Síndrome Metabólico y Factores Emergentes de Riesgo Cardiovascular en Pacientes con Hipertensión Arterial y Diabetes de Zona Insular Venezolana.

Cardiovascular diseases (CVD) are the main mortally cause in Venezuela and rest of the world; CD increased due to changes of modern life style, although some of their causes are known and modifiable; for that reason the study of risk factors is important for its prevention. The metabolic syndrome (MS) and the new independent risk factors like plasmatic homocysteine(HC) and C-reactive protein(CRP), show a strong association as predictors of cardiovascular risk. The present paper describes the prevalence of MS and amergent cardiovascular risk factors in patients with hypertension (HT) or diabetes in out patients of Ambulatory Rural Typell"Dr. Tulio Villalobos"of the Archipielago de los Roques, Venezuela; in order to reduce the modifiable risk factors. This is a descriptive, cross sectional epidemiologic study; the study group included 20 hypertensive and diabetic patients 65% of female sex, and mean 52,7 years old. The MS according to ATP III, was observed in 80%, prevailing in female sex. The HC showed mean levels considered of risk for cardiovascular disease, predominating in male sex. In the study group there was a high prevalence of different CVD risk factors. No significant correlations were found when comparing HC with it the absence or presence of the different variables, which is explained by the low number of studied individuals. CRP was found high in the group, and a great heterogeneity, predominating in female sex, probably due to it is nature as an accute inflammatory marker, nevertheless, there was no relationship between the presence or absence of MS with CRP levels over its normal value. We recommend the intervention in these patients and their community, since they present numerous CVD risk factors. [ABSTRACT FROM AUTHOR]