Key result
Moderate to high baseline risk predicts 100% of incident cardiovascular events in older adults.
Why the study?
Cardiovascular health in the elderly constitutes a valuable research line for improving primary health care services.
Observational (n=176)
No
In older adults in primary care, moderate cardiovascular risk is highly prevalent and associated with a significant rate of early cardiovascular events within 18 months.
Events confined to moderate/high-risk older adults in this cohort; hypothesis-generating and requires prospective validation before guiding risk stratification.
Introduction: cardiovascular health in the elderly constitutes a line of research of great value for the improvement of health services in primary health care.Objective: to identify cardiovascular risk in older adults at the Policlínico Universitario "5 de septiembre", Consolación del Sur, in the period 2019-2022.Methods: observational, analytical, transversal study. A sample of 176 patients was selected by simple random sampling. One-factor analysis of variance, Student's t-test and Mann Whitney U test were used as inferential statistical tests, as well as the Kaplan-Meier curve to predict event-free evolution. Results: 36,4 % of the adults were aged 80 to 89 years and 72,7 % had a moderate cardiovascular risk. A significant statistical association (p<0,001) was identified between age, sex, blood pressure, weight, height, waist circumference, waist-to-hip ratio and waist-to-height ratio and cardiovascular risk. The presence of sedentary lifestyle, left ventricular hypertrophy, atrial fibrillation, family history of diabetes mellitus and ischemic heart disease, being a smoker and consuming alcohol were associated with increased cardiovascular risk (p<0,001). Follow-up up to 18 months identified the presence of cardiovascular events in 27,3 %.Conclusions: in older adults a moderate cardiovascular risk was identified, determined by the sum of clinical-humoral factors, habits and lifestyles, and genetic factors, with the presence of early cardiovascular events in those at higher cardiovascular risk
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Álvarez et al. (2023) conducted an observational in Cardiovascular risk (n=176). Moderate to high cardiovascular risk vs. Low cardiovascular risk was evaluated on Occurrence of cardiovascular events at 18 months (p=<0.001). During 18 months of follow-up, cardiovascular events occurred in 27.3% of older adults, presenting exclusively in those classified with moderate or high baseline cardiovascular risk.
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