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1. Analysis of case fatality rate of SARS-CoV-2 infection in the Spanish Autonomous Communities between March and May 2020.

Author

Martín-Sánchez V, Calderón-Montero A, Barquilla-García A, Vitelli-Storelli F, Segura-Fragoso A, Olmo-Quintana V, Serrano-Cumplido A, and COVID-19 Group of the Spanish Society of Primary Care Physicians (SEMERGEN)

Subjects
Medicine, Science
Abstract

ObjectiveThe Spanish health system is made up of seventeen regional health systems. Through the official reporting systems, some inconsistencies and differences in case fatality rates between Autonomous Communities (CC.AA.) have been observed. Therefore the objective of this paper is to compare COVID-19 case fatality rates across the Spanish CC.AA.Material and methodsObservational descriptive study. The COVID-19 case fatality rate (CFR) was estimated according to the official records (CFR-PCR+), the daily mortality monitory system (MoMo) record (CFR-Mo), and the seroprevalence study ENE-COVID-19 (Estudio Nacional de sero Epidemiologia Covid-19) according to sex, age group and CC.AA. between March and June 2020. The main objective is to detect whether there are any differences in CFR between Spanish Regions using two different register systems, i. e., the official register of the Ministry of Health and the MoMo.ResultsOverall, the CFR-Mo was higher than the CFR-PCR+, 1.59% vs 0.98%. The differences in case fatality rate between both methods were significantly higher in Castilla La Mancha, Castilla y León, Cataluña, and Madrid. The difference between both methods was higher in persons over 74 years of age (CFR-PCR+ 7.5% vs 13.0% for the CFR-Mo) but without statistical significance. There was no correlation of the estimated prevalence of infection with CFR-PCR+, but there was with CFR-Mo (R2 = 0.33). Andalucía presented a SCFR below 1 with both methods, and Asturias had a SCFR higher than 1. Cataluña and Castilla La Mancha presented a SCFR greater than 1 in any scenario of SARS-CoV-2 infection calculated with SCFR-Mo.ConclusionsThe PCR+ case fatality rate underestimates the case fatality rate of the SARS-CoV- 2 virus pandemic. It is therefore preferable to consider the MoMo case fatality rate. Significant differences have been observed in the information and registration systems and in the severity of the pandemic between the Spanish CC.AA. Although the infection prevalence correlates with case fatality rate, other factors such as age, comorbidities, and the policies adopted to address the pandemic can explain the differences observed between CC.AA.

Published
2021
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3. Characteristics of the phenotypes in prevalent and incident cases of heart failure in primary care: IBERICAN study

Author

Sergio Cinza-Sanjurjo, Miguel Ángel Prieto-Díaz, Vicente Pallarés-Carratalá, Rafael M. Micó-Pérez, Sonsoles Velilla-Zancada, Alfonso Barquilla-García, Leovigildo Ginel-Mendoza, Antonio Segura-Fragoso, Vicente Martín-Sánchez, and José Polo-García

Subjects
Heart failure, Diagnosis, Incidence, Primary care prevalence, Medicine (General), R5-920
Abstract

Abstract Background The management in primary care (PC) of the patients with Heart Failure (HF) is different from the management hospital, in a special way compared to cardiology departments. Objective To define the characteristics in both phenotypes of HF in prevalent and incident cases of HF in patients recruited in a large PC sample. Methods We proposed a and longitudinal analyses, in patients of the IBERICAN cohort, that recruited 8,066 patients in the Spanish primary care system, with 15,488 patients-years of follow-up. Of them, 252 patients (3.1%) had diagnoses of HF. HF was classified according to the 2014 guidelines in two groups: HF with a reduced eject fraction or HFrEF (LVEF

Published
2024
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5. Comparison of baseline clinical characteristics among people with type 2 diabetes on second-line therapy previously added with dapagliflozin or another oral glucose-lowering drug: AGORA study

Author

Pallarés-Carratalá, Vicente, Ruiz-García, Antonio, Serrano-Cumplido, Adalberto, Fragoso, Antonio Segura, Fernández-Pascual, Verónica, Sánchez-Sánchez, Beatriz, Cervera-Pérez, María Inmaculada, Alonso-Moreno, Francisco Javier, Arranz-Martínez, Ezequiel, Barquilla-García, Alfonso, Rey-Aldana, Daniel, García, José Polo, and Cinza-Sanjurjo, Sergio

Published
2024
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6. Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study

Author

Miguel A. Prieto-Díaz, Vicente Pallares-Carratala, Rafael Manuel Micó-Pérez, Carlos Escobar-Cervantes, Vicente Martín-Sanchez, Antonio Coca, Alfonso Barquilla-García, Sonsoles M. Velilla-Zancada, José Polo-García, Antonio Segura-Fragoso, Leovigildo Ginel-Mendoza, Álvaro Hermida-Ameijerias, Sergio Cinza-Sanjurjo, and the Investigators of the IBERICAN study and of the Spanish Society of Primary Care Physicians SEMERGEN Foundation

Subjects
blood pressure, combined therapy, hypertension, primary care, cardiovascular risk, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

ObjectivesTo determine the clinical profile, according to the history of hypertension, the risk of developing hypertension, current antihypertensive treatment and BP control rates in patients with hypertension from the IBERICAN cohort.MethodsIBERICAN is an ongoing prospective cohort study, whose primary objective is to determine the frequency, incidence, and distribution of CVRF in the adult Spanish population seen in primary care settings. This analysis shows the baseline clinical characteristics of patients with hypertension. Adequate BP control was defined as BP

Published
2023
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10. Elevated pulse pressure and cardiovascular risk associated in Spanish population attended in primary care: IBERICAN study

