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publicado em 28/11/2011 às 15h15:00
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Crossing points of cardiovascular risk indicators in postmenopausal

A study conducted at UNESP points that the application of risk indices in isolation can be misleading in the evaluation of patients

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Doctors Jorge Nahas Nahas Neto and Eliana, teachers, Department of Gynecology and Obstetrics, School of Medicine (FM) of UNESP, Botucatu Campus, led to a U.S. study that analyzed the risk of postmenopausal women develop cardiovascular disease. The presentation was made during the 22nd Annual Meeting of North American Menopause Society, held in Washington (DC).

The paper entitled Estimation of cardiovascular risk in postmenopausal women "(Estimated cardiovascular risk in postmenopausal women), evaluated 497 patients between 45 and 70 years, seen in the Climacteric & Menopause Clinic of the Hospital das Clinicas, Faculty of Medicine.

According to the researchers, was employed on the project two levels of evaluation: the Framingham risk score (FRS) and the diagnosis of metabolic syndrome (MS). According to CR, 72.4% of women were classified as low risk, intermediate risk with 16.5% and 11.1% at high risk. However, 40% of women were identified with metabolic syndrome.

The conclusion is that the scientists employ the ERF alone in estimating cardiovascular risk, there would be many postmenopausal women with metabolic syndrome who were not identified.

The teacher explains that Eliana, considered to be the bearer of the metabolic syndrome, a woman must have at least three of the following diagnostic criteria: blood glucose or diabetes treatment, blood pressure or hypertension treatment, triglycerides or under treatment of dyslipidemia (presence of high levels or abnormal lipids or lipoproteins in the blood) and abdominal obesity.

The Framingham risk score indicated little chance of cardiovascular disease in our patients as it considers abdominal obesity among the risk factors. It is therefore important that postmenopausal women are evaluated based on more than one indicator, such as metabolic syndrome, he reckons.

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