A study of more than 9,000 male and female patients in primary health units in 32 cities in São Paulo showed that people fail to control the main risk factors for the heart. The Community Information Epidemiological Study (Epico) found that cholesterol, hypertension, and diabetes have no control rates.
In the case of cholesterol analyzed in isolation, the control was only 16%. Only 25% had blood sugar levels within recommended goals and blood pressure was out of control for 48% of participants. The study was carried out by the São Paulo State Cardiology Society (Socesp).
“The research result was surprising because only 16% of the patients with high cholesterol had target values, 52% of the hypertensive patients had a blood pressure control and only 25% had blood sugar values. . In assessing the control of all factors, none of the 9,000 respondents were in control. These results show that patient education, continued drug use and the implementation of measures to promote healthy lifestyles are needed to increase control rates, ”commented the Director of Promotion and Research at Socesp, Maria Cristina de Oliveira Izar.
What was most surprising to them was the lack of general control over risk factors. “We know that even when they are treated and patients are not under control, there is a residual risk that cardiovascular events will continue to occur. For this reason it is very important to control all risk factors for values within the recommended goals. In addition, efforts must be made to maintain ideal weight, quit smoking, and do routine physical exercise while maintaining a healthy lifestyle. “
Epico has proven that the cardiovascular death rates in the state of São Paulo have not decreased in the past decade, unlike most countries compared. Once examined, the next step in the study will be to develop a strategy to pay more attention to cardiovascular risk factors and their impact on mortality rates in order to reduce them.
World heart day
To warn of the complications of cardiovascular disease, Socesp promotes awareness campaigns on its website and social networks to promote the quality of life in the month of World Heart Day, celebrated on Tuesday (29). The campaign slogan is “We Care About Your Heart” and offers advice on healthy eating, physical activity, stress relief and information to help smokers safely quit.
There are also a number of videos recorded by members of the company’s eight multi-professional departments, with specialists in physical education, nursing, pharmacology, physiotherapy, nutrition, dentistry, psychology and social work, and a group of ‘Palliative Care Studies’.
“These are measures to prevent cardiovascular disease and control risk factors, but they also target the other extreme, namely that of those at risk of death and those in a cardiovascular emergency. Focusing on prevention is crucial, especially during the pandemic. Declining demand for health and emergency services has led to higher rates of unattended death, lack of control over risk factors, and clinical worsening of symptoms. Patients ”, warned Maria Cristina.
Depending on the entity, changes in habits can have an impact of up to 80% on a person’s chances of having a stroke or stroke (stroke) in the next ten years. According to Maria Cristina, changes can be made at the same time if possible.
“We should note that for those who are already used to exercise, there are apps and videos that can help promote good health. However, for those who do not exercise, supervision by a sports professional and advice from a nutritionist is recommended. The exercise method chosen should be one that the individual likes to practice, that is compatible with their condition, and that can be practiced for at least 30 minutes five days a week, ”he advised.
Covid-19 and the heart
The Covid-19 pandemic has raised greater concern about cardiovascular disease as the virus has a greater impact on heart patients. “We do not have the full dimension of the impact that the coronavirus will have in the future, but we know that it is important to take care of our hearts now as heart disease has major complications when it is contaminated,” stated Socesp President João Fernando Monteiro Ferreira.
Cardiovascular disease kills more than any other cause in the world: around 17.9 million a year, according to the World Health Organization. There are 400,000 deaths each year in Brazil. Many of the risk factors for the heart are changeable, such as: B. physical inactivity, poor diet, high blood pressure, smoking, uncontrolled cholesterol, obesity and overweight. Factors that cannot be changed are family history and diabetes, but they can be reduced.
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