hrvatski

Prevalencija čimbenika kardiovaskularnog rizika, akutnog koronarnog sindroma, cerebrovaskularne i periferne vaskularne bolesti u bolesnika s aortnom stenozom

Introduction: Aortic stenosis represents the most common valvular heart disease. It is estimated to affect 2% to 7% of the population more than 65 years of age. Development and progression of calcific aortic valve disease results from passive calcium deposition within the aortic valve leaflets but there is increasing evidence that this is an active cellular process. The natural history of aortic stenosis includes a latency period followed by a more or less pronounced progression. Some studies found cardiovascular risk factors to have an impact on the development of degenerative aortic valve stenosis2 and some authors described an ‘early lesion’ that had much in common with the early lesion in atherosclerotic plaques, proposing the hypothesis of calcific aortic stenosis to be an atherosclerotic disease. Patients and Methods: We retrospectively analyzed medical documentation of all patients who were hospitalized in University Hospital “Sveti Duh” Zagreb, regardless of the indication, but with a diagnosis of aortic stenosis, during the period from October 2007 to October 2016 with the aim to evaluate the prevalence of cardiovascular risk factors. Results: Overall there were 915 hospitalized patients, aged 44-95 years, of which 406 (44%) men, and 330 (36%) with a history of diabetes mellitus. LDL cholesterol levels were elevated (≥3 mmol/L) in 317 (45.1%), with a value above 4.9 mmol/L in 27 (4.8%) patients. HDL levels were ≤1 mmol/L in 258 (36.9%) and triglyceride levels ≥1.7 mmol/L in 187 (26.8%) patients. There were 250 (27.3%) patients with the history of acute coronary syndrome, 119 (13%) undergoing percutaneous coronary intervention and 46 (5%) coronary artery bypass surgery. Total of 176 (19.2%) had a history of cerebrovascular disease (including stroke) and 139 (15.2%) had significant atherosclerotic lesions of carotid arteries verified with color Doppler. 75 (8.2%) had peripheral vascular disease also verified with color Doppler. Conclusions: With retrospective analysis of medical data we found that 45% of patients did not have adequately regulated levels of LDL cholesterol which certainly contributes to the progression of coronary, cerebral and peripheral diseases, as well as aortic stenosis.

kardiovaskularni rizik, akutni koronarni sindrom, cerebrovaskularne i periferne vaskularne bolesti, aortna stenoza

nije evidentirano

engleski

Prevalence of cardiovascular risk factors, acute coronary syndrome, cerebrovascular and peripheral vascular disease in patients with aortic stenosis

Introduction: Aortic stenosis represents the most common valvular heart disease. It is estimated to affect 2% to 7% of the population more than 65 years of age. Development and progression of calcific aortic valve disease results from passive calcium deposition within the aortic valve leaflets but there is increasing evidence that this is an active cellular process. The natural history of aortic stenosis includes a latency period followed by a more or less pronounced progression. Some studies found cardiovascular risk factors to have an impact on the development of degenerative aortic valve stenosis2 and some authors described an ‘early lesion’ that had much in common with the early lesion in atherosclerotic plaques, proposing the hypothesis of calcific aortic stenosis to be an atherosclerotic disease. Patients and Methods: We retrospectively analyzed medical documentation of all patients who were hospitalized in University Hospital “Sveti Duh” Zagreb, regardless of the indication, but with a diagnosis of aortic stenosis, during the period from October 2007 to October 2016 with the aim to evaluate the prevalence of cardiovascular risk factors. Results: Overall there were 915 hospitalized patients, aged 44-95 years, of which 406 (44%) men, and 330 (36%) with a history of diabetes mellitus. LDL cholesterol levels were elevated (≥3 mmol/L) in 317 (45.1%), with a value above 4.9 mmol/L in 27 (4.8%) patients. HDL levels were ≤1 mmol/L in 258 (36.9%) and triglyceride levels ≥1.7 mmol/L in 187 (26.8%) patients. There were 250 (27.3%) patients with the history of acute coronary syndrome, 119 (13%) undergoing percutaneous coronary intervention and 46 (5%) coronary artery bypass surgery. Total of 176 (19.2%) had a history of cerebrovascular disease (including stroke) and 139 (15.2%) had significant atherosclerotic lesions of carotid arteries verified with color Doppler. 75 (8.2%) had peripheral vascular disease also verified with color Doppler. Conclusions: With retrospective analysis of medical data we found that 45% of patients did not have adequately regulated levels of LDL cholesterol which certainly contributes to the progression of coronary, cerebral and peripheral diseases, as well as aortic stenosis.

cardiovascular risk factors, acute coronary syndrome, cerebrovascular and peripheral vascular disease, aortic stenosis

nije evidentirano