Publications (6)12.65 Total impact
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Article: Different psychological profiles in non-cardiac chest pain and coronary artery disease: a controlled study.
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ABSTRACT: The objective of the study was to identify clinical characteristics that enable non-cardiac chest pain to be differentiated from coronary artery disease. An observational case-control study was carried out in 40 patients with non-cardiac chest pain and a control group of 40 patients with coronary artery disease. Sociodemographic, medical and psychological variables were assessed. There was no difference in personality except in "emotional control", which was less in patients with non-cardiac chest pain. These patients had greater alexithymia and more frequently used coping strategies, such as religion and seeking medical help. Multivariate analysis showed that a predictive model comprising four variables (i.e., alexithymia, quality of life, and coping based on religion and seeking medical help) had a sensitivity of 85.4% and a specificity of 80.0%. This predictive model could be used as a screening test to discriminate between the two conditions.Revista Espa de Cardiologia 03/2010; 63(3):357-61. · 2.53 Impact Factor -
Article: [Preventive cardiology and cardiac rehabilitation].
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ABSTRACT: Prevention is the most effective and efficient way of tackling cardiovascular disease and, similarly, cardiac rehabilitation programs are the most effective and efficient means of secondary prevention. The main objective of the metabolic syndrome working group is to increase understanding of cardiovascular risk in Spain by studying the occurrence of various risk factors, and the connections and associations between them, in economically active individuals. The group's first study and, subsequently, the MESYAS (Metabolic Syndrome in Active Subjects) study have led to significant and informative new findings, and continue to be produce data that can be used to improve disease prevention in everyday clinical practice. Furthermore, cardiac rehabilitation and secondary prevention programs for cardiovascular disease provide the most effective means of decreasing morbidity and mortality. However, it is worrying to observe that, in cardiological practice, there are significant gaps in compliance with scientific society recommendations on secondary prevention. On request, the coordinator of the cardiac rehabilitation working group has provided a report on the latest data and findings from across the full spectrum of activity in this vital area of disease prevention.Revista Espa de Cardiologia 01/2010; 63 Suppl 1:40-8. · 2.53 Impact Factor -
Article: Relationship between metabolic syndrome and ischemic heart disease mortality in Spain.
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ABSTRACT: Morbidity and mortality due to ischemic heart disease (IHD) is subject to wide geographic variation both between and within countries. The aim of this study was to determine whether geographic variations exist in the prevalence of metabolic syndrome in the Spanish working population or in its relationship with IHD mortality. We analyzed clinical and laboratory data obtained during health check-ups carried out in Spanish workers (n=17,837) during 2003. The prevalence of metabolic syndrome was 17% in men and 6.5% in women. However, there was a heterogeneous distribution across the different regions studied. The prevalence in southern and western regions (e.g., in men: 22.15% in Extremadura and 20.6% in Galicia) was double that observed in central and northern zones (e.g., in the Basque Country and Castile and León). This research indicates that there is a significant association between IHD mortality and the prevalence of metabolic syndrome in workers from different Spanish regions.Revista Espa de Cardiologia 12/2009; 62(12):1469-72. · 2.53 Impact Factor -
Article: [Update on cardiovascular prevention and cardiac rehabilitation].
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ABSTRACT: This article contains a review of the main developments in cardiovascular disease prevention reported during the last year and a discussion of recent consensus statements. As in previous years, a substantial part of the research effort has concentrated on cardiovascular risk scores, imaging techniques (particularly cardiac computed tomography), cardiometabolic risk factors, and exercise training.Revista Espa de Cardiologia 02/2009; 62 Suppl 1:4-13. · 2.53 Impact Factor -
Article: [Cardiovascular risk factor progression in young males at 15-year follow-up in the General Military Academy of Zaragoza (AGEMZA) Study].
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ABSTRACT: The AGEMZA cohort comprises military men whose risk factors were studied in 1985 when they were 20 years old. As these men reached the age of 35 years, we investigated the stability of or changes in anthropometric measures, lipid levels and arterial pressure, and looked for interrelationships between any changes. In 2000, we collected new data (by cross-sectional study) on body mass index (BMI), cholesterol, cholesterol fractions, triglycerides and blood pressure, which could be compared with the original data. Persistence or tracking was evaluated using standardized regression coefficients and odds for persistence within the same quintile. Current data were modelled using multivariate regression models. In the 250 subjects studied, significant changes were observed in the following variables: weight +12.1 kg, BMI +3.9 kg/m(2), cholesterol +68.0 mg/dL, HDL cholesterol -5.2 mg/dL, LDL cholesterol +57.9 mg/dL, and triglycerides +76.3 mg/dL. The degree of persistence was high for all variables, except for diastolic blood pressure. Persistence was most pronounced for BMI, cholesterol, and LDL cholesterol. The changes observed indicate an increase in cardiovascular risk that adds to the effect of aging. The change in lipid profile was mainly influenced by the increase in BMI experienced, whereas blood pressure was mainly influenced by the final BMI attained. In addition, being a current smoker was associated with worse cholesterol fractions and triglyceride levels. Cardiovascular risk factors increase during the third decade of the life. Early evaluation (after adolescence) enables the identification of individuals who will later be at an increased risk. Modifiable risk factors were identified, such as weight increase and smoking. Preventive measures should be designed for these groups.Revista Espa de Cardiologia 08/2006; 59(7):671-8. · 2.53 Impact Factor -
Article: Relationship Between Metabolic Syndrome and Ischemic Heart Disease Mortality in Spain
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ABSTRACT: Morbidity and mortality due to ischemic heart disease (IHD) is subject to wide geographic variation both between and within countries. The aim of this study was to determine whether geographic variations exist in the prevalence of metabolic syndrome in the Spanish working population or in its relationship with IHD mortality. We analyzed clinical and laboratory data obtained during health check-ups carried out in Spanish workers (n=17 837) during 2003.The prevalence of metabolic syndrome was 17% in men and 6.5% in women. However, there was a heterogeneous distribution across the different regions studied. The prevalence in southern and western regions (eg, in men: 22.15% in Extremadura and 20.6% in Galicia) was double that observed in central and northern zones (eg, in the País Vasco and Castilla y León). This research indicates that there is a significant association between IHD mortality and the prevalence of metabolic syndrome in workers from different Spanish regions.La mortalidad y morbilidad de la cardiopatía isquémica siguen una distribución geográfica heterogénea entre diferentes países e incluso dentro de cada país. El objetivo del presente estudio es analizar si hay diferencias en la distribución geográfica del síndrome metabólico en la población laboral española y su relación con la mortalidad por cardiopatía isquémica. Analizamos datos clínicos y analíticos (n=17.837) procedentes de los exámenes de salud realizados a trabajadores durante el año 2003.La prevalencia del síndrome metabólico es del 17% en varones y el 6,5% en mujeres. Sin embargo, su distribución es heterogénea en las diferentes comunidades estudiadas. Las regiones del sur y el oeste muestran prevalencias (Extremadura, 22,15%; Galicia, 20,6% en varones) que duplican las de las zonas del centro y el norte: País Vasco y Castilla y León. Nuestro trabajo señala una asociación significativa entre la mortalidad por cardiopatía isquémica y la frecuencia de síndrome metabólico en trabajadores de las diferentes provincias españolas.Revista Española de Cardiología (English Edition). 62(12):1469-1472.
Top co-authors
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Institutions
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2010
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Universidad de Zaragoza
Zaragoza, Aragon, Spain
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2009
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Aragon Health Sciences Institute
Zaragoza, Aragon, Spain
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