Cardiovascular Risk Factors among Outpatients: An Alarming Sign of the Epidemiological Transition in Developing Country?

• 作者: Modibo Coulibaly Dramane Samaké Sonfo Boubacar Lamine Sidibé Moussa Diawara Mamoudou Barry Valentin Sagara Bréhima Traoré Oumar Guindo Bakary Maiga Amagana Dolo
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: Cardiovascular Risk Factors Framingham Risk Score SCORE Metabolic Syndrome
• 年，卷（期）: 2021,（3）
• 页码范围: 181-194
• 页数: 14页
• 分类号: R54

摘要

<div style="text-align:justify;"> <strong>Background:</strong> Noncommunicable diseases are the leading cause of death in<span "=""> the world and low and middle-income countries suffer from preventable premature death. The aim of this study was to assess the risk factors for non- communicable disease (NCDs) in general and particular cardiovascular diseases (CVDs) among the outpatients of our department of medicine. <b>Me</b><b>thods:</b> We performed a cross-sectional study from April to December 2017 by the consecutive enrollment of outpatients who attended in our department of medicine of H<span style="background-color:#FFFFFF;"><span style="font-family:Verdana, Helvetica, Arial;white-space:normal;background-color:#FFFFFF;">&ocirc;</span></span>pital Sominé DOLO de Mopti, Mali. Clinical and laboratory data were measured for cardiovascular risk assessment. Framingham Risk Score (FRS) and Systemic Coronary Risk Estimation (SCORES) were computed by using Framingham and SCORE equations. Metabolic syndrome was defined using the harmonized criteria from the International Diabetes Federation (IDF) and the American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI). Data were captured in excel and analyzed with R version 4.0.3. The statistical significance was set at p = 0.05. <b>Results:</b> A total of 292 patients were enrolled in this study. The prevalence of traditional cardiovascular risk factors was 36.64%, 21.57%, 14.04%, and 13.01% for high blood pressure, hyperglycemia, smoking, and alcohol consumption, respectively. The metabolic syndrome accounted for 23.63%. The mean body mass index was 26.10 ± 7 kg/m². The overall 10-year risk for cardiovascular events or death was 26.3% and 8.6% according to the FRS and SCORE equation, respectively. The 10-year risk of cardiovascular events according to the FRS was significantly higher in subjects aged 50 and above compared to subjects aged under 50 years, 34.46% vs 13.16%, p < 0.001. Likewise, the 10-year risk for cardiovascular d