Abstract

EBRI TORNE, B.  and  SEMI. Grupo de estudio CIFARC et al. Differences in variables representative of cardiovascular disease or repercussion between subjects with high cardiovascular risk with and without any family history of early cardiovascular events. An. Med. Interna (Madrid) [online]. 2006, vol.23, n.1, pp.11-18. ISSN 0212-7199.

Introduction, bases and aims: Study the possible associations between any family history of early heart disease and variables expressive of heart disease, lesion or repercussion in subjects of high cardiovascular risk. Material and methods: Nationwide cross-sectional study with 2264 consecutive patients in the Outpatient Clinic of Internal Medicine 18 years of age or older and with high or extremely high cardiovascular risk taken from the CIFARC (Integral Control of High Risk Cardiovascular Factors) study run by the SEMI (Spanish Internal Medicine Association) cardiovascular Risk Group. We have studied the relationship between the presence or lack of same in family histories of early heart disease (AFP - Family History of early heart disease, hereinafter FH) and different variables in the factors concerning cardiovascular risk and target organ lesion. The statistical treatment (Chi-2, ANOVA and Pearson’s linear regression) was performed using the STATISTIX programme. Results and discussion: We observed a significative increase (p <0.05) in the group with FH with a percentage of the following variables: Total cholesterol 250 mg/dl, HDL <40 mg/dl, LDL 130 mg/dl, LVH (left ventricular hypertrophy), creatinine 1.2-2mg/dl, retinopathy I-II, serious retinopathy, smoking, proteinuria 300 mg/dl, kidney insufficiency and peripheral vascular disease. This significative increase in the variables under study appeared in males of over 55 years of age and in females of over 65 years of age; nevertheless, this increase in the incidence rate is becoming more common as of age 50 in males, with a maximum in both sexes after the age of 70. No significative differences were noted with regard to sex, BMI (Body Mass Index), atheromatosis, ischemic cardiopathy and cerebrovascular disease. On the whole, subjects of both sexes of the FH group have come to the clinic 3 years earlier than those of the group without FH. Conclusions: Patients with FH show a greater incidence of certain factors concerning heart risk and target organ lesion.

Keywords : Family history; Cardiovascular risk; Cross-sectional study.

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