O Mundo da Saúde (Dec 2018)
Risk factors associated with secondary prevention of cardiovascular diseases
Abstract
The secondary prevention of cardiovascular diseases aims to reduce the risk of another cardiovascular event and death, looking to improve the survival of these patients. Therefore, the objective of this study was to verify the association of risk factors with secondary prevention of cardiovascular diseases in the adult population. A cross-sectional, observational and analytical study was performed with 419 adult subjects, a representative sample was considered of the population over 18 years of age, estimated for the study in two health centers with Family Health Strategy. The subjects answered a questionnaire and had their blood pressure measured at home. Of these, 292 had a cardiovascular event and 124 did not, occurring in 75% of the women and 25% of the men, with a mean age of 56.2 years, low level of education, representing an event occurrence of 23.5% in the study population. There was no statistical difference between the cardiovascular events and the presence of smoking (p=0.3914) and/or hypertension (p = 0.3128). However, the percentage of hypertensive non-smokers was significantly higher than non-hypertensive smokers, leading hypertension (SAH) to be considered as the risk factor most related. Most of the prescriptions evaluated by groups of drugs for the treatment of cardiovascular events were not adequate and 65% of these were prescribed by the UBS doctors. The prevalence of a cardiovascular event in the study population was considered similar to that found in the municipal population of São Paulo or Brazil, and SAH was the main associated risk factor, which needs to be controlled to avoid relapses.
