH and 12% overweight. Educational work in school made easier the inclusion, learning process and compliance of the young population – 50% of the 4 to 19 – year-old population and, on extrapolating its limits, increased the number of participants and gave an impulse to the already established groups, consolidating the link between user and the health team. Conclusion: Being of low operational cost due to resources of the locality itself and the use of benefits by the federal partnership, and because of its wideranging proposal and approaching the theme of emerging urgency and its great social values, it demnstrates a wide reference potential for municipalitites that believe in prevention as investment in health policies, liable to be reproduced in this and other themes which may become necessary. H 038
EPIDEMIOLOGIC PROFILE OF PATIENTS SUBMITTED TO CORONARY ANGIOPLASTY IN UNIVERSITY HOSPITAL IN SÃO LUIZ
UFMA São Luiz, MA, BRAZIL. Introduction: percutaneous coronary intervention is an established method used for treatment of patients with coronary artery disease. Currently, coronary stents are the method of choice due to safety and lower rates of restenosis. Objectives: To evaluate the epidemiologic profile of patients submitted to coronary angioplasty in the University Hospital in Sao Luiz. Methods: Data were collected by students of the Medical School of the Federal University of São Luiz. And inserted in the Epi-Info. Fifty-eight patients were included and the following variables were analysed: sex, age, level of education, ethnicity, pattern of coronary disease, blood pressure, diabetes. Results: Sixty-two percent of studied population were male, ages ranging from 40 to 49y in 12.1%; 50 to 59 in 27.6% and 58.6% were 60 y or older. We found that 12.1% were single and 74.1% married, and 10.3% widow. Level of education analysis showed that 13.8% had received education for a period less than 3y, 25.9% for 4-8y, and 50.0% 9y or more, while data for 10.3% were unknown. Regarding the pattern of coronary disease, critical lesions were found in 1.7% in posterior descending artery, 37.9% in right coronary artery, 19% in circunflex artery, 10% in right marginal branch. Patients were hypertensives in 77.65, and these individuals had type 2 diabetes in 37,9%, 5.2% had a prior stroke, another 5.2% had peripheral artery disease, and 58.6% had prior diagnosis of coronary artery disease. Conclusion: a large proportion of this population were male, married and older than 60y. The majority of these patients had a 4-8 period of education, Incomes were in the range of 1-3 minimum wages. Patients submitted to coronary intervention were predominantly hypertensives and diabetes were also significantly prevalent.
FACTORS ASSOCIATED WITHC CORONARY HEART DISEASE IN PATIENTS SUBMITTED TO ANGIOPLASTY AND STENT IMPLANTATION IN A UNIVERSITY HOSPITAL, SAO LUIS, MA, 2007
H 040
PLASMA CHOLESTEROL IS AN INDEPENDENT MODULATOR FOR THE REST BLOOD PRESSURE REGULATION IN CHILDREN AND IN IDENTICAL TWINS
Allison Nobrega dos Santos, Camila M Polari, George D L Pinheiro, João Reggiani Jr, Maira C Lopes, Pamela S Chaves, Talia B. Teixeira, Fabricio F. Barbosa, Jose M M Filho, Priscila M O Vidigal
Andrei C. Sposito MD PhD1, Raul D. Santos MD PhD2, Agnaluce Moreira MSc3, José Carlos Lima3, Dulcinéia Saes Parra Abdalla PHD4, Tânia Leme Rocha Martinez MD PhD2 and Abel Pereira MD PhD2
UFMA São Luis, MA, Brazil
University of Brasília Medical School, Brasília – DF – BRAZIL; 2 Heart Institute (InCor-SP), University of São Paulo Medical School – São Paulo – SP – BRAZIL; 3 School of Pharmaceutical Sciences, University of São Paulo – São Paulo – SP – BRAZIL; 4 Laborátório de Patologia Clínica (LPC) – Salvador – BA – BRAZIL. 1
Introduction: Coronary heart disease (CHD) presents a multifactorial origin involving hereditary and acquired risk factors which can be directly responsible or only be associated to the disease. Among the main factors are CHD familial story, dyslipidemia, arterial hypertension, diabetes mellitus, obesity, smoking and sedentary life style. Objective: To evaluate the prevalence of risk factors associated with CHD in patients attended by the hemodinamic service of the University Hospital Presidente Dutra for angioplasty and stent implantation procedures.
Background: Despite of an elevated co-prevalence of hypertension an Hypercholesterolemia and the mechanistic plausibility for such an interaction the assumption of causality has been weakened by the non-exclusion of confounding variables such as genetic background, aging and metabolic syndrome. 15