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Daniel Fernandez-Berges

Daniel Fernandez-Berges
Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE)Sistema Extremeño de Salud. Fundesalud

MD PhD FESC

About

169
Publications
77,670
Reads
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14,306
Citations
Additional affiliations
January 1991 - present
Sistema Extremeño de Salud
Position
  • Cardiologist
Education
September 1998 - July 2001
Complutense University of Madrid
Field of study
  • Medicina
March 1977 - December 1978
Universidad del Salvador
Field of study
  • Cardiologia
March 1974 - February 1978
Academia Nacional de Medicina. Fundación H.Pombo
Field of study
  • Residencia en Cardiología

Publications

Publications (169)
Article
Risk stratification of patients with unstable angina or non-ST-segment elevation myocardial infarction (UA/NSTEMI) is problematic given the heterogeneous presentation of the condition. This study was undertaken to compare, in UA/NSTEMI patients, the prognostic value of two clinical risk scores (RS) (i.e. Thrombolysis in Myocardial Infarction (TIMI)...
Article
We compared the 1-year predictive value of several inflammatory and non-inflammatory biomarkers in ACS patients. In 610 patients (73.0% male)--36.0% unstable angina (UA) and 64.0% NSTEMI--we assessed high-sensitivity C-reactive protein (hs-CRP), interleukins 6, 10 and 18, soluble CD40 ligand, P- and E-selectin, NT-proBNP, fibrinogen and cystatin C...
Article
To estimate the prevalence of cardiovascular risk factors in individuals aged 35-74 years in 10 of Spain's autonomous communities and determine the geographic variation of cardiovascular risk factors distribution. Pooled analysis with individual data from 11 studies conducted in the first decade of the 21st century. The average response rate was 73...
Article
Full-text available
Objective Primary percutaneous coronary intervention (P-PCI) has demonstrated its efficacy in patients with ST segment elevation myocardial infarction (STEMI). However, patients with STEMI ≥75 years receive less P-PCI than younger patients despite their higher in-hospital morbimortality. The objective of this analysis was to determine the effective...
Article
Full-text available
Resumen Objetivo Estudiar la evolución del perfil clínico de una población dada de alta con diagnóstico principal de insuficiencia cardíaca (IC) en las dos primeras décadas del siglo y las variables predictoras de mortalidad y reingreso en el primer año de alta. Diseño Estudio observacional, retrospectivo, longitudinal. Emplazamiento Área de sal...
Article
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Background The Mediterranean Diet (MD) is recognized as heart-healthy, but the economic cost associated with this type of diet has scarcely been studied. The objective of the present study is to explore the cost and adherence of a low-income region population to the MD and its relationship with income. Methods A population-based study was carried...
Article
Aims To evaluate the relationship between chronic kidney disease and the patient's cardiovascular risk measured through the incidence of major adverse cardiovascular events in a sample of Spanish population. Design and methods The sample consisted of 2668 subjects. Mean age was 50.6 ± 14.5 years and 54.6% were female. In all, 3.5% of subjects had...
Article
Resumen Objetivos El conocimiento sobre la incidencia de enfermedad coronaria en nuestro país es escaso y sus fuentes poco comparables. Fue nuestro objetivo determinar la incidencia de cardiopatía isquémica en una cohorte poblacional con un seguimiento de 7 años y el riesgo asociado a los factores de riesgo cardiovascular clásicos. Métodos Estudi...
Article
Full-text available
Background Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. Methods We used data from 1990 to 2019 on people aged 30...
Article
Background Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends...
Preprint
Full-text available
Background The Mediterranean Diet (MD) is recognized as heart-healthy, but the economic cost associated with this type of diet has scarcely been studied. Aim The objective of the present study was to explore the cost and adherence of the low-income region population to the MD and its relationship with available incomes. Methods A population-based s...
Article
Full-text available
Background and Aims To evaluate the relationship between chronic kidney disease (CKD) diagnosed by the hematocrit, urea and gender (HUGE) equation and the incidence of major adverse cardiovascular events and cardiovascular mortality in a sample of Spanish general population. Method The sample consisted of 2,668 subjects (mean age, 50.6±14.5 years;...
Article
Full-text available
Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Carlos III Health Institute - Spain Background Cardiovascular diseases are the leading cause of death in developed countries. In this context, the Mediterranean diet (MD) is widely recognized as cardioprotective, although its implement...
Article
Full-text available
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in di...
Article
Full-text available
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in di...
Article
Resumen Objetivos Evaluar prospectivamente la correlación entre enfermedad renal crónica y el riesgo cardiovascular medido por la aparición de episodios cardiovasculares en la población española. Diseño y métodos La muestra incluyó 2.668 personas con una edad media de 50,6 ± 14,5 años, siendo el 54,6% mujeres. En total, el 3,5% de los sujetos ten...
Article
Full-text available
Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled ana...
Article
Full-text available
To the Editor, We have read with great interest the results of the ISCHEMIA trial1 of 5179 patients with moderate or severe ischemia who were randomized to receive an early invasive strategy of angiography plus revascularization, when necessary, or a conservative strategy of early optimal medical therapy and angiography if the medical therapy faile...
Article
Full-text available
Sr. Editor: Hemos leído con gran interés los resultados del estudio ISCHEMIA1, en el que se aleatorizó a 5.179 pacientes con isquemia moderada o grave para recibir una estrategia inicial invasiva, consistente en angiografía y revascularización si procedía, o conservadora, que incluía tratamiento médico óptimo inicial y angiografía si la terapia méd...
Article
Full-text available
High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world³ and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein...
Article
Full-text available
Resumen Objetivo Determinar el valor pronóstico de tener un índice tobillo-brazo (ITB) bajo para padecer distintas enfermedades cardiovasculares y si mejora la capacidad predictiva de las principales funciones de riesgo cardiovascular. Diseño Estudio de cohorte poblacional. Emplazamiento Área sanitaria Don Benito-Villanueva de la Serena (Badajoz...