Author

Ana Moyá-Amengual, Antonio Ruiz-García, Vicente Pallarés-Carratalá, Adalberto Serrano-Cumplido, Miguel Ángel Prieto-Díaz, Antonio Segura-Fragoso, Sergio Cinza-Sanjurjo, the researchers of the IBERICAN study, Alfonso Barquilla García, Ángel Díaz Rodríguez, Carlos Escobar Cervantes, Francisco Javier Alonso Moreno, Jesús Vergara Martín, Juan José Badimón, José Polo García, Luis Rodríguez Padial, Miguel Ángel Prieto, Rafael Vidal Pérez, Sergio Cinza Sanjurjo, Sònia Miravet Jiménez, Sonsoles Velilla Zancada, José Ramón Banegas, Vicente Martín Sánchez, Vicente Pallares Carratalá, Antonio Segura Fragoso y Rafael Manuel Micó Pérez, Antonio López Téllez, Jesús Vergara Martin, María De Los Ángeles Ortega Osuna, Cristóbal Prieto Cid, Mª José Hidalgo Fajardo, José Lorente Serna, Ángel Domínguez Requena, Ricardo Alberola Cañizares, Manuel Ruiz Peña, Filomena Herrero Collado, Marcela Montes Vázquez, Rafael Ángel Carrascal Garrido, María Reyes Herrera Lozano, Beatriz Ortiz Oliva, Francisco José Anguita, Carmen Pérez Ibáñez, Carlos Alberto Cabrera Rodríguez, María José Cruz Rodríguez, Sandra Bonilla Ruiz, Rocio Reina González, Salome Abad Sánchez, Inmaculada Santana Martínez, Rafael Sánchez Jordán, Juan Mª Ramos Navas-Parejo, José Manuel Ramírez Torres, José María Beltrán Poveda, María Adoración De Cruz Benayas, Carmen Fernández Gil, Jon Iñaki Esturo Alcaine, Antonio Mora Quintero, Fernando Leiva Cepas, José Luis Carrasco Martín, Emilio García Criado, Mercedes Vázquez Blanco, Isabel Mora Ortiz, Leovigildo Ginel Mendoza, Juan Carlos Aguirre Rodríguez, Esperanza María Romero Rodríguez, José Acevedo Vázquez, Juan Gabriel García Ballesteros, María De La Paz Fernández Lara, Patricia Agüera Moreno, Eduardo Paños Maturana, Juan Manuel Ignacio Expósito, Noelia Carrillo Peñas, Carmen María Abad Faya, Ana Marina Almagro Duque, Rubén Torrescusa Camisón, Paloma Menéndez Polo, Marina Peña García, Cristina López Fernández, Ascensión Estepa Torres, Miguel Gutiérrez Jansen, Esperanza Loizaga González, Lisardo García Matarín, Enrique José Gamero De Luna, Javier Benítez Rivero, María José Gómez González, Carmen Gómez Montes, Juan Carlos Rodríguez Rodríguez, Juana María González Barranco, Josefa Ramírez Vizcaíno, María Ángeles Miranda Sánchez, Eva Trillo Calvo, Concepción Bayod Calvo, Susana Larripa De La Natividad, German Grasa Lambea, Emilio Jiménez Marín, Ana Cristina Navarro Gonzalvo, Antonio Pablo Martínez Barseló, Irene Peña León, Ángel González Pérez, Liliana Mahulea, María José Pérez Martínez, Ana Piera Carbonell, Margarita Alonso Fernández, María Montserrat Rueda Cuadrado, Rodrigo Abad Rodríguez, José Miguel Álvarez Cabo, Rubén Sánchez Rodríguez, Eva María Cano Cabo, Anny Romero Secin, Miguel Ángel Prieto Díaz, Juan Jesús García Fernández, Saúl Suárez García, Fernando García Romanos, Antonia Moreno González, María Lara Amengual Sastre, Susana Martínez Palli, José Alfonso Ramón Bauza, Jose Ortiz Bolinches, Carmen Fernández Fernández, María Isabel Orlandis Vázquez, Ana Sanchís Mezquita, Fernando Unceta Aramburu, Juan Fernando Peiró Morant, Ana Moyá Amengual, Matéu Seguí-Díaz, José Félix Zuazagoitia Nubla, Ana Echevarría Ituiño, Gregorio Mediavilla Tris, María Carmen Noriega Bosch, Esther González, María Luisa Ruiz Macho, Ruth Sendino Del Olmo, Asunción Olagorta De Prado, Ana López De Viñaspre Muguerza, Jesús Iturralde Iriso, Mª Rosario Virtus Iñurrieta, Lucas Ulloa Bahamonde, Isidro Godoy García, Fernando Rubio Sevillano, María Isabel González González, Marta Pérez Souto, Raquel De León Contreras, Sara Isabel Almeida González, Irene Almería Diez, Virginia Maria Mirabal Sánchez, Francisco José Escobar Lavado, Yoel Anta Pérez, Nayra Sánchez Hernández, Juan Luis Alonso Jerez, Ricardo Koch, Nayra Ramírez Mendoza, Héctor Suárez Hernández, Francisco Jesús Morales Escobar, E Lidia Gutiérrez Fernández, Fernando Andrés Mantecón, Ana Belén García Garrido, Asunción Vélez Escalante, Luisa Alonso Rentería, Jesús Sainz Jiménez, Guillermo Pombo Alles, Esperanza Rueda Alonso, Juan Antonio Divisón Garrote, Pedro Martínez Sotodosos, Juan Antonio Vivancos Fuster, María García Palencia, José Ambrosio Torres Moraleda, Sara González Ballesteros, Ana Carmen Gil Adrados, Antonio González Cabrera, Miguel Ángel Babiano Fernández, Guillermo Rico García, Juan José Criado-Álvarez, Pilar Torres Moreno, Francisco Javier Arribas Aguirregaviria, Alicia Sahuquillo Martínez, Lourdes Maria Santos Bejar, Miguel Laborda Peralta, Raúl Piedra Castro, Carlos Santos Altozano, Lucia González-Tarrio Polo, Pedro Valiente Maresca, Reinilda Mota Santana, Noemi Elizabeth Terrero Ledesma, Noelia Garrido Espada, Gabriela Delia Rosa Zambrana Calvi, Cristina de Castro Mesa, Blanca Cordero García, Pilar Sorrius Sitges, Ana María de Santiago Nocito, César Lozano Suárez, Juan Lorenzo Gutiérrez Montero, Juan Ignacio López Gil, María Dolores Fernández Ortega, Miren Elizari Roncal, María Ascensión López Serrano, Nuria Esther Adrián De La Fuente, Belén Angulo Fdez. De Larrea, Naiara Cubelos Fernández, Guiomar Luz Ferreiro Gómez, Diana Gómez Rodríguez, Sonia María Andrés Tuñón, María Ajenjo González, Serafín De Abajo Olea, Juan José León Regueras, César Manuel Gallego Nieto, Delio Vázquez Mallada, Maria De La O Gutiérrez García, Pablo Baz Rodríguez, José Ignacio Ferradal García, Blanca Delia De Román Martínez, Ana Arconada Pérez, Omar Mahmoud Atoui, Álvaro Morán Bayón, María Teresa Armenteros Del Olmo, Francisco Javier García-Norro Herreros, Enrique Méndez Rodríguez, Diana María Narganes Pineda, Verónica Ortiz Ainaga, Milagros Sonlei Sánchez Guevara, Laura Villota Ferreiro, M Teresa Grande Grande, Francisco Vicente Martínez Gracia, Jesús Palomo del Arco, María Dolores Moriano García, Beatriz Jiménez Muñoz, Gemma Rovira Marcelino, Diana Elizabeth Fernández Valverde, Roser Rodó Bernadó, Maria Teresa Ortiz Lupiañez, Najlaa Najih, José María Diéguez Parra, Mª Rosa Benedicto Acebo, Mari Luz Bravo Vicien, Alberto Ramón León Estella, Juan Antonio Muñoz Gómez, Alicia Mostazo Muntané, Isabel Ortega Abarca, Anna Gasol Fargas, Brenda Elizabeth Riesgo Escudero, Susana Elizabeth Riesgo, Edgar Zaballos Castellvi, Celia Cols Sagarra, Marta Herranz Fernández, Josep Alins Presas, Idaira Damas Pérez, Rosa M Alcolea Garcia, Ines Monte Collado, Roberto Genique Martínez, María José Guasch Villanueva, Teresa Rama Martínez, Lucio Pinto Pena, Josefa María Panisello Royo, Inés Gil Gil, Carlos Gómez Ruiz, Rita Sahun Font, Anna Fuentes Lloveras, Alberto Calderón Montero, María Del Mar Zamora Gómez, Elena Alarcón Cebrián, Mª José Piñero Acin, Celia Pecharroman Sacristán, M Soledad Mayayo Vicente, Mª Paz Pérez Unanua, Nuria Marañón Henrich, Saray Gómez Monreal, Sonia Redondo De Pedro, Blanca Sanz Pozo, Irene Moreno Martínez, Beatriz Lopez Uriarte, Carmelina Sanz Velasco, Amaya Gárriz Aguirre, Montserrat Rivera Teijido, German Reviriego Jaén, Jose Ignacio Aza Pascual-Salcedo, Josefa Vázquez Gallego, Julia Caballer Rodilla, Aida Herrera, Ezequiel Arranz Martínez, Ana María Gómez Calvo, Paula Morán Oliva, Mª Milagros González Béjar, Julio Antonio Heras Hitos, Olga García Vallejo, Manuel De Jesús Frías Vargas, María Jesús Castillejo Boguerin, Aurora García Lerín, Miguel Ángel María Tablado, Elena Concepción García García, Leticia De Miguel Acero, Carmen Zárate Oñate, Aránzazu Barranco Apoita, María Ester Montes Belloso, Ana María Huertas Velasco, Rafael Sáez Jiménez, Julia Natividad García Pascual, María Clemencia Zuluaga Zuluaga, Mª Cruz Díez Pérez, Antonio Ruiz García, Cristina Murillo Jelsbak, Virginia Lasso Oria, Amelia González Gamarra, Elena Rodilla Rodilla, Alberto Galgo Nafría, María Mestre de Juan, Mª Carmen García Albiñana, Mª del Pilar Moreno Cano, Paula Hernanz López, Paloma Casado Pérez, Jacinto Espinosa García, José Ignacio Prieto Romo, Leandro Fernández Fernández, Javier Sierratapia, Nieves Moreno Regidor, Francisco Javier Zaballos Sánchez, Ana Moreno Moreno, Francisco Carramiñana Barrera, Juan Jose Torres Vázquez, María José Gamero Samino, Miguel Ángel De Santiago Rodríguez, Pablo Rafael Gómez Martínez, Antonio Carlos Elías Becerra, Javier Soto Olivera, Víctor Cambero, Julián Domínguez Ávila, Andrés Simón Fuentes, Jorge Manuel De Nicolás Jiménez, Dimas Igual Fraile, Guadalupe Nieto Barco, Ignacio Araujo Ramos, Mª Luz Serrano Berrocal, Francisco Buitrago Ramírez, Minerva Gallego Marcos, Félix Suarez González, Victoriano Chavero Carrasco, Francisco Guerra Peguero, Francisco Javier Sánchez Vega, Manuel Tejero Mas, Alba Palmerín Donoso, Miguel Turégano Yedro, María Beatriz Esteban Rojas, Fátima Cabezudo Moreno, Nawson Elver Quevedo Saldaña, María Del Mar García Fenés, Timotea Garrote Florencio, José María Fernández Toro, Vicente Caballero Pajares, María José Gómez Barquero, Alejandra Rey Rañal, Elena García Del Río, Enrique Nieto Pol, Julio Álvarez Fernández, Pilar Alonso Álvarez, Mª Luisa Jorge Gómez, Antonio Calvo Guerrero, Isabel Celemín Colomina, Lucia Barreiro Casal, Juana Fernández Moreno, Mª Angelines Carballal Martínez, Nabor Díaz Rodríguez, Carlos Moral Paredes, Dolores Recarey García, Francisco Javier Iglesias Mato, Antonio Fouz Ulloa, Amparo Fidalgo González, Noelia Dios Parada, Patricia Conde Sabarís, Ana Isabel Rodríguez Pérez, Ana Inés García Palacio, Víctor Julio Quesada Varela, Lidia Romero Iglesias, Ángel Lado Llerena, Carmen Lires Rodríguez, María Luisa Carretero Díaz, José Carreira Arias, José Luís Vázquez Camino, María Del Carmen Torreiro Penas, Sandra Yáñez Freire, Daniel Rey Aldana, Carlos Piñeiro Díaz, Portal González Lorenzo, José Rodríguez Campos, Rubén Blanco Rodríguez, Manuel Portela Romero, Lucía Vilela de Castro, Sonsoles María Velilla Zancada, Rafael Crespo Sabarís, Oscar Fernando Isaula Jiménez, Jesús Manuel González Puga, Jorge Antonio Benaín Ávila, Óscar Del Toro González, Vicente Llorca Bueno, Ana María Ballesteros Pérez, Domingo J Rubira López, Mª Dolores Esteve Franco, Elena Sánchez Pablo, María Teresa Palacios López, Juan Castillo Meroño, José María Lobo Martínez, Isabel María Peral Martínez, J Eduardo Carrasco Carrasco, Armando Santo González, Juan Gomáriz García, Beatriz Ríos Morata, Laura Sánchez Iñigo, Inés Sanz Pérez, Vicente Pascual Fuster, Mª Dolores Aicart Bort, Natividad Vázquez Gómez, Carlos Lluna Gasco, Teresa Amorós Barber, Pedro Antonio Medina Cano, Miguel Monteagudo Moncho, María Jesús Larré Muñoz, Raquel Navarro Hernández, Francisco José Martínez Egea, Antonio Tramontano, Marta Ferrer Royo, Belén Persiva Saura, Juan A Contreras Torres, José Mª Tirado Moliner, Alejandro Salanova Penalba, Ariadna Cucó Alberola, Fernando María Navarro I Ros, Enrique Beltrán Llicer, Ana Seoane Novás, Inmaculada Martín Valls, Gracia Verdú Mahiques, Enrique Peña Forcada, Nieves Aguilar Gómez, Francisco Javier Sanz García, María Dolores Paradís Bueso, María Eugenia Alegre Romero, Antonio Francés Camus, María Amparo Antón Peinado, Rosa Latorre Santos, Mª Asunción Palomar Marín, María Carmen Botella García, Eva Sánchez Fresquet, Pedro Sala Paños, Tomás Sánchez Ruiz, Rosa Ana Valero Valero, María Seoane Vicente, Magdalena Martin Llinares, Antonio Masiá Alegre, José Luis Llisterri Caro, Irene Lluch Verdu, Vicente Pallarés Carratalá, Francisco Valls Roca, Rafael Manuel Micó Pérez, Carmen Barceló Dupuy, Elena Benages Vicente, María José Gimeno Tortajada, Mercedes Calleja del Ser, Martín Menéndez Rodríguez, and Rosalía Victoria Carbonell Castelló

Subjects
hypertension, pulse pressure, cardiovascular risk factors, subclinical target organ damage, hypertensive cardiovascular disease, cardiovascular disease, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

IntroductionElevated pulse pressure (ePP) is an independent marker of cardiovascular risk (CVR) in people older than 60, and a functional marker of subclinical target organ damage (sTOD) which can predict cardiovascular events in patients with hypertension (HTN), regardless of sTOD.ObjectiveTo evaluate the prevalence of ePP in adult population seen in primary care and its association with other vascular risk factors, sTOD and with cardiovascular disease (CVD).Materials and methodsObservational multicentre study conducted in Spain (8,066 patients, 54.5% women) from the prospective cohort study IBERICAN recruited in Primary Care. Pulse pressure (PP) was defined as the difference between the systolic blood pressure (SBP) and the diastolic blood pressure (DBP) ≥60 mmHg. Adjusted (for age and sex) ePP prevalence were determined. Bivariate and multivariate analyses of the possible variables associated with ePP were carried out.ResultsThe mean of PP was 52.35 mmHg, and was significantly higher (p

Published
2023
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11. Evaluation of prophylaxis in primary prevention with acetylsalicylic acid in people with diabetes: A scoping review

Author

Ruiz-García, A., Pallarés-Carratalá, V., Serrano-Cumplido, A., Escobar-Cervantes, C., Barquilla-García, A., Divisón-Garrote, J.A., Turégano-Yedro, M., Prieto-Díaz, M.A., Cinza-Sanjurjo, S., Alonso-Moreno, F.J., Beato-Fernández, P., García-Matarín, L., Rey-Aldana, D., Martín-Rioboó, E., Moyá-Amengual, A., Crespo-Sabarís, R., Piera-Carbonell, A., Romero-Vigara, J.C., Carrasco-Carrasco, E., Velilla-Zancada, S., Seoane-Vicente, M.C., Górriz-Teruel, J.L., Polo-García, J., and Barrios, V.

