Cohort study of cardiovascular risk in asymptomatic young adults: subclinical atherosclerosis and coronary calcium score



Título del documento: Cohort study of cardiovascular risk in asymptomatic young adults: subclinical atherosclerosis and coronary calcium score
Revista: Anais da Academia Brasileira de Ciencias
Base de datos: PERIÓDICA
Número de sistema: 000424439
ISSN: 0001-3765
Autors: 1
2
3
1
Institucions: 1Universidade do Vale do Rio dos Sinos, Programa de Pos-Graduacao em Saude Coletiva, Bento Goncalves, Rio Grande do Sul. Brasil
2Hospital Tacchini, Porto Alegre, Rio Grande do Sul. Brasil
3Associacao Veranense de Assistencia em Saude, Hospital Sao Pelegrino Lazziozi, Veranopolis, Rio Grande do Sul. Brasil
Any:
Període: Sep
Volum: 90
Número: 3
Paginació: 3129-3138
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés Coronary artery calcification is an early marker of subclinical atherosclerosis, but little research has been done in asymptomatic individuals under 45 years. In this cohort study with 17 years of follow-up, 155 participants were assessed in 2016 with a coronary calcium score for the association with cardiovascular risk factors. During follow-up, there was a significant increase in anthropometric measurements, cholesterol and fractions, and diastolic pressure. Participants who gained 1 cm in waist circumference had a mean reduction of 0.36 mg/dL in HDL-cholesterol and those who gained 1 kg/m2 in body mass index had a reduction of 0.72 mg/dL in HDL-cholesterol. Married participants had a 4.78 mg/dL reduction in HDL-cholesterol levels compared to singles. There was an increase of 2.09 mg/dL in HDL-cholesterol at each higher level of self-perceived health. One single case, a 32-year-old male, smoker, sedentary individual with a family history of cardiovascular disease, presented coronary calcification (0.6%). His HDL-cholesterol was reduced by 43.4%, with levels of less than 25 mg/dL at the time of coronary calcium scoring. Our findings may prompt broader studies of populations under 35 years with HDL-C levels below 25 mg/dL and family histories of cardiovascular disease, associated with obesity, sedentary lifestyle and smoking
Disciplines Medicina
Paraules clau: Sistema cardiovascular,
Diagnóstico,
Riesgo cardiovascular,
Calcificación coronaria,
Aterosclerosis
Keyword: Cardiovascular system,
Diagnosis,
Cardiovascular risk,
Coronary calcification,
Atherosclerosis
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