| Revue: | Revista da Associacao Medica Brasileira |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000307732 |
| ISSN: | 0104-4230 |
| Autores: | Martins, Ignez Salas1 Fornari, Luciana Monachini, Maristela C Mansur, Antonio de Padua Caramelli, Bruno Cardoso, Elisabeth1 |
| Instituciones: | 1Universidade de Sao Paulo, Faculdade de Saude Publica, Sao Paulo. Brasil |
| Año: | 2002 |
| Periodo: | Jul-Sep |
| Volumen: | 48 |
| Número: | 3 |
| Paginación: | 231-236 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | OBJETIVE: Ischemic heart disease is associated with high rates of mortality and it is the most prevalent among cardiovascular diseases. It is a multifactorial disease, and its prevention depends on control of risk factors. Resting electrocardiogram can be used to detect manifestations of ischemic heart disease, since some electrocardiographic abnormalities are indicative of coronary disease in asymptomatic subjects. The aim of the study was to analyze the relationship between electrocardiographic abnormalities and risk factors for ischemic heart disease in an adult population from the metropolitan area of São Paulo. METHODS: A cross-sectional study was carried out in an adult population (age 20 years and over) from Cotia, near São Paulo, southeastern of Brazil. The study population comprised 1067 subjects. The subjects were interviewed using a questionnaire. The variables studied were: gender, age, smoking behaviour, physical activity, body mass index, waist-to-hip ratio, blood pressure, diabetes mellitus, blood lipids (total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides) and electrocardiographic abnormalities. Electrocardiographic abnormalities were grouped according to the classification: ST-T changes, left ventricular hypertrophy and abnormalities non related to ischemic myocardial disease or without abnormalities. RESULTS: The population was relatively -young (79% younger than 50 years, mean age 39.8 ± 13.2 years old), and 59.3% were female. The resting electrocardiogram showed ST-T changes in 9.5% of the subjects and left ventricular hypertrophy in 3.3%. Female gender, age over 65 years for women and 55 years for men, diabetes, hypertension, total cholesterol > or = 200 mg/dl, LDL-cholesterol > or = 130 mg/dl, Triglycerides > or = 200 mg/dl, body mass index > or = 25 Kg/m² and abnormal waist-to-hip ratio, were positively related to ST-T changes. Male gender, diabetes, hypertension and smoking behaviour were positively |
| Disciplinas: | Medicina |
| Palabras clave: | Sistema cardiovascular, Cardiología, Brasil, Sao Paulo, Enfermedad coronaria, Isquemia, Alteraciones electrocardiográficas, Factores de riesgo, Epidemiología |
| Keyword: | Medicine, Cardiovascular system, Cardiology, Brazil, Sao Paulo, Coronary diseases, Ischemia, Electrocardiographic alterations, Risk factors, Epidemiology |
| Texte intégral: | Texto completo (Ver PDF) |
