Identificación del sÃndrome metabólico en pacientes con diabetes mellitus e hipertensión arterial
Identification of metabolic syndrome in patients with diabetes mellitus and hypertension
Medisan; 21 (10), 2017
Publication year: 2017
Se realizó un estudio descriptivo, observacional y transversal de 93 pacientes hipertensos y diabéticos, con asociación de sÃndrome metabólico, ingresados en las salas de Medicina Interna del Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba, durante el bienio 2015-2016, con vistas a caracterizarles según algunas variables clÃnicas, imagenológicas y humorales. En la serie predominaron el sexo femenino (61,0 por ciento) y el grupo etario de 55-64 años (36,6 por ciento), en tanto las complicaciones, al igual que los parámetros radiológicos y humorales evaluados, estuvieron directamente relacionadas con el tiempo de evolución de las enfermedades; asimismo existió un mayor número de fallecidos a causa de la cardiopatÃa isquémica (55,0 por ciento). Pudo concluirse que en los pacientes con este sÃndrome existe un descontrol mayor desde el punto de vista humoral e imagenológico, con efecto proporcional al tiempo de evolución de la enfermedad y un consecuente desarrollo de complicaciones cardiovasculares, renales y cerebrovasculares, que incluso pueden conducir a la muerte.
A descriptive, observational and cross-sectional study of 93 hypertensive and diabetic patients with metabolic syndrome association was carried out, who were admitted to the Internal Medicine wards in Dr Juan Bruno Zayas Alfonso Teaching General Hospital from Santiago de Cuba during 2015-2016, aimed at characterizing them according to some clinical, imagenological and humoral variables. In the series there was a prevalence of female sex (61.0 percent) and 55-64 age group (36.5 percent), as for complications as well as radiological and humoral parameters evaluated, were directly related to timecourse of the diseases, likewise there was a higher number of deaths due to ischemic heart disease (55.0 percent). It was concluded that there is a higher lack of control in patients with this syndrome from the humoral and imagenological point of view with proportional efect to the disease timecourse and a consequent development of cardiovascular, renal and cerebrovascular complications, that can even lead to death.