Cardiovascular screening programme in the Central Hungarian region. The Budakalász Study

Bagyura, Zsolt; Kiss, Loretta; Edes, E.; Lux, Árpád; Polgár, Lívia; Soós, Pál; Szenczi, Orsolya; Szelid, Zsolt; Vadas, Réka; Józan, Péter; Bagdy, György; Merkely, Béla

doi:10.1556/oh.2014.29969

Cited by 17 publications

(18 citation statements)

References 25 publications

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“…The Budakalasz study was a population-based screening programme in the Central Hungarian region including 2420 people (mean age 54:8 ± 14:8 years). Event-free patients could be categorized as having low risk (47.6%), moderate risk (41.4%), and high/very high risk (12%) which is parallel to the findings of previous studies [17][18][19].…”

Section: Discussionsupporting

confidence: 77%

“…Based on the results of previous studies, the rate of low-risk patients can be approximately 50% in age-and sex-matched middle-aged persons based on Hungarian epidemiological data (in contrast, 11.3% in our population), and the rate of moderate and high/very high-risk patients can be significantly lower in the general population, so our migraineurs have higher cardiovascular risk in general [17][18][19][20].…”

Section: Discussionmentioning

confidence: 92%

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Framingham Risk Stratification of Middle-Aged Migraineurs

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Kapus

Mészáros

et al. 2020

Behavioural Neurology

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Introduction. Migraine is a common primary headache disorder involving about 10-15% of the whole population. Several epidemiological and prospective studies showed a link between migraine (especially migraine with aura) and cardio- and cerebrovascular events. Objectives. We prospectively analyzed the data of vascular event-free middle-aged patients with migraine who were referred to our Headache Clinic between 01/2014 and 01/2018. Framingham 10-year risk were calculated; covariates included in the analysis were age, total cholesterol, HDL cholesterol, systolic blood pressure, antihypertensive medication use, current smoking, and diabetes status. Results. Total of 1037 patients were screened and 221 were selected, 161 were women (mean age 55.5±5.2 years) and 60 were men (mean age 56±6 years). 25 patients (11.3%) were labelled as having low risk, 162 patients (73.3%) had moderate risk, and 34 patients (15.4%) had high or very high risk. Blood pressure and lipid targets were reached in 73% and in 49% in the moderate risk and in 53% and 12% in the high risk/very high risk groups, respectively. Migraine with aura (MA) was associated significantly higher cardiovascular risk profile compared with migraine without aura (MO). About one-third of our nondiabetic patients had fasting blood glucose above the normal levels. 24 patients (mean age 60±4.9 years) were diabetic. Mean blood pressure was 149/85 Hgmm, mean choleterol was 5.11 mmol/l, and mean LDL was 2.93 mmol/l in this subgroup, respectively, which do not fall within the recommended targets. Conclusion. Our article draws attention to the higher cardiovascular risk profile of middle-aged migraineurs and highlights the deficiency of primary prevention. Pain physicians must be aware of the cardiovascular aspects of migraine and holistic approach is required instead of focusing only on pain and pain relief.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 92%

Framingham Risk Stratification of Middle-Aged Migraineurs

Bank

Kapus

Mészáros

et al. 2020

Behavioural Neurology

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“…Na atualidade é comum encontrar homens com grande risco cardiovascular uma vez que apresentam um perfil de fumantes, etilistas, com altas taxas de colesterol 11 . Estudos revelam a necessidade do estabelecimento de programas para rastrear precocemente a hipertensão, de terapias eficazes para a redução dos níveis pressóricos tanto sistólicos, como diastólicos [12][13] .Todavia estudos apontam que a utilização dos serviços prestados não altera significativamente os níveis pressóricos 15 . O controle pressórico deve passar pela adesão ao tratamento e acompanhamento pelo Serviço de Saúde (SS), porém estudo revela que os indivíduos com PANC apresentaram percentuais mais satisfatórios para adesão/ vínculo 7 .…”