Article
Full-text available
Background Heart failure (HF) is a global pandemic, and the cause of the greater health expenditure on hospitalization. Purpose To determine, in patients admitted due to decompensated heart failure (dHF), the predictors of in-hospital and late all-cause mortality. Methods Retrospective and longitudinal observational study of consecutive patients...
Article
Resumen Introducción y objetivos Comparar el rendimiento de distintas funciones de riesgo cardiovascular propuestas para España, a partir del seguimiento de una cohorte poblacional de Extremadura, con el fin de proporcionar pruebas que respalden su uso. Métodos Se aplicaron las funciones REGICOR y FRESCO CI para la predicción de la cardiopatía is...
Article
Full-text available
Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3–6. Here we use 2,009 population-based studies, with measurements of height and...
Article
Cómo citar este artículo: Félix-Redondo FJ, et al. Impacto de los factores de riesgo cardiovascular en la población extremeña: aportación de la cohorte HERMEX para una estrategia preventiva. Aten Primaria. 2018. https://doi.org/10.1016/j.aprim.2018.11.006
Article
Full-text available
Objetivo Determinar la fracción atribuible poblacional (FAP) de los factores de riesgo (FR) clásicos para la aparición de la enfermedad cardiovascular en una cohorte poblacional de Extremadura, a fin de recomendar intervenciones preventivas prioritarias. Métodos Diseño: estudio de cohortes. Emplazamiento Muestra poblacional representativa de un áre...
Article
Full-text available
Background The incidence of stroke in Spain has been evaluated in several studies, whose results are highly variable and not comparable. No studies of stroke have analysed epidemiological changes in younger patients. Method We conducted a retrospective observational study using the Spanish health system's Minimum Data Set and included all patients...
Article
Full-text available
Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive pop...
Article
Background: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hype...
Article
Full-text available
Background: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hyp...
Article
Full-text available
Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends with those...
Article
Full-text available
BACKGROUND:Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends...
Article
Full-text available
Resting heart rate (RHR) is associated with arterial stiffness, inflammation, and cardiovascular (CV) and all-cause mortality in the general population and in patients at high CV risk. We assessed the association of RHR with arterial stiffness and low-grade inflammation (LGI) in a cross-sectional study that included 101 women with systemic lupus er...
Article
Full-text available
Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults NCD Risk Factor Collaboration (NCD-RisC)* Summary Background Underweight, overweight, and obesity in childhood and adolescence are associated w...
Article
Full-text available
Background Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare tr...
Article
Background: Diabetic nephropathy traditionally produces significant proteinuria prior to the development of renal impairment. However, this clinical paradigm has recently been questioned. The current study evaluated the impact of diabetes mellitus on the prevalence of renal disease in general population. Methodology: Data from of the HERMEX surv...
Article
Full-text available
Introduction and objectives: Atrial fibrillation (AF) is an independent risk factor for mortality in several diseases. However, data published in acute decompensated heart failure (DHF) are contradictory. Our objective was to investigate the impact of AF on mortality in patients admitted to hospital for DHF compared with those admitted for other r...
Article
La fibrilación auricular (FA) es un conocido factor de riesgo de mortalidad en diferentes patologías. Sin embargo, los datos publicados en insuficiencia cardiaca descompensada (ICD) son contradictorios. El objetivo es investigar el impacto en la mortalidad de la FA en pacientes ingresados por ICD, comparativamente con otras causas.
Article
In-hospital mortality of acute myocardial infarction with ST segment elevation remains high and is influenced by many factors, some of which are modifiable such as time to treatment initiation and modality of treatment. It is well established that reperfusion therapy is the gold-standard in the management of ST-elevation acute myocardial infarction...
Article
Full-text available
OBJECTIVE: Smoking is a major risk factor for multiple chronic diseases, such as cardiovascular diseases and cancer, and an established risk factor for premature death .The objective was to analyze the association between smoking and total coronary risk (incidence of lethal and non-lethal coronary events) in a cohort of 35-74 years old patients fol...
Article
Full-text available
Background: Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, and the prevalence of, and number of people with, raised blood pressure, defined as systolic blood pressure of 140 mm Hg or higher or diastolic blood...
Article
Full-text available
Background Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, and the prevalence of, and number of people with, raised blood pressure, defined as systolic blood pressure of 140 mm Hg or higher or diastolic blood p...
Article
Full-text available
Background: The incidence of stroke in Spain has been evaluated in several studies, whose results are highly variable and not comparable. No studies of stroke have analysed epidemiological changes in younger patients. Method: We conducted a retrospective observational study using the Spanish health system's Minimum Data Set and included all pati...
Article
Abstract Background: The aims of this study were 1) to examine potential sex-related differences in major cardiometabolic risk factors among severe/morbid obese (body mass index [BMI] ≥ 35) individuals; 2) to assess whether severity of obesity is associated with more adverse cardiometabolic risk factors in women and men, and 3) to assess whether be...
Article
Full-text available
Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in S...
Article
Full-text available
Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in S...
Article
Full-text available
Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in S...
Article
Full-text available
Background: One of the global targets for non-communicable diseases is to halt, by 2025, the rise in the age-standardised adult prevalence of diabetes at its 2010 levels. We aimed to estimate worldwide trends in diabetes, how likely it is for countries to achieve the global target, and how changes in prevalence, together with population growth and...