Published
2022
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13. Comprehensive management of risk factors in peripheral vascular disease. Expert consensus

Author

Aicart Bort, Mª Dolores, Almagro Múgica, Fátima, Arrarte Esteban, Vicente Ignacio, Ayala Vigueras, Isabel, Barquilla García, Alfonso, Bellido Castañeda, Virginia, Berenguel Senén, Alejandro, Blanco Echevarría, Agustín, Botana López, Manuel Antonio, Brea Hernando, Ángel, Brito Banfiel, Miguel, Calsina Juscafresa, Laura, Cánovas Molina, María Gloria, Carbayo Herencia, Julio Antonio, Carrasco Carrasco, Eduardo, Carro, Amelia, Casañas Martínez, Marta, Castilla-Guerra, Luis, Cepeda Rodrigo, José María, Cinza-Sanjurjo, Sergio, Clarà, Albert, Comas Samper, José Manuel, Cordero, Alberto, Cosin Sales, Juan, de Juan Bagudá, Javier, de la Fuente, Natalia, Delgado, Elías, Doiz Artázcoz, Esther, Durán Martínez, María, Escalada, Javier, Escobar Cervantes, Carlos, Escribano Pardo, Daniel, Estallo Laliena, Luis, Félix Redondo, Francisco Javier, Fernández Pardo, Jacinto, Rodriguez-Lacin, Jose María Fernández, Ferrer García, Juan Carlos, Frías Vargas, Manuel, Galarza Tapia, Andrés, García León, Andrés, García Lerín, Aurora, García-Martín, Lisardo, Gargallo Fernández, Manuel, Gil, Inés Gil, Girbés Borrás, Juan, Guerra Requena, Mercedes, Guijarro Herraiz, Carlos, Hernández Martínez, Antonio Miguel, Hevia, Sergio, Ibarretxe Gerediaga, Daiana, Iborra Ortega, Elena, Jansen Chaparro, Sergio, Jarauta Simón, Estíbaliz, Jericó Alba, Carlos, Jiménez Muñoz, Beatriz, Lahoz, Carlos, Leiva Hernando, Luis, León Mazorra, Magdalena, López Valverde, María Eugenia, Lorente Calvo, Rosario, Martín Cañuelo, Jorge Jesús, Martínez Hervas, Sergio, Martínez López, María Ángeles, Masmiquel, Luis, Matía Cubillo, Ángel Carlos, Medina Falcón, Agustín, Merino Lanza, Esther, Morales-Pérez, Francisco M., Morata Barrado, Pilar Caridad, Moreno-Pérez, Óscar, Morillas Bueno, Miren, Mosquera Lozano, Jose Daniel, Muñiz Grijalvo, Ovidio, Muñoz Rivas, Núria, Navas de Solís, María Soledad, Obaya Rebollar, Juan Carlos, Ortega, Emilio, Pallarés-Carratalá, Vicente, Párraga Martínez, Ignacio, Pascual Fuster, Vicente, Peinado Adiego, Carmen, Pereira López, Eva María, Pérez Lázaro, M. Antonia, Pérez Pérez, Antonio, Pinés Corrales, Pedro J., Polo García, Jose, Prieto Díaz, Miguel Ángel, Quindimil Vázquez, José Antonio, Rama Martínez, Teresa, Reyes García, Rebeca, Ripoll Vera, Tomás, Rodilla Sala, Enrique, Rodríguez Piñero, Manuel, de Buruaga, Víctor Rodríguez Sáenz, Ruiz García, Antonio, Ruiz Ortiz, Martín, Ruiz Palomar, José Manuel, Saltijeral Cerezo, Adriana, Álvarez, Julio Sánchez, Ortiga, Ruth Sánchez, Sánchez-Hernández, Rosa María, Santos Altozano, Carlos, Seoane Vicente, Maria, Suárez Tembra, Manuel, Tejera Pérez, Cristina, Toledo Frías, Pablo Antonio, Turégano Yedro, Miguel, Valdivielso, Pedro, Valls-Roca, Francisco, de Ceniga, Melina Vega, Velasco Valdazo, Elisa, Vidal-Pérez, Rafael, Zamora Cervantes, Alberto, Barrios, V., Beato, P., Brotons, C., Campuzano, R., Merino-Torres, J.F., Mostaza, J.M., Plana, N., Rubio, J.A., and Comellas, M.

Published
2022
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18. Prevalence of hypotension in hypertensive treated patients within the Primary Care setting. The PRESCAP 2010 study

Author

Adlbi Sibai, A., Ajenjo González, M., Alonso Moreno, F.J., Araujo Márquez, L., Arina Cordeu, A., Artigao Ródenas, L.M., Barquilla García, A., Beato Fernández, P., Caballero Pajares, V., Cabezudo Moreno, F., Calderón Montero, A., Carrasco Carrasco, E., Carrasco Martín, J.L., Carrizo Sánchez, J., Cinza Sanjurjo, S., de las Cuevas Miguel, M.P., Divisón Garrote, J.A., Elligson Garcia, S., Escobar Cervantes, C., Esteban Rojas, M.B., Fernández Toro, J.M., Frías Vargas, M., García Criado, E., Garcia Lerin, A., García Matarín, L., García Vallejo, O., Genique Martinez, R., Gil Gil, I., González Casado, I., Gorriz Teruel, J.L., Jimenez Baena, E., Llisterri Caro, J.L., Martí Canales, J.C., Mediavilla Bravo, J.J., Molina Escribano, F., Morales Quintero, S., Moyá Amengual, A., Nieto Barco, G., Pallarés Carratalá, V., Piera Carbonell, A.M., Polo García, J., Prieto Díaz, M.A., Rama Martínez, T., Redondo Prieto, M., Rey Aldana, D., Riesgo Escudero, B.E., Rodríguez Roca, G.C., Rojas Martelo, G.A., Romero Secin, A.A., Ruiz García, A., Sánchez Rodríguez, R., Sánchez Ruíz, T., Santos Altozano, C., Sanz García, F.J., Seoane Vicente, M.C., Serrano Cumplido, A., Turégano Yedro, M., Valls Roca, F., Velilla Zancada, S.M., Vicente Molinero, A., Divisón-Garrote, J.A., Prieto-Díaz, M.Á., Alonso-Moreno, F.J., Velilla-Zancada, S.M., Escobar-Cervantes, C., Llisterri-Caro, J.L., Cinza-Sanjurjo, S., Rodríguez-Roca, G.C., Polo-García, J., and Pallarés-Carratalá, V.

Published
2020
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22. Posicionamiento para el manejo de la hipertensión arterial en atención primaria a partir del análisis crítico de las guías americana (2017) y europea (2018). Sociedad Española de Médicos de Atención Primaria (SEMERGEN)

Author

Adlbi Sibai, A., Alonso Moreno, F.J., Araujo Márquez, L., Arina Cordeu, A., Artigao Ródenas, L.M., Barquilla García, A., Beato Fernández, P., Caballero Pajares, V., Cabezudo Moreno, F., Calderón Montero, A., Carrasco, E., Carrasco Martín, J.L., Carrizo Sánchez, J., Cinza Sanjurjo, S., de las Cuevas Miguel, M.P., Divisón Garrote, J.A., Elligson Garcia, S., Escobar Cervantes, C., Esteban Rojas, M.B., Fernández Toro, J.M., Frias Vargas, M., García Criado, E., García Lerin, A., García Matarín, L., García Vallejo, O., Genique Martinez, R., Gil Gil, I., González Casado, I., Gorriz Teruel, J.L., Jimenez Baena, E., Llisterri Caro, J.L., Martí Canales, J.C., Mediavilla Bravo, J.J., Molina Escribano, F., Morales Quintero, S., Moyá Amengual, A., Nieto Barco, G., Pallarés Carratalá, V., Polo García, J., Prieto Díaz, M.A., Rama Martínez, T., Redondo Prieto, M., Rey Aldana, D., Riesgo Escudero, B.E., Rodríguez Roca, G.C., Rojas Martelo, G.A., Ruiz García, A., Sánchez Rodríguez, R., Sánchez Ruíz, T., Santos Altozano, C., Sanz García, F.J., Seoane Vicente, M.C., Serrano Cumplido, A., Turégano Yedro, M., Valls Roca, F., Velilla Zancada, S.M., Vicente Molinero, A., Pallarés-Carratalá, V., Velilla Zancada, S., and Górriz, J.L.

Published
2019
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23. Características basales y manejo clínico de los primeros 3.000 pacientes incluidos en el estudio IBERICAN (Identificación de la población española de riesgo cardiovascular y renal)

Author

Cinza Sanjurjo, Sergio, Prieto Díaz, Miguel Ángel, Llisterri Caro, José Luis, Pallarés Carratalá, Vicente, Barquilla García, Alfonso, Rodríguez Padial, Luis, Díaz Rodríguez, Ángel, Polo García, José, Vergara Martín, Jesús, Vidal Pérez, Rafael, and Rodríguez Roca, Gustavo Cristóbal

Published
2017
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25. Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study.

