Article

Total cardiovascular risk estimation in Romania. Data from the SEPHAR study.

Department of Cardiology and Internal Medicine, Floreasca Emergency Hospital, Bucharest, Romania.
Romanian journal of internal medicine = Revue roumaine de médecine interne 01/2008; 46(1):29-37.
Source: PubMed

ABSTRACT of this sub-study was to assess the impact of major CV risk factors on mortality due to CV diseases among Romanian adult subjects using the SCORE System.
In 2005, a survey for CV risk factors (SEPHAR) was performed in Romania involving 2017 subjects aged over 18 yrs, a representative sample for the Romanian adult population. Romania's area was divided into ten regions recommended by The National Commission of Statistics. We evaluated the relationship between gender, age, smoking status, systolic blood pressure and total cholesterol and cardiovascular risk. Ten year risk of fatal cardiovascular disease was estimated according to the SCORE (Systematic COronary Risk Evaluation) System.
Average total risk in Romanian adult population was 3.5%. Male population had a significantly higher risk than females (5.4% vs. 1.7%, p<0.01). About one fifth of subjects (20.7%) had a high risk > or = 5%. Four percent of subjects (all males) had a very high risk > or = 15%. The CV risk was relatively homogeneously distributed between Romania's geographic regions. The prevalence of hypercholesterolemia as CV risk factor was high (40%), and also was the prevalence of high systolic blood pressure (36.6%). The prevalence of smoking was similar to other European countries (27%).
Our study showed Romania as a country with a high cardiovascular risk, being also one of the regions in Europe with the highest CV risk.

0 Bookmarks
 · 
134 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Aim: The aim of the present article was to identify the prevalence of obesity and to evaluate the relationship between body mass index, waist circumference and fasting plasma glucose in a sample of Romanian patients from general population. Material and method: The study sample consisted in 2200 patients care aged 25 years or older who gave their participation consent. The study was carried out on patients in primary care in Gorj County. Results: According to BMI, 19.5% of study participants had obesity (BMI ≥ 30 kg/m 2) and 28.2% were overweight (BMI = 25-29.99 kg/m 2). Prevalence of both condition was lower in patients < 40 years of age (18% of patients had overweight and 8.1% had obesity) and increased with age. Prevalence of type 2 diabetes was 6% (132 persons), and 4% (88 persons) of the study group presented impaired fasting glucose or impaired glucose tolerance. When the prevalence was analyzed according to the BMI, obese patients had significantly higher prevalence of type 2 diabetes compared with overweight patients and normal weight patients (p < 0.001). The same tendency was observed for impaired fasting glucose and impaired glucose tolerance (p < 0.001). There was a positive correlation between BMI and fasting plasma glucose and between waist circumference and fasting plasma glucose. Conclusion: A high prevalence of overweight and obesity in the Romanian population from Gorj County was identified.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The occupational medical examination constitutes the main instrument in the identification of any change in the employees' health status. The complexity of the medical staff's specific activity and the neuropsychological overload are all elements to increase the risk of developing cardiovascular pathology. The study analyzed the results of the occupational medical examination carried out in a hospital over a period of years. The degree in which the cardiovascular system was found to be affected among the medical staff examined did not reach the estimated general population level, but the cardiovascular diseases were the main cause of morbidity in the studied group. Hypertension was the most frequent pathological condition found in the studied group. Rezumat: Controlul medical de medicina muncii este principalul instrument de depistare a oricărei modificări a stării de sănătate a angajaţilor. Complexitatea activităţii specifice şi suprasolicitarea neuropsihică sunt elemente de încărcare a riscului dezvoltării unei patologii cardiovasculare la personalul medical. Studiul analizează rezultatele controlului medical de medicina muncii efectuat într-o unitate spitalicească pe parcursul a doi ani. Gradul de afectare cardiovasculară a personalului medical nu a atins nivelul estimat în rândul populaţiei generale, dar bolile cardiovasculare constituie principala cauză de morbiditate a grupului populaţional studiat. Hipertensiunea arterială este cea mai frecventă patologie în lotul studiat.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The present study aims to estimate long term cardiovascular risk in psoriatic arthritis (PsA) patients and to identify clinical and/or laboratory features which influence this risk. The PsA group included 44 males and 59 females (p = 0.167) with an average age of 52 years (23-80). SCORE was significantly correlated with age of onset, BMI, triglycerides, FPG. Among these patients, males, smokers, those with axial involvement, with IHT, with AHT and those not treated with glucocorticoids had a significantly higher SCORE. The subgroup of 56 PsA women, age-matched with 56 normal women, had a significantly higher SCORE, even after controlling for covariates. Cardiovascular risk of PsA patients estimated on SCORE charts correlates with metabolic clinical and laboratory features and is associated with classical cardiovascular risk factors. The axial involvement in PsA is associated with a higher cardiovascular risk when compared to non-axial PsA. Women with PsA have a higher cardiovascular risk than normal women, which sustains the opinion that PsA may be considered an independent cardiovascular risk factor.
    Mædica. 03/2014; 9(1):19-24.

Full-text (2 Sources)

Download
25 Downloads
Available from
Nov 19, 2014