LA HIPERTRIGLICERIDEMIA EN LA ENFERMEDAD CORONARIA ¿ES UN FACTOR DE RIESGO?

L Sonzini, O Corzo, F Alfonso, M Yorio

Resumen


La asociación entre hipertrigliceridemia y enfermedad arterial coronaria (EAC) es controvertida. Objetivo: establecer la  relación entre  el nivel  de triglicéridos  en pacientes con  enfermedad  coronaria, relacionar los valores elevados de triglicéridos con colesterol total, colesterol HDL, colesterol LDL,   sobrepeso   y obesidad en pacientes coronarios. Material  Y Métodos: Se evaluaron retrospectivamente pacientes  con y sin enfermedad coronaria demostrable que fueron asistidos en la consulta pública y privada  en la Cátedra de Medicina I Unidad Académica de Medicina Interna Nº 3 del Hospital Córdoba  y el Servicio de Cardiología de la Clínica Sucre de la ciudad de Córdoba, entre en 1 de enero y 31 de diciembre de 2009. Se consideró pacientes con enfermedad coronaria (casos) aquellos que tuvieron lesiones coronarias significativas las que mostraron una disminución de la luz arterial >50% `por medio de cinecoronariografía. (15)(16) y un grupo control sin enfermedad coronaria objetivable. . Se incluyeron pacientes  entre 30 y 60 años de edad que tuvieran historia clínica completa. Resultados: El número total de pacientes incluidos fue de 100 casos,  64 casos en el grupo de  pacientes coronarios y  36 en los no coronarios. 74% de sexo  masculino, predominancia masculina en pacientes coronarios y femenina en no coronarios.  68%  era mayor de 50 años.  Los valores del lipidograma   no mostraron diferencias estadísticamente significativas en pacientes no coronarios y coronarios Los valores promedio  de TG fueron levemente más elevados en el grupo de no coronarios, aunque no mostraron diferencias estadísticamente significativas (p=0,7162). Conclusión: La hipertrigliceridemia no fue mayor en los pacientes coronarios y no se relacionó con  el índice de masa corporal, en pacientes con sobrepeso y obesos.

 

Summary:

Hypercholesterolemia is a well known risk factor for  coronary cardiovascular disease (CVD). However, the role of triglycerides in CVD risk remains controversial. Objective: to study triglyceride level and its relationship with Cholesterol, HDL and LDL Cholesterol level, obesity and overweight in patients with and without CVD. Material and Methods: we retrospectively studied patients with and without CVD who attended to Córdoba Hospital  and Cardiology unit of Clínica Sucre  at Córdoba city between 1° January to 31 st of December of 2009. We included patients with age between 30 to 60 years old with CVD and a control group. Results: 100 patients were included, 64 with CVD and 36 as a control group. 74% were male and 68% older than 50 years old. Lipid values were not statistically significant in both groups. Triglyceride level was higher in the control group, although the difference was not statistically significant (p=0, 7162). Conclusion: Triglyceride level was not higher in patients with CVD.

Palabras clave


Hipertrigliceridemia; enfermedad coronaria.

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Referencias


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DOI: http://dx.doi.org/10.31053/1853.0605.v73.n1.14285

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Revista de la Facultad de Ciencias Médicas.
Pabellón Perú - Ciudad Universitaria
Facultad de Ciencias Médicas.
Universidad Nacional de Córdoba.
Argentina
ISSN impreso: 0014-6722 | ISSN en linea: 1853-0605

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