Author

Prieto-Díaz, Miguel A., Pallares-Carratala, Vicente, Micó-Pérez, Rafael Manuel, Escobar-Cervantes, Carlos, Martín-Sanchez, Vicente, Coca, Antonio, Barquilla-García, Alfonso, Velilla-Zancada, Sonsoles M., Polo-García, José, Segura-Fragoso, Antonio, Ginel-Mendoza, Leovigildo, Hermida-Ameijerias, Álvaro, and Cinza-Sanjurjo, Sergio

Published
2024
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27. Evaluation of prophylaxis in primary prevention with acetylsalicylic acid in people with diabetes: A scoping review

Author

A. Ruiz-García, V. Pallarés-Carratalá, A. Serrano-Cumplido, C. Escobar-Cervantes, A. Barquilla-García, J.A. Divisón-Garrote, M. Turégano-Yedro, M.A. Prieto-Díaz, S. Cinza-Sanjurjo, F.J. Alonso-Moreno, P. Beato-Fernández, L. García-Matarín, D. Rey-Aldana, E. Martín-Rioboó, A. Moyá-Amengual, R. Crespo-Sabarís, A. Piera-Carbonell, J.C. Romero-Vigara, E. Carrasco-Carrasco, S. Velilla-Zancada, M.C. Seoane-Vicente, J.L. Górriz-Teruel, J. Polo-García, and V. Barrios

Subjects
Primary prevention, Aspirin, Diabetes, Enfermedad cardiovascular, Revisión sistemática, Myocardial Infarction, Public Health, Environmental and Occupational Health, Hemorrhage, Cardiovascular disease, Primary Prevention, Stroke, Meta-analysis, Ácido acetilsalicílico, Acetylsalicylic acid, Diabetes Mellitus, Systematic review, Humans, Prevención primaria, Metaanálisis, Family Practice
Abstract

The efficacy and safety of acetylsalicylic acid (ASA) prophylaxis for the primary prevention of atherosclerotic cardiovascular disease (ACVD) remain controversial in people with diabetes (DM) without ACVD, because the possible increased risk of major bleeding could outweigh the potential reduction in the risk of mortality and of major adverse cardiovascular events (MACE) considered individually or together.To evaluate the overall risk-benefit of ASA prophylaxis in primary prevention in people with DM and to compare the recommendations of the guidelines with the results of the meta-analyses (MA) and systematic reviews (SR).We searched Medline, Google Scholar, Embase, and the Cochrane Library for SR and MA published from 2009 to 2020 which compared the effects of ASA prophylaxis versus placebo or control followed up for at least one year in people with DM without ACVD. Heterogeneity among the randomized clinical trials (RCT) included in the SR and MA was assessed. Cardiovascular outcomes of efficacy (all-cause mortality [ACM], cardiovascular mortality [CVM], myocardial infarction [MI], stroke and MACE) and of safety (major bleeding events [MBE], major gastrointestinal bleeding events [MGIBE], and intracranial and extracranial bleeding) were shown.The recommendations of 12 guidelines were evaluated. The results of 25 SR and MA that included a total of 20 RCT were assessed. None of the MA or SR showed that ASA prophylaxis decreased the risk of ACM, CVM or MI. Only two of the 19 SR and MA that evaluated ischemic stroke showed a decrease in the stroke risk (mean 20.0% [SD±5.7]), bordering on statistical significance. Almost half of the MA and SR showed, bordering on statistical significance, a risk reduction for the MACE composite endpoint (mean 10.5% [SD±3.3]). The significant increases in MGIBE risk ranged from 35% to 55%. The significant increases in the risk of MBE and extracraneal bleeding were 33.4% (SD±14.9) and 54.5% (SD±0.7) respectively.The overall risk-benefit assessment of ASA prophylaxis in primary prevention suggests that it should not be applied in people with DM.

Published
2022

29. TARGET ORGAN DAMAGE IN HYPERTENSIVE PATIENTS OF THE IBERICAN STUDY

Author

Romero Secin, A.A., Piera Carbonell, A.M., Listerri Caro, J.L., Rama Martínez, T., Benitez Rivero, J., Moyá Amengual, A., Valls Roca, F., García Fernández, J.J., Fernández Toro, J.M., Rey Aldana, D., Barquilla García, A., Gamero De Luna, E.J., García Matarín, L., Ruíz García, A., and Prieto Díaz, M.A.

Published
2019
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30. ARTERIAL HYPERTENSION, CLINICAL CHARACTERISTICS OF PATIENTS INCLUDED IN THE IBERICAN STUDY

Author

Piera Carbonell, A.M., Prieto Díaz, M.A., Cinza Sanjurjo, S., Micó Perez, R.M., Pallarés Carratalá, V., Barquilla García, A., Llisterri Caro, J.L., Polo García, J., Romero Secin, A., González Gamarra, A., Zambrana Calví, G.D.R., Lasso Oria, V., Piñeiro Díaz, C., Gómez Montes, C., Gil Gil, I., Murillo Jelsbak, C., Panisello Royo, J.M., Gómez González, M.J., Pinto Pena, L., and Ruiz García, A.

Published
2019
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32. Comprehensive management of risk factors in peripheral vascular disease. Expert consensus

Author

Pilar Caridad Morata Barrado, Carlos Guijarro Herraiz, Jorge Jesús Martín Cañuelo, J.F. Merino-Torres, Cristina Tejera Pérez, María Ángeles Martínez López, Teresa Rama Martínez, Sergio Cinza-Sanjurjo, Mª Dolores Aicart Bort, C. Brotons, Vicente Pascual Fuster, Emilio Ortega, Tomás Ripoll Vera, Carmen Peinado Adiego, Alberto Cordero, Carlos Jericó Alba, Luis Castilla-Guerra, Francisco Valls-Roca, Pablo Antonio Toledo Frías, Rosa María Sánchez-Hernández, Antonio Pérez Pérez, Ángel Brea Hernando, Juan Girbés Borrás, Miguel Ángel Prieto Díaz, J.M. Mostaza, María Soledad Navas de Solís, Elisa Velasco Valdazo, Estíbaliz Jarauta Simón, Juan Carlos Ferrer García, José Manuel Ruiz Palomar, Francisco M. Morales-Pérez, Julio Sánchez Álvarez, Javier de Juan Bagudá, Núria Muñoz Rivas, Elías Delgado, Manuel Frías Vargas, Ovidio Muñiz Grijalvo, Esther Doiz Artázcoz, Pedro Valdivielso, Adriana Saltijeral Cerezo, Rebeca Reyes García, Manuel Rodríguez Piñero, Beatriz Jiménez Muñoz, Luis Leiva Hernando, Enrique Rodilla Sala, Alfonso Barquilla García, Jose Daniel Mosquera Lozano, Carlos Santos Altozano, Antonio Miguel Hernández Martínez, Alejandro Berenguel Senén, Manuel Gargallo Fernández, María Gloria Cánovas Molina, Julio Antonio Carbayo Herencia, Ignacio Párraga Martínez, Elena Iborra Ortega, Aurora García Lerín, Vicente Ignacio Arrarte Esteban, Vivencio Barrios, Jose Polo García, Manuel Antonio Botana López, Ruth Sánchez Ortiga, Manuel Suárez Tembra, Miguel Brito Banfiel, Ángel Carlos Matía Cubillo, José María Cepeda Rodrigo, Daniel Escribano Pardo, P. Beato, M. Comellas, Inés Gil Gil, R. Campuzano, Martín Ruiz Ortiz, Víctor Rodríguez Sáenz de Buruaga, Agustín Blanco Echevarría, Rosario Lorente Calvo, José Manuel Comas Samper, Sergio Hevia, Natalia de la Fuente, Juan Cosin Sales, Rafael Vidal-Pérez, Virginia Bellido Castañeda, N. Plana, Amelia Carro, Carlos Lahoz, Magdalena León Mazorra, Sergio Martínez Hervas, Maria Seoane Vicente, Melina Vega de Ceniga, M. Antonia Pérez Lázaro, Sergio Jansen Chaparro, Antonio Ruiz García, Isabel Ayala Vigueras, Miren Morillas Bueno, Esther Merino Lanza, Andrés Galarza Tapia, Marta Casañas Martínez, Daiana Ibarretxe Gerediaga, María Durán Martínez, José Antonio Rubio, Óscar Moreno-Pérez, Andrés García León, Luis Estallo Laliena, Eduardo Carrasco Carrasco, Vicente Pallarés-Carratalá, Alberto Zamora Cervantes, Javier Escalada, Juan Carlos Obaya Rebollar, Mercedes Guerra Requena, José Antonio Quindimil Vázquez, Pedro J. Pinés Corrales, Carlos Escobar Cervantes, Lisardo García-Martín, Albert Clarà, Jose María Fernández Rodriguez-Lacin, Miguel Turégano Yedro, Francisco Javier Félix Redondo, Luis Masmiquel, Jacinto Fernández Pardo, Laura Calsina Juscafresa, María Eugenia López Valverde, Eva María Pereira López, Fátima Almagro Múgica, and Agustín Medina Falcón

Subjects
medicine.medical_specialty, Consensus, Vascular disease, business.industry, Arterial disease, Delphi method, Expert consensus, General Medicine, Disease, medicine.disease, Quit smoking, Peripheral Arterial Disease, Risk Factors, Multidisciplinary approach, Diabetes Mellitus, medicine, Humans, Ankle Brachial Index, Medical prescription, Intensive care medicine, business
Abstract

There is currently a degree of divergence among the main clinical practice guidelines on the management of risk factors for peripheral arterial disease (PAD). This project aims to gain understanding of the management of PAD risk factors in clinical practice and to reach a multidisciplinary consensus on the strategies to be followed in order to optimize its identification, treatment, and follow-up.A multidisciplinary consensus following the Delphi methodology.Professionals (n = 130) with extensive experience in PAD participated in this consultation. The results suggest that in order to optimize the control of risk factors, efforts should be aimed at: (1) promoting the involvement and awareness of all specialists in the identification of and screening for the disease; (2) guaranteeing the possibility of evaluating the ankle-brachial index (ABI) in all the medical specialties involved; (3) promoting strategies for patients to quit smoking through the use of drugs, programs, or referrals to specialized units; (4) promoting an appropriate Mediterranean-based diet and the prescription of daily exercise; (5) raising awareness of the importance of ensuring LDL cholesterol values below 70 mg/dL, especially in symptomatic but also in asymptomatic patients (55 mg/dL following the publication of the ESC/EAS guide); (6) recommending the use of antiplatelet therapy in asymptomatic patients with diabetes mellitus (DM) and/or a pathological ABI; and (7) protocolizing the annual evaluation of ABI in high-risk patients.This document presents the 22 agreed-upon strategies which are intended to help professionals optimize multidisciplinary management of PAD risk factors.

