Key result
The predicted 10-year cardiovascular risk was significantly higher in patients with both diabetes and hypertension (33.79%) and hypertension alone (19.76%) compared to diabetes alone (10.68%).
Why the study?
Identifying cardiovascular risk may help address modifiable risk factors in patients with diabetes mellitus and hypertension in primary health care where laboratory tests are often difficult to access.
Cross-Sectional (n=246)
Absolute Event Rate: 33.79% vs 10.68%
The online Framingham platform effectively identifies 10-year cardiovascular risk in primary care, highlighting that hypertension, especially when combined with diabetes, significantly elevates risk compared to diabetes alone.
May facilitate CV risk stratification in primary care; hypothesis-generating for targeted interventions in DM/SAH.
Background Cardiovascular disease (CVD) is influenced by several factors. In this context, identifying cardiovascular risk (CVR) may contribute to taking action on modifiable risk factors especially in the population with diabetes mellitus (DM) and systemic arterial hypertension (SAH) in primary health care, where laboratory tests are often difficult to access. Objective The objective of this study was to evaluate the risk of developing cardiovascular disease in the next 10 years in diabetic and hypertensive primary healthcare patients using the online Framingham platform. Material and methods This is a cross-sectional study. Were evaluated 246 individuals by medical records, from the Center for Specialized Medicine in Diabetes and Hypertension. The Framingham Heart Study online table was used to assess CVR. The variables collected were blood pressure and body circumferences. Results Sixty-five (26.42%) were diabetic, 67 (27.23%) were hypertensive, and 114 (46.34%) had DM and SAH. Significant values of CVR were observed in the SAH (19.76%) and DM + SAH (33.79%) groups when compared with the DM group (10.68%). Conclusion In conclusion, the online Framingham platform tool was able to identify the CVR. Additionally, SAH seems to be a more powerful factor to increase CVR, and the coexistence of DM and SAH increases this risk even more.
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Durans et al. (2021) conducted a cross-sectional in Diabetes mellitus and systemic arterial hypertension (n=246). Systemic arterial hypertension (with or without diabetes mellitus) vs. Diabetes mellitus alone was evaluated on 10-year cardiovascular risk. The predicted 10-year cardiovascular risk was significantly higher in patients with both diabetes and hypertension (33.79%) and hypertension alone (19.76%) compared to diabetes alone (10.68%).
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