Section: Discussionunclassified

“…O grupo etário predominante do estudo foi o dos idosos (>60 anos) reforçando outros estudos. O aparecimento da HAS nesse grupo decorre da redução da complacência dos vasos, do enrijecimento das artérias e da diminuição de sua elasticidade, que associado a outros aspectos fisiopatológicos comprometem a função circulatória [7][8][9][10][11][12][13][14][15][16] . Na velhice, confrontados com a própria vulnerabilidade, os homens buscam mais os SS e apresentam quadros irreversíveis, resultante da falta de ações preventivas ou de tratamento precoce 20 .…”

Section: Quando O Vínculo Não é Acentuado O Estímulo Familiar Leva Ounclassified

Determinantes do controle da pressão arterial em homens assistidos na atenção primária à saúde

et al. 2016

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A Hipertensão Arterial é uma condição clínica multifatorial com uma prevalência no Brasil de 30% em adultos maiores de 20 anos e de 35,8% nos homens, que estão mais expostos a fatores de risco e frequentam menos os serviços de saúde. Nosso objetivo é investigar o controle da pressão arterial de homens hipertensos atendidos no Serviços de Saúde da Atenção Primária em dois municípios Paraibanos. Este estudo foi comparativo com abordagem quantitativa, análise descritiva, aplicando-se regressão logística. Foi verificado que a maioria dos homens hipertensos nos municípios estudados não está sendo acompanhada pelos serviços e apresenta pressão arterial não controlada. São maiores de 60 anos, de raça não branca, estão em sobrepeso/obesidade, tabagistas e não etilistas. As variáveis que mantêm relação com o controle da pressão são raça, sobrepeso/obesidade e sedentarismo. Concluímos que a hipertensão é um grave problema de saúde pública que requer de todos (usuários, profissionais e gestores) mudança de atitude no enfrentamento desse problema. Para o controle da pressão arterial se faz necessário o acompanhamento do usuário pelas equipes dos serviços de saúde. É necessário intensificar ações focadas nas atividades físicas e alimentação saudável, bem como vincular os homens aos serviços de saúde, promovendo uma captação precoce, uma reorganização na forma operacional de atendimento, registro, horário de consulta e o fortalecimento das ações de educação em saúde. Palavras-chave:Atenção primária à saúde. Fatores de risco. Hipertensão. Saúde do homem.Hypertension is a multifactorial clinical condition with a prevalence in Brazil of 30% in adults over 20 years and 35.8 % in men, who are more exposed to risk factors and attend fewer the health services. The objective of this research was to investigate the control of blood pressure in hypertensive men, assisted by the Primary Health Care Services in two cities in the state of Paraíba and to identify the relationship between modifiable risk factors and sociodemographic factors with the control of blood pressure levels. This comparative study with a quantitative approach, descriptive analysis, applying logistic regression. It was verified that most hypertensive men in the cities studied, it is not being monitored by the authorities and has uncontrolled blood pressure. They are over 60 years, of non-white race, overweight / obese, smokers and non-drinkers. The variables that keep relation with pressure control are race, overweight / obesity and physical inactivity. We conclude that hypertension is a serious public health problem that requires all users, professionals and managers to change their attitude in tackling this problem. To control blood pressure, it is necessary the monitoring of the users by the teams of health services. It is also necessary to intensify actions focused on physical activities and healthy eating, as well as link the men to health services, thus promoting early diagnosis, a reorganization in operating the attendance, record, consultation time an...

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“…Ebben az értelemben a boka-kar index (BKI) meghatározása széles körben ajánlott vizsgálóeljárás [2]. A módszerrel végzett magyarországi, tudományos közlés formájában ismertetett szűrővizsgálatok 50 éves kor feletti hypertoniás populációban a perifériás érbetegség gyakoriságát 14,4%-nak [3], hasonló életkorú általános népességben végzett szűrővizsgálatban, a Budakalász Vizsgálatban pedig 16,1%nak találták [4].…”

Section: Eredeti Közleményunclassified