Published
2022

33. Prevalence of Hyperuricemia and Its Association with Cardiovascular Risk Factors and Subclinical Target Organ Damage

Author

Antelo-Pais, Paula, primary, Prieto-Díaz, Miguel Ángel, additional, Micó-Pérez, Rafael M., additional, Pallarés-Carratalá, Vicente, additional, Velilla-Zancada, Sonsoles, additional, Polo-García, José, additional, Barquilla-García, Alfonso, additional, Ginel-Mendoza, Leovigildo, additional, Segura-Fragoso, Antonio, additional, Vitelli-Storelli, Facundo, additional, Martín-Sánchez, Vicente, additional, Hermida-Ameijerias, Álvaro, additional, and Cinza-Sanjurjo, Sergio, additional

Published
2022
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36. Prevalencia de la enfermedad renal crónica y factores asociados en la población asistida en atención primaria de España: resultados del estudio IBERICAN

Author

José Luis Llisterri, Rafael Manuel Micó-Pérez, Sonsoles Velilla-Zancada, Gustavo Cristóbal Rodríguez-Roca, Miguel Ángel Prieto-Díaz, Vicente Martín-Sánchez, Alfonso Barquilla, José Polo-García, Antonio Segura-Fragoso, Sergio Cinza-Sanjurjo, Alfonso Barquilla García, Ángel Díaz Rodríguez, Carlos Escobar Cervantes, Francisco Javier Alonso Moreno, Gustavo Cristóbal Rodríguez Roca, Jesús Vergara Martín, José Luis Llisterri Caro, Juan José Badimón, José Polo García, Luis Rodríguez Padial, Miguel Ángel Prieto, Rafael Vidal Pérez, Sergio Cinza Sanjurjo, Sonia Miravet Jiménez, Sonsoles Velilla Zancada, Antonio López Téllez, Maria de Los Ángeles Ortega Osuna, Cristóbal Prieto Cid, María José Hidalgo Fajardo, José Lorente Serna, Ángel Domínguez Requena, Ricardo Alberola Cañizares, Manuel Ruiz Peña, Filomena Herrero Collado, Marcela Montes Vázquez, Rafael Ángel Carrascal Garrido, María Reyes Herrera Lozano, Beatriz Ortiz Oliva, Francisco José Anguita, Carmen Pérez Ibáñez, Carlos Alberto Cabrera Rodríguez, María José Cruz Rodríguez, Sandra Bonilla Ruiz, Rocío Reina González, Salomé Abad Sánchez, Inmaculada Santana Martínez, Rafael Sánchez Jordán, Juan María Ramos Navas-Parejo, José Manuel Ramírez Torres, José María Beltrán Poveda, María Adoración de Cruz Benayas, Carmen Fernandez Gil, Jon Iñaki Esturo Alcaine, Antonio Mora Quintero, Fernando Leiva Cepas, José Luis Carrasco Martín, Emilio García Criado, Mercedes Vázquez Blanco, Isabel Mora Ortiz, Leovigildo Ginel Mendoza, Juan Carlos Aguirre Rodríguez, Esperanza María Romero Rodríguez, José Acevedo Vázquez, Juan Gabriel García Ballesteros, María de La Paz Fernández Lara, Patricia Agüera Moreno, Eduardo Paños Maturana, Juan Manuel Ignacio Expósito, Noelia Carrillo Peñas, Carmen María Abad Faya, Ana Marina Almagro Duque, Rubén Torrescusa Camisón, Paloma Menéndez Polo, Marina Peña García, Cristina López Fernández, Ascensión Estepa Torres, Miguel Gutiérrez Jansen, Esperanza Loizaga González, Lisardo García Matarin, Enrique José Gamero de Luna, Javier Benítez Rivero, María José Gómez González, Carmen Gómez Montes, Eva Trillo Calvo, Concepción Bayod Calvo, Susana Larripa de La Natividad, Germán Grasa Lambea, Emilio Jiménez Marín, Ana Cristina Navarro Gonzalvo, Antonio Pablo Martínez Barseló, Irene Peña León, E. Lidia Gutiérrez Fernández, Fernando Andrés Mantecón, Ana Belén García Garrido, Asunción Velez Escalante, Luisa Alonso Rentería, Jesús Sainz Jiménez, Guillermo Pombo Alles, Juan Antonio Divison Garrote, Pedro Martínez Sotodosos, Juan Antonio Vivancos Fuster, María García Palencia, José Ambrosio Torres Moraleda, Sara González Ballesteros, Ana Carmen Gil Adrados, Antonio González Cabrera, Miguel Ángel Babiano Fernández, Guillermo Rico García, Juan José Criado-Álvarez, Pilar Torres Moreno, Francisco Javier Arribas Aguirregaviria, Alicia Sahuquillo Martínez, Lourdes María Santos Béjar, Miguel Laborda Peralta, Raúl Piedra Castro, Carlos Santos Altozano, Lucía González-Tarrio Polo, Pedro Valiente Maresca, Reinilda Mota Santana, Noemi Elizabeth Terrero Ledesma, Noelia Garrido Espada, Gabriela Delia Rosa Zambrana Calvi, Juan Lorenzo Gutiérrez Montero, Juan Ignacio López Gil, María Dolores Fernández Ortega, Miren Elizari Roncal, María Ascensión López Serrano, Nuria Esther Adrián de La Fuente, Belén Angulo Fdez. de Larrea, Naiara Cubelos Fernández, Guiomar Luz Ferreiro Gómez, Diana Gómez Rodríguez, Sonia María Andrés Tuñón, María Ajenjo González, Serafín de Abajo Olea, Juan José León Regueras, César Manuel Gallego Nieto, Delio Vázquez Mallada, Maria de La O Gutiérrez García, Pablo Baz Rodríguez, José Ignacio Ferradal García, Blanca Delia de Román Martínez, Ana Arconada Pérez, Omar Mahmoud Atoui, Álvaro Morán Bayón, María Teresa Armenteros del Olmo, Fco. Javier García-Norro Herreros, Enrique Méndez Rodríguez, Diana María Narganes Pineda, Verónica Ortiz Ainaga, Milagros Sonlei Sánchez Guevara, Laura Villota Ferreiro, M. Teresa Grande Grande, Francisco Vicente Martínez Gracía, María Dolores Moriano García, Beatriz Jiménez Muñoz, Gemma Rovira Marcelino, Diana Elizabeth Fernández Valverde, Roser Rodó Bernadó, María Teresa Ortiz Lupiáñez, Najlaa Najih, José María Diéguez Parra, María Rosa Benedicto Acebo, Mari Luz Bravo Vicien, Alberto Ramón León Estella, Juan Antonio Muñoz Gómez, Alicia Mostazo Muntané, Isabel Ortega Abarca, Anna Gasol Fargas, Brenda Elizabeth Riesgo Escudero, Susana Elizabeth Riesgo, Edgar Zaballos Castellvi, Celia Cols Sagarra, Marta Herranz Fernández, Josep Alins Presas, Idaira Damas Pérez, Rosa M. Alcolea García, Inés Monte Collado, Roberto Genique Martínez, María José Guasch Villanueva, Teresa Rama Martínez, Lucio Pinto Pena, Josefa María Panisello Royo, Inés Gil Gil, Alberto Calderón Montero, María del Mar Zamora Gómez, Elena Alarcón Cebrián, María José Piñero Acin, Celia Pecharromán Sacristán, M. Soledad Mayayo Vicente, María Paz Pérez Unanua, Nuria Marañón Henrich, Saray Gómez Monreal, Sonia Redondo de Pedro, Blanca Sanz Pozo, Irene Moreno Martínez, Beatriz López Uriarte, Carmelina Sanz Velasco, Amaya Gárriz Aguirre, Montserrat Rivera Teijido, Germán Reviriego Jaén, José Ignacio Aza Pascual-Salcedo, Josefa Vázquez Gallego, Julia Caballer Rodilla, Aida Herrera, Ezequiel Arranz Martínez, Ana María Gómez Calvo, Paula Morán Oliva, María Milagros González Béjar, Julio Antonio Heras Hitos, Olga García Vallejo, Manuel de Jesús Frías Vargas, María Jesús Castillejo Boguerin, Aurora García Lerin, Miguel Ángel María Tablado, Elena Concepción García García, Leticia de Miguel Acero, Carmen Zárate Oñate, Aránzazu Barranco Apoita, María Ester Montes Belloso, Ana María Huertas Velasco, Rafael Sáez Jiménez, Julia Natividad García Pascual, María Clemencia Zuluaga Zuluaga, María Cruz Díez Perez, Antonio Ruiz García, Cristina Murillo Jelsbak, Virginia Lasso Oria, Amelia González Gamarra, Vicente Pascual Fuster, María Dolores Aicart Bort, Natividad Vázquez Gómez, Carlos Lluna Gasco, Teresa Amoros Barber, Pedro Antonio Medina Cano, Miguel Monteagudo Moncho, María Jesús Larré Muñoz, Raquel Navarro Hernández, Francisco José Martínez Egea, Antonio Tramontano, Marta Ferrer Royo, Belén Persiva Saura, Juan A. Contreras Torres, José María Tirado Moliner, Alejandro Salanova Penalba, Ariadna Cucó Alberola, Fernando María Navarro I. Ros, Enrique Beltrán Llicer, Ana Seoane Novás, Inmaculada Martín Valls, Gracia Verdú Mahiques, Enrique Peña Forcada, Nieves Aguilar Gómez, Francisco Javier Sanz García, M. Dolores Paradís Bueso, María Eugenia Alegre Romero, Antonio Francés Camus, María Amparo Antón Peinado, Rosa Latorre Santos, María Asunción Palomar Marín, María Carmen Botella García, Eva Sánchez Fresquet, Pedro Sala Paños, Tomás Sánchez Ruiz, Rosa Ana Valero Valero, María Seoane Vicente, Magdalena Martín Llinares, Antonio Masiá Alegre, Irene Lluch Verdú, Vicente Pallares Carratala, Francisco Valls Roca, Rafael Manuel Micó Pérez, Jacinto Espinosa García, José Ignacio Prieto Romo, Leandro Fernández Fernández, Javier Sierratapia, Nieves Moreno Regidor, Francisco Javier Zaballos Sánchez, Ana Moreno Moreno, Francisco Carramiñana Barrera, Juan José Torres Vázquez, María José Gamero Samino, Miguel Ángel de Santiago Rodríguez, Pablo Rafael Gómez Martínez, Antonio Carlos Elías Becerra, Javier Soto Olivera, Víctor Cambero, Julián Domínguez Ávila, Andrés Simón Fuentes, Jorge Manuel de Nicolás Jiménez, Dimas Igual Fraile, Guadalupe Nieto Barco, Ignacio Araujo Ramos, María Luz Serrano Berrocal, Francisco Buitrago Ramírez, Minerva Gallego Marcos, Félix Suárez González, Victoriano Chavero Carrasco, Francisco Guerra Peguero, Francisco Javier Sánchez Vega, Manuel Tejero Mas, Alba Palmerín Donoso, Miguel Turégano Yedro, María Beatriz Esteban Rojas, Fátima Cabezudo Moreno, Nawson Elver Quevedo Saldaña, María del Mar García Fenés, Timotea Garrote Florencio, José María Fernández Toro, Alejandra Rey Rañal, Elena García del Río, Enrique Nieto Pol, Julio Álvarez Fernández, Pilar Alonso Álvarez, María Luisa Jorge Gómez, Antonio Calvo Guerrero, Isabel Celemín Colomina, Lucía Barreiro Casal, Juana Fernández Moreno, María Angelines Carballal Martínez, Nabor Díaz Rodríguez, Carlos Moral Paredes, Dolores Recarey García, Fco. Javier Iglesias Mato, Antonio Fouz Ulloa, Amparo Fidalgo González, Noelia Dios Parada, Patricia Conde Sabarís, Ana Isabel Rodríguez Pérez, Ana Inés García Palacio, Víctor Julio Quesada Varela, Lidia Romero Iglesias, Ángel Lado Llerena, Carmen Lires Rodríguez, María Luisa Carretero Diaz, José Carreira Arias, Jose Luis Vázquez Camino, María del Carmen Torreiro Penas, Sandra Yáñez Freire, Daniel Rey Aldana, Carlos Piñeiro Díaz, Fernando García Romanos, Antonia Moreno González, María Lara Amengual Sastre, Susana Martínez Palli, José Alfonso Ramón Bauza, José Ortiz Bolinches, Carmen Fernández Fernández, María Isabel Orlandis Vázquez, Ana Sanchís Mezquita, Fernando Unceta Aramburu, Juan Fernando Peiró Morant, Ana Moyá Amengual, Isidro Godoy García, Fernando Rubio Sevillano, María Isabel González González, Marta Pérez Souto, Raquel de León Contreras, Sara Isabel Almeida González, Irene Almería Diez, Virginia María Mirabal Sánchez, Francisco José Escobar Lavado, Yoel Anta Pérez, Nayra Sánchez Hernández, Juan Luis Alonso Jerez, Ricardo Koch, Nayra Ramírez Mendoza, Héctor Suárez Hernández, Francisco Jesús Morales Escobar, Sonsoles María Velilla Zancada, Rafael Crespo Sabarís, Óscar Fernando Isaula Jiménez, Jesús Manuel González Puga, Jorge Antonio Benaín Ávila, Óscar del Toro González, Laura Sánchez Íñigo, Inés Sanz Pérez, José Félix Zuazagoitia Nubla, Ana Echebarría Ituiño, Gregorio Mediavilla Tris, María Carmen Noriega Bosch, Esther González, María Luisa Ruiz Macho, Ruth Sendino del Olmo, Asunción Olagorta de Prado, Ana López de Viñaspre Muguerza, Jesús Iturralde Iriso, María José Pérez Martínez, Ana Piera Carbonell, Margarita Alonso Fernández, María Montserrat Rueda Cuadrado, Rodrigo Abad Rodríguez, José Miguel Álvarez Cabo, Rubén Sánchez Rodríguez, Eva María Cano Cabo, Anny Romero Secin, Miguel Ángel Prieto Díaz, Juan Jesús García Fernández, Vicente Llorca Bueno, Ana María Ballesteros Pérez, Domingo J. Rubira López, María Dolores Esteve Franco, Elena Sánchez Pablo, María Teresa Palacios López, Juan Castillo Meroño, José María Lobo Martínez, Isabel María Peral Martínez, J. Eduardo Carrasco Carrasco, and Armando Santo González

