Profile of cardiovascular risk in diabetic patients in a center of specialties

Authors

  • Daniele Botelho Vinholes Universidade do Sul de Santa Catarina
  • Heloísa Alves Pacheco

DOI:

https://doi.org/10.15448/1983-652X.2014.3.17263

Keywords:

diabetes mellitus, cardiovascular diseases, secondary prevention

Abstract

Objective: To identify the cardiovascular risk profile in diabetic patients attended in the Ambulatory of Medical Specialties in Tubarão.

Materials and Methods: Retrospective study with 101 diabetic patients. Data collection was performed by using the medical records of patients. The following variables were used: gender, age, type of diabetes, smoking, time since disease diagnosis, body mass index, glycemia, glycated hemoglobin, lipid profile and microalbuminuria.

Results: The majority of individuals were women with an average age of 59.6 years (sd ± 12.5). The most common diabetes subtype was type 2 and the average disease diagnosis time was 14.1 years (sd ± 10.3). 11.9% of the patients were smokers and 56.4% were obese. The glycated hemoglobin was abnormal in 74.3% of them. Considering the characteristics of the lipid profile, the majority had alterations on lipid parameters, except for the total cholesterol that was controlled in 63.4% of diabetic patients. Microalbuminuria was normal in 58.4% of patients.

Conclusions: It was demonstrated that the majority of diabetic patients attended in this ambulatory presented alterations in parameters that were associated with increased risk of developing cardiovascular disease.

References

Fowler MJ. Microvascular and macrovascular complications of diabetes. Clin Diabetes 2011; 29(3): 116-22.

American Diabetes Association. Standards of Medical Care in Diabetes - 2012. Diabetes Care 2012; 35(1): 11-63.

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2012; 35 S1: S64-S71.

Wild SH, Roglic G, Green A, Sicree R, King H. Global Prevalence of Diabetes: Estimates for the Year 2000 and Projections for 2030. Diabetes Care 2004; 27(10): 2569.

Rato Q. Diabetes Mellitus: um problema de saúde global. Rev Port Cardiol 2010; 29 (4): 539-43.

Mielczarski RG, Costa JSD, Olinto MTA. Epidemiologia e organização de serviços de saúde: diabetes mellitus numa comunidade de Porto Alegre. Ciênc Saúde Colet 2012; 17(1): 71-8.

Bosi PL, Carvalho AM, Contrera D, Casale G, Pereira MA, Gronner MF, Diogo TM, Torquarto MTCG, Oishi J, Leal AMO. Prevalência de diabetes melito e tolerância à glicose diminuída na população urbana de 30 a 79 anos da cidade de São Carlos, São Paulo. Arq Bras Endocrinol Metab 2009; 53(6): 726-32.

Lyra R, Silva RS, Junior RMM, Matos MVC, Cézar NJB, Silva LM. Prevalência de diabetes melito e fatores associados em população urbana adulta de baixa escolaridade e renda do sertão nordestino brasileiro. Arq Bras Endocrinol Metab 2010; 54(6): 560-6.

Scheffel RS, Bortolanza D, Weber CS, Costa LA, Canani LH, Santos KG, Crispim D, Roisenberg I, Lisbôa HRK, Tres GS, Tschiedel B, Gross JL. Prevalência de complicações micro e macrovasculares e de seus fatores de risco em pacientes com diabetes melito do tipo 2 em atendimento ambulatorial. Rev Med Bras 2004; 50(3): 263-7.

Juutilainen A, Lehto S, Onnemaa T, Al´A K, Laakso M. Type 2 Diabetes as a “Coronary Heart Disease Equivalent”. Diabetes Care 2005; 28(12): 2901-7.

Oliveira DS, Tannus LRM, Matheus ASM, Corrêa FH, Cobas RC, Cunha EF, Gomes MB. Avaliação do risco cardiovascular segundo os critérios de Framingham em pacientes com diabetes tipo 2. Arq bras endocrinol metab 2007; 51(2): 268-74.

Preis SR, Hwang SJ, Coady S, Pencina MJ, D´Agostino RB, Savage PJ, Levy D, Fox CS. Trends in all-cause and cardiovascular disease mortality among women and men with and without diabetes mellitus in the Framingham Heart Study, 1959 to 2005. Circulation. 2009; 119(13):1728-35.

Ferreira CLRA, Ferreira MG. Características epidemiológicas de pacientes diabéticos da rede pública de saúde – análise a partir do sistema HiperDia. Arq Bras Endocrinol Metab 2009; 53(1): 80-6.

Vigo KO, Torquato MTCG, Silvério IAS, Queiroz FA, Guanilo MCLTU, Pace AE. Caracterização de pessoas com diabetes em unidades de atenção primária e secundária em relação a fatores desencadeantes do pé diabético. Acta Paul enferm 2005; 19(3): 296-303.

Fidelis LC, Moreira OC, Teodoro BG, Oliveira CEP. Prevalência de diabetes mellitus no município de Teixeiras-MG. Rev Bras Ativ Fís Saúde 2009; 14(1): 23-7.

Stenstrom G, Gottsater A, Bakhtadze E, Berger B, Sundkvist G. Latent Autoimmune Diabetes in Adults – definition, prevalence, β-cell function, and treatment. Diabetes 2005; 54(2): S68-72.

Etisham S, Hattersley AT, Dunger DB, Barrett TG. First UK survey of pediatric type 2 diabetes and MODY. Arch Dis Child 2004; 89:526-9.

Barros AJD, Cascaes AM, Wehrmeister FC, Mesa JM, Menezes AMB. Tabagismo no Brasil: desigualdades regionais e prevalência segundo características ocupacionais. Ciênc Saúde Colet 2011; 16(9): 3707-16.

Schaan BDA, Harzheim E, Gus I. Perfil de risco cardíaco no diabetes mellitus e na glicemia de jejum alterada. Rev Saúde Publica 2004; 38(4): 529-36.

Torres HC, Franco LJ, Stradioto MA, Hortale VA, Schall VT. Avaliação estratégica de educação em grupo e individual no programa educativo em diabetes. Rev Saúde

Pública 2009; 43(2): 291-8.

Silva RCP, Simões MJS, Leite AA. Fatores de risco para doenças cardiovasculares em idosos com diabetes mellitus tipo 2. Rev Ciên Farm Básica Apl 2007; 28(1): 113-21.

Klausen K, Johnsen KB, Rasmussen BF, Jensen G, Clausen P, Scharling H, Appleyard M, Jensen JS. Very Low Levels of microalbuminuria are associated with increased risk of coronary heart disease and death independently of renal function, hypertension, and diabetes. Circulation 2004; 110:32-5.

Published

2014-12-31

Issue

Section

Original Articles