TY - JOUR
T1 - Alcance de metas cardiometabólicas en pacientes de alto riesgo en un hospital de tercer nivel
AU - Almendárez, Pedro Paulo
AU - Meaney, Alejandra
AU - Vela, Agustín
AU - Rivera, Juan Miguel
AU - Ceballos, Guillermo
AU - Asbún, Juan
AU - Lozano-Marrujo, Ifatia
AU - Rodríguez-Tepichín, Maribel
AU - Meaney, Eduardo
PY - 2009/7
Y1 - 2009/7
N2 - Introduction: The number of patients with type II diabetes mellitus (DMII), high blood pressure (HBP) and ischemic heart disease attended in tertiary hospitals has increased. Additionally to revascularization procedures, in these patients it is compelling to control risk factors, but this is not always attained in these hospitals. Objectives: To determine the attainment of therapeutic goals in these patients. Material and methods: Two hundred patients with DM2, HBP, and ischemic heart disease were examined twice in one year, and during this time span an educational program was applied to the responsible physicians. Blood pressure (BP), body mass index, glycemia, glycated hemoglobin (HbA1c) and lipid profile were analyzed. Results: An improvement in the proportion of measuring and the mean values of BP and lipids was observed, much less in DM2 control variables, an none in weight. Systolic and diastolic BP control was observed in 72 and 50%, low density cholesterol in 62.5% and glycemia in 7%. Conclusions: In patients with high risk profile therapeutic goals related with a better prognosis are not always attained. It is needed a constant educational and awareness campaign in order to improve the quality of patients care.
AB - Introduction: The number of patients with type II diabetes mellitus (DMII), high blood pressure (HBP) and ischemic heart disease attended in tertiary hospitals has increased. Additionally to revascularization procedures, in these patients it is compelling to control risk factors, but this is not always attained in these hospitals. Objectives: To determine the attainment of therapeutic goals in these patients. Material and methods: Two hundred patients with DM2, HBP, and ischemic heart disease were examined twice in one year, and during this time span an educational program was applied to the responsible physicians. Blood pressure (BP), body mass index, glycemia, glycated hemoglobin (HbA1c) and lipid profile were analyzed. Results: An improvement in the proportion of measuring and the mean values of BP and lipids was observed, much less in DM2 control variables, an none in weight. Systolic and diastolic BP control was observed in 72 and 50%, low density cholesterol in 62.5% and glycemia in 7%. Conclusions: In patients with high risk profile therapeutic goals related with a better prognosis are not always attained. It is needed a constant educational and awareness campaign in order to improve the quality of patients care.
KW - Attainment
KW - Diabetes
KW - Goals
KW - Hypercholesterolemia
KW - Hypertension
KW - Ischemic heart disease
UR - http://www.scopus.com/inward/record.url?scp=77953419735&partnerID=8YFLogxK
M3 - Artículo
SN - 0188-2198
VL - 20
SP - 109
EP - 115
JO - Revista Mexicana de Cardiologia
JF - Revista Mexicana de Cardiologia
IS - 3
ER -