Subjects
Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, business.industry, medicine, 030212 general & internal medicine, General Medicine, business
Abstract

Resumen Objetivos Conocer la prevalencia de enfermedad renal cronica (ERC) y determinar los factores asociados al deterioro de la funcion renal en poblacion asistida en atencion primaria. Pacientes y metodo Estudio transversal y multicentrico realizado en los pacientes basales del estudio IBERICAN (identificacion de la poblacion espanola de riesgo cardiovascular y renal). Se considero ERC a un filtrado glomerular estimado (FGe) Resultados Se incluyeron 7.895 pacientes (edad media 57,9 ± 14,8 anos; 54,5% mujeres). El 14,4% (IC 95%: 13,6-15,1) presentaba ERC; en hombres un 16,1% (IC 95%: 14,9-17,3) y en mujeres un 12,9% (IC 95%: 11,9-14,0). Se observo un aumento continuo de la prevalencia con la edad (24,8% ≥ 65 anos) y con la agregacion de FRCV. Las variables que mas se asociaron a la probabilidad de padecer ERC fueron hipertrofia ventricular izquierda (OR: 1,95; p Conclusiones Catorce de cada 100 pacientes incluidos en el estudio IBERICAN presenta ERC. La prevalencia de ERC afecta a la cuarta parte de pacientes ≥ 65 anos y aumenta exponencialmente con la agregacion de FRCV.

Published
2021

37. Factores asociados al riesgo cardiovascular y enfermedad cardiovascular y renal en el estudio IBERICAN (Identificación de la poBlación Española de RIesgo CArdiovascular y reNal): resultados definitivos

Author

G.C. Rodríguez-Roca, V. Martín Sánchez, R M Micó-Pérez, J. Polo García, A. Barquilla García, S Cinza-Sanjurjo, J.L. Llisterri Caro, Miguel Ángel Prieto-Díaz, and S.M. Velilla-Zancada

Subjects
03 medical and health sciences, 0302 clinical medicine, Public Health, Environmental and Occupational Health, 030212 general & internal medicine, 030204 cardiovascular system & hematology, Family Practice
Abstract

Resumen Objetivo Analizar la prevalencia en practica clinica de los factores de riesgo cardiovascular (FRCV) y la enfermedad cardiovascular (ECV), asi como su relacion causal, en la visita de inclusion. Material y metodos Analisis transversal de la visita de inclusion de los 8.066 pacientes de 18 a 85 anos de edad incluidos en el estudio IBERICAN. Se analizo la informacion socio-demografica, los antecedentes personales y familiares, y la prevalencia de FRCV, de ECV y de enfermedad renal. Se ha realizado un analisis multivariante, mediante regresion logistica que incluia la variable comunidad autonoma como variable de efectos aleatorios, para analizar el impacto de determinadas variables en el desarrollo de cada FRCV, sindrome metabolico, lesion de orden subclinica (LOS), enfermedad renal y ECV. Resultados La dislipemia fue 2,4 veces mas frecuente en diabeticos y se incremento el riesgo un 59% en hipertensos. La hipertension arterial fue dos veces mas frecuente en diabeticos y se incremento un 94% en hiperuricemicos y un 62,1% en dislipemicos. La diabetes mellitus fue 2,5 veces mayor en dislipemicos y 2,2 veces mayor en hipertensos. La ECV fue cuatro veces mas frecuente en pacientes con antecedentes familiares, y se incremento un 90,8% el riesgo en mujeres y un 53,8% en pacientes con enfermedad renal. Conclusiones La poblacion espanola asistida en atencion primaria (AP) que ha sido analizada en el estudio IBERICAN presenta una elevada prevalencia de FRCV y ECV establecida, lo que le confiere un elevado RCV. El analisis multivariante realizado muestra una estrecha relacion causal entre los FRCV entre si y con la enfermedad renal y la ECV.

Published
2020

38. Descripción de la muestra, diseño y métodos del estudio para la identificación de la población española de riesgo cardiovascular y renal (IBERICAN)

Author

J.L. Llisterri Caro, A. Barquilla García, J. Polo García, M.A. Prieto Díaz, V. Martín Sánchez, S. Cinza Sanjurjo, S. Velilla Zancada, G.C. Rodríguez Roca, and R.M. Micó Pérez

Subjects
03 medical and health sciences, 0302 clinical medicine, Public Health, Environmental and Occupational Health, 030212 general & internal medicine, 030204 cardiovascular system & hematology, Family Practice
Abstract

Resumen Antecedentes y objetivo Las enfermedades cardiovasculares (ECV) son la primera causa de muerte en nuestro pais, y aunque las tasas de incidencia disminuyen desde hace anos por las mejoras en la prevencion y el tratamiento, aun hay margen para una mayor reduccion. La atencion primaria tiene un papel primordial en la prevencion y el control de estas enfermedades. Conocer la prevalencia e incidencia de los factores de riesgo cardiovascular y de las enfermedades cardiovasculares en poblacion adulta espanola asistida en atencion primaria es el objetivo del estudio para la identificacion de la poblacion espanola de riesgo cardiovascular y renal (IBERICAN). Material y metodos Estudio de cohortes prospectivas. Poblacion asistida en centros de atencion primaria entre 18 y 85 anos seleccionada mediante muestreo consecutivo no probabilistico entre el 1 de abril de 2014 y el 31 de octubre de 2018. Mediante revision de la historia clinica, analiticas y visitas medicas el medico del paciente ha recogido informacion sociodemografica, antecedentes personales y familiares y prevalencia e incidencia de factores de riesgo cardiovascular y enfermedad cardiovascular y renal. Se estimaran las incidencias y factores asociados mediante modelos de riesgos proporcionales de Cox y curvas de Kaplan-Meier. Resultados Forman parte de la cohorte IBERICAN 8.066 pacientes reclutados por 531 medicos de atencion primaria de todas las CC. AA. de Espana, con la excepcion de Ceuta. La edad media de la cohorte es de 57,9 anos, con un 54,5% de mujeres. La obesidad, la dislipidemia y la HTA son los factores de riesgo cardiovascular mas prevalentes. El 16,3% presentaba antecedentes de ECV y el 25,5% alguna lesion de organo subclinica. Conclusion El estudio IBERICAN es una cohorte de personas atendidas en atencion primaria que espera aportar informacion relevante sobre los factores que determinan la incidencia de ECV y renal en Espana.

Published
2020

39. Prevalence of Hyperuricemia and Its Association with Cardiovascular Risk Factors and Subclinical Target Organ Damage

Author

Paula Antelo-Pais, Miguel Ángel Prieto-Díaz, Rafael M. Micó-Pérez, Vicente Pallarés-Carratalá, Sonsoles Velilla-Zancada, José Polo-García, Alfonso Barquilla-García, Leovigildo Ginel-Mendoza, Antonio Segura-Fragoso, Facundo Vitelli-Storelli, Vicente Martín-Sánchez, Álvaro Hermida-Ameijerias, and Sergio Cinza-Sanjurjo

Subjects
hyperuricemia, cardiovascular risk, prevalence, associated risk, General Medicine
Abstract

The role of uric acid levels in the cardiovascular continuum is not clear. Our objective is to analyze the prevalence of hyperuricemia (HU) and its association with cardiovascular risk factors (CVRF), subclinical target organ damage (sTOD), and cardiovascular diseases (CVD). We evaluated the prevalence of HU in 6.927 patients included in the baseline visit of the IBERICAN study. HU was defined as uric acid levels above 6 mg/dL in women, and 7 mg/dL in men. Using adjusted logistic regression models, the odds ratios were estimated according to CVRF, sTOD, and CVD. The prevalence of HU was 16.3%. The risk of HU was higher in patients with pathological glomerular filtration rate (aOR: 2.92), heart failure (HF) (aOR: 1.91), abdominal obesity (aOR: 1.80), hypertension (HTN) (aOR: 1.65), use of thiazides (aOR: 1.54), left ventricular hypertrophy (LVH) (aOR: 1.36), atrial fibrillation (AFIB) (aOR: 1.29), and albuminuria (aOR: 1.27). On the other hand, being female (aOR: 0.82) showed a reduced risk. The prevalence of HU was higher in men, in patients presenting CVRF such as HTN and abdominal obesity, and with co-existence of LVH, atrial fibrillation (AFIB), HF, and any form of kidney injury. These associations raise the possibility that HU forms part of the early stages of the cardiovascular continuum. This may influence its management in Primary Healthcare because the presence of HU could mean an increased CV risk in the patients.

