Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/21456
Type: Artigo de periódico
Title: Caracterização clínico-laboratorial de chagásicos hipertensos sem insuficiência cardíaca manifesta
Title Alternative: Clinical and laboratory characterization of hypertensive Chagas' disease patients without evident heart failure
Author: Bertanha, Laura
Guariento, Maria Elena
Magna, Luís Alberto
Almeida, Eros Antonio de
Abstract: This study evaluated the characteristics of 125 Chagas disease patients aged > 25 years or over who were attended at the Clinical Hospital of the State University of Campinas, State of São Paulo. Arterial pressure, age, gender, skin color, heart disease, body mass index, lipid profile, blood glucose level, alcohol and tobacco dependence, dyslipidemia, diabetes, anxiety disorders and obesity were investigated. It was found that the hypertensive Chagas disease patients were older than the non-hypertensive ones (p = 0.028). Among the hypertensive patients, there were more women (p = 0.015); higher blood glucose, LDL cholesterol and total cholesterol levels (p = 0.005, p = 0.024 and p = 0.017); more diabetics (p = 0.006); and more cardiac damage (p = 0.04) and left ventricular hypertrophy (p = 0.003). Only the age of patients with cardiac damage was shown to be higher (p = 0.003). The hypertensive Chagas disease patients presented clinical and laboratory characteristics that were similar to those of the general hypertensive population. This association may compound the harmful effects on the cardiovascular system.
Este estudo avaliou as características de 125 chagásicos, > 25 anos, atendidos no Hospital de Clínicas da Universidade Estadual de Campinas, SP, considerando-se: pressão arterial, idade, gênero, cor, cardiopatia, índice de massa corporal, perfil lipídico, glicemia, etilismo, tabagismo, dislipidemia, diabetes, distúrbio de ansiedade e obesidade. Apresentavam hipertensão arterial 69 (55,2%) pacientes. Verificou-se que os chagásicos hipertensos eram mais idosos que os não hipertensos (p = 0,028). Entre os hipertensos havia: mais mulheres (p = 0,015); níveis mais elevados de glicemia, LDL-colesterol e colesterol total (p = 0,005; p = 0,024; p = 0,017); mais diabéticos (p = 0,006), dano cardíaco (p = 0,04) e sobrecarga ventricular esquerda (p = 0,003). Apenas a idade mostrou-se mais elevada nos pacientes com dano cardíaco (p = 0,003). Os chagásicos hipertensos apresentaram características clínico-laboratoriais semelhantes à população hipertensa, em geral. Dessa associação pode haver somatória de efeitos deletérios para o aparelho cardiovascular.
Subject: Doença de Chagas
Hipertensão arterial sistêmica
Fatores de risco
Doença cardíaca
Chagas disease
Systemic arterial hypertension
Risk factors
Heart disease
Editor: Sociedade Brasileira de Medicina Tropical - SBMT
Rights: aberto
Identifier DOI: 10.1590/S0037-86822008000200006
Address: http://dx.doi.org/10.1590/S0037-86822008000200006
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822008000200006
Date Issue: 1-Apr-2008
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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