Published
2022

41. Tasas de letalidad por SARS-CoV-2 durante la segunda onda epidémica en España según Comunidades Autónomas

Author

Ruiz-García, Antonio, primary, Vitelli-Storelli, Facundo, additional, Serrano-Cumplido, Adalberto, additional, Segura-Fragoso, Antonio, additional, Calderón-Montero, Alberto, additional, Mico-Pérez, Rafael Manuel, additional, Barquilla-García, Alfonso, additional, Morán-Bayón, Álvaro, additional, Linares, Manuel, additional, Olmo-Quintana, Vicente, additional, and Martín-Sánchez, Vicente, additional

Published
2022
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42. Prevalence of Chronic Heart Failure, Associated Factors, and Therapeutic Management in Primary Care Patients in Spain, IBERICAN Study

Author

Llisterri-Caro, Jose L., Cinza-Sanjurjo, Sergio, Martín-Sánchez, Vicente, Rodríguez-Roca, Gustavo C., Micó-Pérez, Rafael M., Segura-Fragoso, Antonio, Velilla-Zancada, Sonsoles, Polo-García, Jose, Barquilla-García, Alfonso, Padial, Luis Rodríguez, Prieto-Díaz, Miguel A., and Foundation, on behalf of the Investigators of the IBERICAN Study and of the Spanish Society of Primary Care Physicians (SEMERGEN)’s Foundation on behalf of the Investigators of the IBERICAN Study and of the Spanish Society of Primary Care Physicians (SEMERGEN)’s

Subjects
medicine.medical_specialty, Angiotensin receptor, prevalence, Left ventricular hypertrophy, Article, primary care, Internal medicine, Medicine, Medical history, cardiovascular diseases, Ejection fraction, biology, business.industry, Vascular disease, drug treatment, Atrial fibrillation, Angiotensin-converting enzyme, General Medicine, medicine.disease, chronic heart failure, Heart failure, Cardiology, biology.protein, cardiovascular system, business, human activities, circulatory and respiratory physiology
Abstract

Background: The prevalence of chronic heart failure (CHF) in patients assisted in primary care is not well known. We investigated the prevalence of CHF, its associated factors, and its therapeutic management. Methods and findings: This was a cross-sectional, multicenter study conducted in primary care (PC) in baseline patients of the IBERICAN study (Identification of the Spanish Population at Cardiovascular and Renal Risk). CHF was defined as the presence of this condition in the medical history, classifying patients according to the type of ventricular dysfunction in CHF with preserved ejection fraction (pEF), or CHF with reduced ejection fraction (rEF). Clinical characteristics, relationship between CHF and main cardiovascular risk factors (CVRF), and drug treatments used according to ejection fraction (EF) were analyzed. Results: A total of 8066 patients were included (54.5% women), average age (SD) was 57.9 (14.8) years, of which 3.1% (95% CI: 2.3–3.7) presented CHF, without differences between men and women. CHF with pEF (61.8%, 95% CI: 55.5–67.6) was more frequent in women, and CHF with rEF (38.1%, 95% CI: 33.2–45.5) (p = 0.028) was similar in both genders (65.9%, 95% CI: 57.1–73.4 vs. 57.3%, 95% CI: 47.7–65.8) (p = 0.188). A progressive increase of the prevalence with age (15.2% in ≥80 years) and with the aggregation of CVRF was observed. The most prescribed treatments were beta-blockers (54.7%) followed by angiotensin converting enzyme inhibitors (42.8%) and angiotensin II receptor antagonists (41.3%), without differences between pEF and rEF. The variables that are most associated with the probability of suffering CHF were a personal history of left ventricular hypertrophy (OR: 5.968, p &lt, 0.001), of atrial fibrillation (OR: 3.494, 0.001), and of peripheral vascular disease (OR: 2.029, 0.001). Conclusions: Three in every 100 patients included in the IBERICAN study presented CHF, of which two thirds had pEF. The condition increased exponentially with age and aggregation of CVRF. We did not find any differences in drug treatment according to the type of ventricular dysfunction. The treatment of HF with rEF has much room for improvement.

Published
2021
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43. Prevalence of Hyperuricemia and Its Association with Cardiovascular Risk Factors and Subclinical Target Organ Damage.

Author

Antelo-Pais, Paula, Prieto-Díaz, Miguel Ángel, Micó-Pérez, Rafael M., Pallarés-Carratalá, Vicente, Velilla-Zancada, Sonsoles, Polo-García, José, Barquilla-García, Alfonso, Ginel-Mendoza, Leovigildo, Segura-Fragoso, Antonio, Vitelli-Storelli, Facundo, Martín-Sánchez, Vicente, Hermida-Ameijerias, Álvaro, and Cinza-Sanjurjo, Sergio

Subjects
CARDIOVASCULAR diseases risk factors, INTRA-abdominal hypertension, HEART failure, HYPERURICEMIA, LEFT ventricular hypertrophy, ATRIAL fibrillation, CARDIOVASCULAR diseases
Abstract

The role of uric acid levels in the cardiovascular continuum is not clear. Our objective is to analyze the prevalence of hyperuricemia (HU) and its association with cardiovascular risk factors (CVRF), subclinical target organ damage (sTOD), and cardiovascular diseases (CVD). We evaluated the prevalence of HU in 6.927 patients included in the baseline visit of the IBERICAN study. HU was defined as uric acid levels above 6 mg/dL in women, and 7 mg/dL in men. Using adjusted logistic regression models, the odds ratios were estimated according to CVRF, sTOD, and CVD. The prevalence of HU was 16.3%. The risk of HU was higher in patients with pathological glomerular filtration rate (aOR: 2.92), heart failure (HF) (aOR: 1.91), abdominal obesity (aOR: 1.80), hypertension (HTN) (aOR: 1.65), use of thiazides (aOR: 1.54), left ventricular hypertrophy (LVH) (aOR: 1.36), atrial fibrillation (AFIB) (aOR: 1.29), and albuminuria (aOR: 1.27). On the other hand, being female (aOR: 0.82) showed a reduced risk. The prevalence of HU was higher in men, in patients presenting CVRF such as HTN and abdominal obesity, and with co-existence of LVH, atrial fibrillation (AFIB), HF, and any form of kidney injury. These associations raise the possibility that HU forms part of the early stages of the cardiovascular continuum. This may influence its management in Primary Healthcare because the presence of HU could mean an increased CV risk in the patients. [ABSTRACT FROM AUTHOR]

Published
2023
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44. Prevalence of Chronic Kidney Disease in Patients with Diabetes in Extremadura (Spain) during the Years 2012, 2013 and 2014: An Observational Study

Author

Félix Suárez-González, José Carlos Risco-Solanilla, Javier Sánchez-Vega, Leandro Fernández-Fernández, Francisco Buitrago, and Alfonso Barquilla-García

Subjects
renal impairment, medicine.medical_specialty, type 2 diabetes mellitus, Population, Prevalence, Renal function, 030209 endocrinology & metabolism, urologic and male genital diseases, Article, albuminuria, 03 medical and health sciences, 0302 clinical medicine, Diabetes mellitus, Internal medicine, Epidemiology, medicine, 030212 general & internal medicine, education, education.field_of_study, business.industry, Type 2 Diabetes Mellitus, General Medicine, medicine.disease, female genital diseases and pregnancy complications, primary health care, Albuminuria, Medicine, medicine.symptom, business, chronic kidney disease, Kidney disease
Abstract

Diabetes mellitus (DM) is one of the leading causes of chronic kidney disease (CKD). We analyzed the prevalence of CKD in the population with diabetes in Extremadura (Spain). retrospective observational study was carried in the diabetic population attended in the Extremadura Health System in 2012–2014. A total of 38,253 patients, ≥18 years old were included. Estimated glomerular filtration rate (eGFR) was calculated using the CKD Epidemiology Collaboration equation. CKD was defined as follow: an eGFR &lt, 60 mL/min/1.73 m2 in a time period ≥ of three months or the presence of renal damage, with or without reduced eGFR, if the urine albumin-creatinine ratio (UACR) was ≥30 mg/g, also in a time period ≥ of three months. The prevalence rate of CKD was 25.3% (27.6% in women, 23.0% in men) and increases with age (34.0% in ≥65 years-olds). 24.9% of patients with CKD were in the very-high risk category for cardiovascular events (6.3% of the diabetic population). If CKD were diagnosed without requiring sustained eGFR &lt, 60 mL/min/1.73 m2 and/or sustained UACR ≥30 mg/g (as it is frequently found in the literature) this would overestimate the prevalence of CKD by 23%.

Published
2021
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45. Prevalence of diabetes and frequency of glycated haemoglobin monitoring in Extremadura (Spain) during 2012, 2013 and 2014: An observational study

Author

Leandro Fernández, Juan Carlos Romero Vigara, Alfonso Barquilla García, María José Gamero Samino, Francisco Buitrago, and Javier Sánchez Vega

Subjects
Blood Glucose, Male, medicine.medical_specialty, Time Factors, Databases, Factual, endocrine system diseases, Endocrinology, Diabetes and Metabolism, Population, Prevalence, 030209 endocrinology & metabolism, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Diabetes mellitus, Diabetes Mellitus, Internal Medicine, Humans, Hypoglycemic Agents, Medicine, Longitudinal Studies, 030212 general & internal medicine, Prediabetes, Practice Patterns, Physicians', Medical prescription, education, Glycated haemoglobin, Aged, Retrospective Studies, Aged, 80 and over, Glycated Hemoglobin, education.field_of_study, Nutrition and Dietetics, business.industry, nutritional and metabolic diseases, Retrospective cohort study, Middle Aged, medicine.disease, Spain, Practice Guidelines as Topic, Female, Observational study, Family Practice, business, Biomarkers
Abstract

Aims To analyze the prevalence of diabetes and the frequency of haemoglobin A 1C (HbA 1C ) monitoring in the population with diabetes in Extremadura (Spain). Methods Observational, longitudinal retrospective study in the population attended in the Extremadura Health System in 2012–2014. A total of 403,644 glycated haemoglobin determinations in 189,466 subjects (52.4% female) were studied. All patients with a prescription of antidiabetic drugs and those who, despite not having treatment, had any determination of HbA 1C ≥6.5% were considered as people with diabetes. All patients without treatment but with HbA 1C ≥5.7% and Results The prevalence rate of diabetes was 8.3% and the frequency of HbA 1C monitoring was 0.9/patient/year in the diabetic population. 48.2% of the patients with monitoring of HbA 1C had diabetes, 21.2% had prediabetes, and 30.6% did not meet the criteria for diabetes or prediabetes. 12.7% of people with diabetes did not have determinations of HbA 1C and only 11.8% have had ≥6 determinations in the period analyzed. Conclusions The frequency of HbA 1C monitoring in the diabetic population is lower than that usually recommended. Moreover, there is an inadequate use of HbA 1C determinations, since one out of every 3 patients does not meet the criteria for diabetes or prediabetes.

Published
2019

46. Prevalencia de obesidad y comorbilidad cardiovascular asociada en los pacientes incluidos en el estudio IBERICAN (Identificación de la poBlación Española de RIesgo CArdiovascular y reNal)

Author

J.J. Badimón Maestro, L. Rodríguez Padial, S. Cinza Sanjurjo, J.L. Llisterri Caro, A. Barquilla García, M.A. Prieto Díaz, V. Pallarés Carratalá, G.C. Rodríguez Roca, and R. Vidal Pérez

Subjects
03 medical and health sciences, 0302 clinical medicine, Public Health, Environmental and Occupational Health, 030212 general & internal medicine, 030204 cardiovascular system & hematology, Family Practice
Abstract

Resumen Objetivos Analizar la prevalencia de obesidad y su asociacion con otros factores de riesgo cardiovascular y la enfermedad cardiovascular en una muestra de pacientes del estudio IBERICAN. Material y metodos Analisis de la visita de inclusion de los primeros 5.013 individuos reclutados del estudio IBERICAN, estudio longitudinal, observacional y multicentrico en el que se estan incluyendo individuos de 18 a 85 anos en las consultas de Atencion Primaria en las diferentes comunidades autonomas de Espana. En este trabajo se definio la obesidad como indice de masa corporal ≥ 30 kg/m2. Resultados La prevalencia de obesidad fue del 35,7% (IC 95%: 35,0-36,4%), 36,6% en varones y 34,9% en mujeres (p = 0,214), que se incrementa con la edad de manera significativa (p Conclusiones El analisis del estudio IBERICAN muestra que aproximadamente una tercera parte de la poblacion analizada cumple criterios de obesidad y que los factores de riesgo cardiovascular, lesion en organos diana y enfermedad cardiovascular eran mas frecuentes en los obesos.

Published
2019

47. Posicionamiento para el manejo de la hipertensión arterial en atención primaria a partir del análisis crítico de las guías americana (2017) y europea (2018). Sociedad Española de Médicos de Atención Primaria (SEMERGEN)

Author

V. Pallarés-Carratalá, J.A. Divisón Garrote, M.A. Prieto Díaz, L. García Matarín, M.C. Seoane Vicente, F. Molina Escribano, S. Velilla Zancada, D. Rey Aldana, S. Cinza Sanjurjo, C. Santos Altozano, J.L. Górriz, F.J. Alonso Moreno, J. Polo García, A. Barquilla García, P. Beato Fernández, C. Escobar Cervantes, A. Adlbi Sibai, L. Araujo Márquez, A. Arina Cordeu, L.M. Artigao Ródenas, V. Caballero Pajares, F. Cabezudo Moreno, A. Calderón Montero, E. Carrasco, J.L. Carrasco Martín, J. Carrizo Sánchez, M.P. de las Cuevas Miguel, S. Elligson Garcia, M.B. Esteban Rojas, J.M. Fernández Toro, M. Frias Vargas, E. García Criado, A. García Lerin, O. García Vallejo, R. Genique Martinez, I. Gil Gil, I. González Casado, J.L. Gorriz Teruel, E. Jimenez Baena, J.L. Llisterri Caro, J.C. Martí Canales, J.J. Mediavilla Bravo, S. Morales Quintero, A. Moyá Amengual, G. Nieto Barco, V. Pallarés Carratalá, T. Rama Martínez, M. Redondo Prieto, B.E. Riesgo Escudero, G.C. Rodríguez Roca, G.A. Rojas Martelo, A. Ruiz García, R. Sánchez Rodríguez, T. Sánchez Ruíz, F.J. Sanz García, A. Serrano Cumplido, M. Turégano Yedro, F. Valls Roca, S.M. Velilla Zancada, and A. Vicente Molinero

Subjects
Clinical Practice, 03 medical and health sciences, 0302 clinical medicine, Nursing, business.industry, Public Health, Environmental and Occupational Health, Medicine, 030212 general & internal medicine, Primary care, 030204 cardiovascular system & hematology, Family Practice, business, Scientific society
Abstract

The Scientific Societies of Primary Care, being the area in which there is a considerable prevalence of Arterial Hypertension (AHT), need to periodically evaluate the international guidelines for its management. This is particularly relevant when disparate guidelines make it difficult to make decisions in daily clinical practice. The present document has as its aim to analyse the changes and new developments proposed in the guidelines of the American College of Cardiology and the American Heart Association (ACC/AHA 2017), as well as in the guidelines of the European Society of Cardiology and European Society of Hypertension (ESC/ESH 2018). An analysis will be made of any differences, limitations, and their applicability to Primary Care in Spain. Finally, the most relevant available and appropriate information is extracted and integrated in order to homogenise the care of the hypertensive patient, from a critical, but also a reasoned, perspective. The discrepancies between the recommendations in such essential aspects as the management of the disease, require the compiling and critical analysis of the information that enables us as scientific society, interested in providing all PC physicians with the most relevant, and at the same time, sensible, recommendations of all the guidelines.

Published
2019

48. [Application of the PCR number of cycle threshold value (Ct) in COVID-19]

Author

R.M. Micó Pérez, A Serrano-Cumplido, A Morán-Bayón, V. Olmo-Quintana, A Barquilla-García, A. Ruiz García, and A. Segura-Fragoso

Subjects
COVID-19 Vaccines, Cycle Threshold, SARS-CoV-2, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), RT-qPCR, Public Health, Environmental and Occupational Health, Virulence, COVID-19, Context (language use), 030204 cardiovascular system & hematology, Biology, Virology, Polymerase Chain Reaction, Article, Estratificación, Reverse transcription polymerase chain reaction, 03 medical and health sciences, Reference test, 0302 clinical medicine, COVID-19 Nucleic Acid Testing, Humans, 030212 general & internal medicine, Stratification, Ciclo Umbral, Family Practice
Abstract

La pandemia por el SARS-CoV-2 persiste con toda su virulencia a pesar de haberse administrado 650.382.819 dosis de vacuna anti-COVID a nivel mundial. La prueba de referencia para la identificación de la infección es la reacción en cadena de la polimerasa con transcriptasa inversa (RT-qPCR). La utilidad de esta prueba puede disminuir al simplificar su resultado como positivo o negativo. Determinar el número de ciclos (Ct) en las pruebas RT-qPCR positivas puede ayudar en la toma de decisiones cuando se interpretan en el contexto clínico de los pacientes.

Published
2021

49. Comprehensive management of risk factors in peripheral vascular disease. Expert consensus

Author

Barrios, V., primary, Beato, P., additional, Brotons, C., additional, Campuzano, R., additional, Merino-Torres, J.F., additional, Mostaza, J.M., additional, Plana, N., additional, Rubio, J.A., additional, Comellas, M., additional, Aicart Bort, Mª Dolores, additional, Almagro Múgica, Fátima, additional, Arrarte Esteban, Vicente Ignacio, additional, Ayala Vigueras, Isabel, additional, Barquilla García, Alfonso, additional, Bellido Castañeda, Virginia, additional, Berenguel Senén, Alejandro, additional, Blanco Echevarría, Agustín, additional, Botana López, Manuel Antonio, additional, Brea Hernando, Ángel, additional, Brito Banfiel, Miguel, additional, Calsina Juscafresa, Laura, additional, Cánovas Molina, María Gloria, additional, Carbayo Herencia, Julio Antonio, additional, Carrasco Carrasco, Eduardo, additional, Carro, Amelia, additional, Casañas Martínez, Marta, additional, Castilla-Guerra, Luis, additional, Cepeda Rodrigo, José María, additional, Cinza-Sanjurjo, Sergio, additional, Clarà, Albert, additional, Comas Samper, José Manuel, additional, Cordero, Alberto, additional, Cosin Sales, Juan, additional, de Juan Bagudá, Javier, additional, de la Fuente, Natalia, additional, Delgado, Elías, additional, Doiz Artázcoz, Esther, additional, Durán Martínez, María, additional, Escalada, Javier, additional, Escobar Cervantes, Carlos, additional, Escribano Pardo, Daniel, additional, Estallo Laliena, Luis, additional, Félix Redondo, Francisco Javier, additional, Fernández Pardo, Jacinto, additional, Rodriguez-Lacin, Jose María Fernández, additional, Ferrer García, Juan Carlos, additional, Frías Vargas, Manuel, additional, Galarza Tapia, Andrés, additional, García León, Andrés, additional, García Lerín, Aurora, additional, García-Martín, Lisardo, additional, Gargallo Fernández, Manuel, additional, Gil, Inés Gil, additional, Girbés Borrás, Juan, additional, Guerra Requena, Mercedes, additional, Guijarro Herraiz, Carlos, additional, Hernández Martínez, Antonio Miguel, additional, Hevia, Sergio, additional, Ibarretxe Gerediaga, Daiana, additional, Iborra Ortega, Elena, additional, Jansen Chaparro, Sergio, additional, Jarauta Simón, Estíbaliz, additional, Jericó Alba, Carlos, additional, Jiménez Muñoz, Beatriz, additional, Lahoz, Carlos, additional, Leiva Hernando, Luis, additional, León Mazorra, Magdalena, additional, López Valverde, María Eugenia, additional, Lorente Calvo, Rosario, additional, Martín Cañuelo, Jorge Jesús, additional, Martínez Hervas, Sergio, additional, Martínez López, María Ángeles, additional, Masmiquel, Luis, additional, Matía Cubillo, Ángel Carlos, additional, Medina Falcón, Agustín, additional, Merino Lanza, Esther, additional, Morales-Pérez, Francisco M., additional, Morata Barrado, Pilar Caridad, additional, Moreno-Pérez, Óscar, additional, Morillas Bueno, Miren, additional, Mosquera Lozano, Jose Daniel, additional, Muñiz Grijalvo, Ovidio, additional, Muñoz Rivas, Núria, additional, Navas de Solís, María Soledad, additional, Obaya Rebollar, Juan Carlos, additional, Ortega, Emilio, additional, Pallarés-Carratalá, Vicente, additional, Párraga Martínez, Ignacio, additional, Pascual Fuster, Vicente, additional, Peinado Adiego, Carmen, additional, Pereira López, Eva María, additional, Pérez Lázaro, M. Antonia, additional, Pérez Pérez, Antonio, additional, Pinés Corrales, Pedro J., additional, Polo García, Jose, additional, Prieto Díaz, Miguel Ángel, additional, Quindimil Vázquez, José Antonio, additional, Rama Martínez, Teresa, additional, Reyes García, Rebeca, additional, Ripoll Vera, Tomás, additional, Rodilla Sala, Enrique, additional, Rodríguez Piñero, Manuel, additional, de Buruaga, Víctor Rodríguez Sáenz, additional, Ruiz García, Antonio, additional, Ruiz Ortiz, Martín, additional, Ruiz Palomar, José Manuel, additional, Saltijeral Cerezo, Adriana, additional, Álvarez, Julio Sánchez, additional, Ortiga, Ruth Sánchez, additional, Sánchez-Hernández, Rosa María, additional, Santos Altozano, Carlos, additional, Seoane Vicente, Maria, additional, Suárez Tembra, Manuel, additional, Tejera Pérez, Cristina, additional, Toledo Frías, Pablo Antonio, additional, Turégano Yedro, Miguel, additional, Valdivielso, Pedro, additional, Valls-Roca, Francisco, additional, de Ceniga, Melina Vega, additional, Velasco Valdazo, Elisa, additional, Vidal-Pérez, Rafael, additional, and Zamora Cervantes, Alberto, additional

Published
2021
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